%PDF-1.7 % 19 0 obj << /Type /Page /Parent 1 0 R /LastModified (D:20210502152151-04'00') /Resources 2 0 R /MediaBox [0.000000 0.000000 595.276000 841.890000] /CropBox [0.000000 0.000000 595.276000 841.890000] /BleedBox [0.000000 0.000000 595.276000 841.890000] /TrimBox [0.000000 0.000000 595.276000 841.890000] /ArtBox [0.000000 0.000000 595.276000 841.890000] /Contents 20 0 R /Rotate 0 /Group << /Type /Group /S /Transparency /CS /DeviceRGB >> /Annots [ 7 0 R 8 0 R 9 0 R 10 0 R 11 0 R 12 0 R 13 0 R 14 0 R ] /PZ 1 >> endobj 20 0 obj <> stream x\ێF}h̋w˾,&ı#x] Cl&J7)Y#ݭ EȆtUW:MK2~Ȟ7?/[r&^߿o )K/J$H^Z\H -j6h;W247^'Ѿm0?6=߿S BF˚jV-Q.?bhSҟt g +6|||:%BV0"R(x,d0x!p%pbb BAIz 04626 Ct( ϭhS=;0LNm4]нي@ޔIn7TTqLX}V]@\YEiՖa qI ]Pr1׸kXeXȥD|'yI~+&>1Ebrc"UO!#_C ;{cCe,< IGv 4?ČeKs,[ @*Xsf eSϟ IlvEUzvMZF;!eM s̷cCtKt<ҷH []I+# -kv̻|LPcv0ܖv9&k6k鎩YqE[Tl9jy̡dE(%k<;AΞ?A6Jj;}M=Dn|-@xEt#ФqaaWv+FeYu}/0I5 שpm$-Qu Vz6IulKN%F#`Rكvo{٨M e2 ^l袝o{0*^7[ta Gy#{= Jl=4}/" fY$!!ƶ[LQޑix֜@˝EGПי!;\.9`(z$CD.s('g4)`]8 倧sD7)5hx-)<{2[txN"Eӈw'GY/;a +f}CGIx.r5KF3[l!fi-!`(fJ\}f9ݻx(%曦> -Mܞ4WI M&4*mW:gi,w(5D TW9x؄vr GM1' #ْ5Fr3[<[Ӧ5+{SdOIL/,s3^KKnc`ϜZ#.BԶ[gz"G8{L8n2rJ(b G*Ў\Fw[[Ƣhcq矧tgKe蘢8N{ RI- J87 m˧IȢԪ=,_y#֥(TAV(WAWcAc;ms,gVAZzj8X:Iox>(ѦlۓI67L݀jxdZ@tXc~Ȋ*D+'+t;> /Annots [ 15 0 R 16 0 R 17 0 R 18 0 R ] /PZ 1 >> endobj 22 0 obj <> stream xYYo8~ϯe uQGߺv [?,h$$eU~|q6m(H<!4rx'CЋz?q_/X̹}I>ѻ>/v[87nnBJ|0<<{?'D{<.xIS9q0y0 #]jr ZnۨwOG4 4 i"Ok֕2b;EXr#RVT`.nZ{hAp LLqe7\]΂ZC&"FRYrX)YBjXHxTW:ŵB5U,h9W#'#D?˥aJ\'-' :* l]YhkJ}X1jt~۲QI)u!>>H+јVMb {e5l{`61ܪQaKP3K)aL0K6Lu6\ S'/7h3D)wH+2Zqe쟦cWȭ%9/CtnܢH]qTglisʯ='P^(b!tJuBPr%#\H + $,27^3aj[>ͥ,~@зx~m@ >|)#dˠ8rVLdYX)scTG%QxbSD{xaGܗ)ӄSgy9+|MRY+=ޙ8f[Ә1L;,$ q8SVuVCre5'"4i;,fƺk*N"AOe }iCVͬMUKAldcu4Y̓3P;)P-9B%%GygM&!J Zc#-8KۤdaZq 5Ȫv-k{qjHbyMRH<+ mيHxt;;fxw oGK=[zJ7 }qaUl9$^"ND#:yy0 = s> endstream endobj 1 0 obj << /Type /Pages /Kids [ 19 0 R 21 0 R ] /Count 2 >> endobj 3 0 obj <> endobj 5 0 obj <> endobj 6 0 obj <> endobj 23 0 obj <> stream JFIFHHExifMM* z(1>?QQ Q HHPaint.NET v3.5.10z%u0`:oCC." }!1AQa"q2#BR$3br %&'()*456789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz w!1AQaq"2B #3Rbr $4%&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz ?(f 1T$`9Sw(B@;~(]Cd꾫Es:aݻd2\(2F][&]ۢϲ|W͵L@A A 8 (CĝCglZE/ |Ezє{ xQʒ@[ྊ\/I4R0?6.7`ŴwPu|3/Z@Ogi}cFdFKoj?~8|p_A<ĺOkGPK $wRmkmF;YVx&rLj#p ׭axf|s$Ӿc:Qwm]N)Cψ[eYba98xB+oTÚwcRþ$U[ ?qΙ{&jv6Xo$=ԗ&7zgAxIִ.$3,mwc{+%g[!U@&Fϻm/#hci'7n[%It.&/ֶ+Zl~:wi~D>$}o+}@.[/+B6mnt8bi{zc.~F{eUe86g3 VT&> BK VؘXzSMesoM_&ϔIÍK?+hڿnt_ K]H '̽yrWA=O+|"!gɤItXe>Xs hwwG Eouqa /ş_~~'x} ]_^]/ 蚼:<cu/ h&omEۯicǪ\[,k}_uS}㏆W]G^tmf`Ks ]=va&h9n忔>75NWQτ0of,E (˰8hBC_ Jq'W UQKz,N>+`S%}b5ISJ]+(&QVN>eoy7xG4[]]3K{i$I>g-(mbynLIC,"*3f?-%`lfPx涽X"H'h"ֈ(TfeU:܉,a,R*I4xcxalOhGр|ia$cg,{gAHEu->]F,{-.,EX"I$XQD/3R.{{T&ҭ%4[OPnx"HhM :e}-Լ'=s:\iZ<+Lj5+1AɮLZx-☽G3 1I"kuχ+A}5'NxI8 gJk[oenm!x,=n=>}kjPx~M񧍼5k45a,RLiȖTFQMR&K;}r+XkY[y>2F=2~6>Gmi++<[WF76MH4>;;Kf۽ъM3ZE}c㿈*- -.|G5uI![ YR$$A>Eyׇ|7u;n>4׭JϷR[h!rVr\{~Ϛ >0jMg?_y_ Do/x;ÚƏi a𶕦f|Eqgk4V^RY]}F,/J%ՌAud%:x3Hg_4[+^ ҴKaXF'n.]Z(i$bef5GO:u]/a~.3N4xiG*a8ާ-U){G nJEڿ[m7wv5MYp|'gm # #%B?|鿲w­{+_|Q#VkxcZޛ{I]Wyak}..i˨iY9QwOA~hf{+ |Y;cڴ27G>|H,na8o; CEO,ZLP?SHK} e92W7/1aj¤aڄq4 қS7,5]%EƔc/uҒw\r/EnT y>!V+VK4X^Y{;+Ӫ=MqslEn?Zz'Ë}^2xĺGf70/M~*DU=坍G{wwvci%vZ$GY&J9dkՀ\6hs.F*ĩ"+S%s*{ qqDj3$ q^T24,Cn +=j񟍼q5k'\%ݎ{ͦuyq4X$y<ك2Ey%™|Icw]3#R[`{KցY [1*kLOdw ^OAkЏb<¿ <=6x0ׄ>(=*[ t]9-?IZ@}/>FۃQ@ endstream endobj 4 0 obj << /Type /XObject /Subtype /Form /FormType 1 /Filter /FlateDecode /BBox [0.000000 0.000000 595.276000 76.535433] /Matrix [1 0 0 1 0 0] /Resources << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /Font << /F2 5 0 R /F1 3 0 R >> /XObject << /I0 23 0 R >> >> /Length 197 >> stream xKkBA WeI&ڊU/ nʥBf8A3!(X4`JQj*Aj͕197f hkL[=µrw]F D%x2WC0 9)Z ^Wh}29yyu?4g=bT1߻a endstream endobj 2 0 obj << /ProcSet [/PDF /Text /ImageB /ImageC /ImageI] /Font << /F1 3 0 R /F2 5 0 R /F3 6 0 R >> /XObject << /XT4 4 0 R /I0 23 0 R >> >> endobj 7 0 obj <> /H /I>> endobj 8 0 obj <> /H /I>> endobj 9 0 obj <> /H /I>> endobj 10 0 obj <> /H /I>> endobj 11 0 obj <> /H /I>> endobj 12 0 obj <> /H /I>> endobj 13 0 obj <> /H /I>> endobj 14 0 obj <> /H /I>> endobj 15 0 obj <> /H /I>> endobj 16 0 obj <> /H /I>> endobj 17 0 obj <> /H /I>> endobj 18 0 obj <> /H /I>> endobj 24 0 obj << /Title (Maryland's hospital payment reform fails to deliver) /Subject (Maryland's hospital payment reform fails to deliver) /Creator (Science X Network) /Producer (TCPDF 6.3.5 \(http://www.tcpdf.org\)) /CreationDate (D:20210502152151-04'00') /ModDate (D:20210502152151-04'00') /Trapped /False >> endobj 25 0 obj << /Type /Metadata /Subtype /XML /Length 4759 >> stream application/pdf Maryland's hospital payment reform fails to deliver Maryland's hospital payment reform fails to deliver 2021-05-02T15:21:51-04:00 Science X Network 2021-05-02T15:21:51-04:00 2021-05-02T15:21:51-04:00 TCPDF 6.3.5 (http://www.tcpdf.org) uuid:5e4aaf24-f26a-9759-b296-dbfaff248a31 uuid:5e4aaf24-f26a-9759-b296-dbfaff248a31 http://ns.adobe.com/pdf/1.3/ pdf Adobe PDF Schema internal Adobe PDF Schema InstanceID URI http://ns.adobe.com/xap/1.0/mm/ xmpMM XMP Media Management Schema internal UUID based identifier for specific incarnation of a document InstanceID URI http://www.aiim.org/pdfa/ns/id/ pdfaid PDF/A ID Schema internal Part of PDF/A standard part Integer internal Amendment of PDF/A standard amd Text internal Conformance level of PDF/A standard conformance Text endstream endobj 26 0 obj << /Type /Catalog /Version /1.7 /Pages 1 0 R /Names << >> /ViewerPreferences << /Direction /L2R >> /PageLayout /SinglePage /PageMode /UseNone /OpenAction [19 0 R /FitH null] /Metadata 25 0 R >> endobj xref 0 27 0000000000 65535 f 0000005526 00000 n 0000012061 00000 n 0000005593 00000 n 0000011560 00000 n 0000005699 00000 n 0000005810 00000 n 0000012207 00000 n 0000012449 00000 n 0000012693 00000 n 0000012949 00000 n 0000013205 00000 n 0000013448 00000 n 0000013703 00000 n 0000013958 00000 n 0000014206 00000 n 0000014458 00000 n 0000014702 00000 n 0000014982 00000 n 0000000015 00000 n 0000000532 00000 n 0000003683 00000 n 0000004175 00000 n 0000005924 00000 n 0000015200 00000 n 0000015676 00000 n 0000020518 00000 n trailer << /Size 27 /Root 26 0 R /Info 24 0 R /ID [ <5e4aaf24f26a9759b296dbfaff248a31> <5e4aaf24f26a9759b296dbfaff248a31> ] >> startxref 20728 %%EOF