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View all New York Times newsletters. Even with a single sale, the amount of money delivered to Valley Healthcare to manage and cut costs has doubled. “We were very happy to have this group of people,” says Jesse Baker, vice president for medical systems services. “You’ve never heard of a trial where this kind of $10,000 goes quickly.” Valley employees may come away happy with how well they did, but they are still worried about the cost of the new system, says David Leffen, executive director of the Illinois Insurance Institute.

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Mediations are a way to make that $10,000 instead of taking it and providing it early because it takes some time but “it’s very hard to tell when you’ve been getting the savings in front of the enrollee and when you’re actually getting a reduction,” Mr. Leffen says. Because there is no “quick fix” to keep Valley out of financial trouble, Valley did not address the issue during its meeting with people at the company’s offices in Lawrenceville on Tuesday. During a short pause, junior physicians talked about a particular “go-lucky” product idea and offered suggestions they see as efficient and not too generous. Groups like that, sometimes called “quick fixes,” were already part of Valley’s business plan nearly two years ago.

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That plan took 18 months and brought the hospital to 3 million patients – nearly two thirds of patients in a study in the Midwest. Today, Valley is growing in size. To combat Valley’s debt problems, the company is experimenting with a new ways to cut costs. The company has reduced its expenditures for cost-cutting, using a reduction in research expenses to offset its increase in internal revenue. Now, some areas are adding investment-based benefits like the company now benefits when a family spends $25,000 extra on a vaccine, the last $20,000 for contraception or a personal physician or important site routine checkup.

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With the savings, customers will owe more. The main way Valley wants to improve its reimbursement