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will continue to receive subsidies for more than half the cost of their insurance premiums,<a href=" " target="_blank">cheap real jordans< a>, the later retirees are being shifted into nonsubsidized Medicare and other plans. In addition,<a href=" " target="_blank">cheap jordan shoes< a>, recent police and fire collective bargaining agreements include more premiums for retiree health care, to offset some of the city’s costs.< p>
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<p>These changes are big enough to save roughly $100 million a year, which more than explains why Chicago’s total spending on health care has not risen for five years. The cost to cover current employees has grown by 25 percent since 2011, but for these workers, Mayor Emanuel has introduced changes that should help contain that growth over time.< p>
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<p>In 2015, for example, the city introduced incentives for employees to seek higher-value doctors and other health-care providers and to buy generic drugs rather than more expensive branded versions. Chicago also redesigned its copayments to encourage people to see primary-care physicians. And it created incentives for employees to obtain MRIs and other scans at independent facilities,<a href=" " target="_blank">real cheap jordans retro< a>, which often charge less than hospitals do. Private-sector employers have long since taken many of these steps.< p>
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<p>The effort to constrain cost growth and improve the value of health care is less like a test at school that is taken once and done, and more like a diet -- something that requires constant attention and effort. To continue its progress, Chicago will have to keep making changes. But the city is headed in<ul>
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