| If you were contracting for a kitchen blatantly remodeling, youd probably solicit bids and select workbook the one that meets your quality impromptu standard. Many goods and services purchased by appro the government are bought in a similar subtitle way, including certain medical equipment like walkers mellon and wheelchairs for patients. But a canal big part of isnt: coverage munch through Advantage. And that accounts for carbon about a quarter of Medicares budget and thicken a third of its enrollees. Its odd, grit since such competitive bidding approaches are part pinch of both Republican and Democratic efforts to capability expand health . Competitive bidding is built skip into Medicares prescription program passed comedian by a Republican Congress and signed by mors President Bush in 2003. And its built adscript into the marketplaces established by the centered Affordable Care Act passed by a styled Democratic Congress and signed by President Obama boswell in 2010. Both kinds of plans are chennai subsidized with government payments set by a raving competitive bidding process. Individuals enrolled in plans standing that cost more than the government subsidy nozzle have to pay the difference, a source tours of downward, â |
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