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KPMG finally gave me a promotion

I have recently got selected in tcs and I have 10.5 years of experience with 25 LPA. Now for salary negotiation hr is asking me to go with ur current pkg otherwise it will be dropped bcoz it's already very high pkg for them. What should I do if I have an offer of 29 LPA from other company? Tata Consultancy@
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Christmas Eve appetizer 2: caprese cups

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We need to get rid of HIPAA. There, I said it.
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I am finding WAY less client-side interest in value based payment models/responses to it.
They have a lot less money to spend on optimizing patient care.
Agreed with D1, the systems still stuck in the FFS model talk a big game because some of the ACO/MACRA related words sound snazzy, but the commitment to overhauling their model is not there
No real change that I can tell.
I’m still seeing shifts to value based care as the commercials have moved that way and are driving the change more so than CMS. However, health systems are more careful about the level of investment (tech) because they are so focused on profitability and cost reduction as the uninsured population grows.
No real change
I have seen much less $$ available for optimizations and much less opportunities.