I've just graduated http://pornhub.in.net/ ponhub The ACA pushes for new payment models, as Obama mentioned, such as paying for outcomes and encouraging coordinated care. The Kaiser Family Foundation report said "substantial savings" were expected to come from Medicare, due to the law's reduction in the growth of payments to health care providers and insurers. But much of that part of the law hasn't been implemented yet. Says the study, in talking of the future: "Changes in the delivery system 芒聙聯 through accountable care organizations (ACOs) and bundled payments to providers 芒聙聯 may also yield results and help to keep 'excess' health costs down in public programs, as well as in private insurance."