To do that, Dr. Rohack said, physicians have to see patients more frequently to manage aggressively chronic conditions like diabetes and congestive heart failure.

In what he called a strategic shift, Mr. Baillie said, "We will be aggressively managing our telecoms portfolio downward in size."

A school that does not aggressively manage its ranking will founder, and because there are no cops on this beat, there is no downside to creative accounting.

"Health care purchasers that aggressively manage their contracts, including reassessing and auditing them, always do better," Ms. Darling said.

And with good reason: "I manage aggressively," he said, "and this generally means utilizing markets that are very big and very liquid."

F. Hardymon, Textron's chairman and chief executive, said that selling Lycoming was part of the strategy of the company to aggressively manage its systems and components businesses.

"I applaud what the Governor is doing in terms of aggressively managing the budget process, even if it means cutbacks for agencies," Mr. McCall, a Democrat, said.

He added: "On the cost side, this company has been aggressively managing its cost structure to drive margins higher.

They wanted to focus on "aggressively managing" this diagnosis.

In its annual report to shareholders, U.S. Global explains that it is "aggressively and effectively managing the company's cash position by utilizing a diversified venture capital approach to investing."