7 CFR 56.47 - Fees for appeal grading or review of a grader's decision.

Code of Federal Regulations, 2010 CFR

2010-01-01

...) AGRICULTURAL MARKETING SERVICE (Standards, Inspections, Marketing Practices), DEPARTMENT OF AGRICULTURE (CONTINUED) REGULATIONS AND STANDARDS UNDER THE AGRICULTURAL MARKETING ACT OF 1946 AND THE EGG PRODUCTS... Fees for appeal grading or review of a grader's decision. The cost of an appeal grading or review of a...

Are clinical decisions in endodontics influenced by the patient's fee-paying status?

PubMed

Walker, I; Gilbert, D; Asimakopoulou, K

2015-12-01

We explored whether the fee status of a UK patient influences clinical decision-making in endodontics. In a randomised-controlled vignette study describing either an 'NHS-funded', 'Privately-funded' or undisclosed fee-status patient, we examined the importance vocational trainer dentists placed on a series of factors normally considered when deciding whether to offer patients endodontic treatment as opposed to extracting the tooth. N = 119 experienced (M years post qualification = 20.01) dentists participated. Having read a vignette describing a hypothetical patient who could potentially be treated either endodontically or through an extraction, dentists rated a series of factors they would normally consider (for example, poor oral hygiene, the rest of their mouth is unfilled and caries-free), before recommending either endodontic treatment or an extraction. The patient's funding status had no influence on these dentists' clinical decision-making when considering endodontic treatment as an option (p >0.05) with the exception of a single item relating to infrequent attendance where the NHS patient was more likely than the 'undisclosed-fee' patient, to be offered extractions (F (2, 116) 3.43, p <0.04). We have found no strong evidence to suggest that the fee-status of a patient influences clinical decision-making in endodontic treatment by experienced dentists.

37 CFR 1.17 - Patent application and reexamination processing fees.

Code of Federal Regulations, 2011 CFR

2011-07-01

... decision on petition refusing to accept delayed payment of maintenance fee in an expired patent. § 1.741(b... and record payment of a maintenance fee filed prior to expiration of a patent. § 1.550(c)—for patent... application from issue. § 1.314—to defer issuance of a patent. (i) Processing fee for taking action under one...

78 FR 53055 - Regulations Governing Fees for Services Performed in Connection With Licensing and Related...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-28

... the unchanged salary costs from the 2012 User Fee Update decision; no change in the publication cost levels of that decision; plus increase changes to two of the three Board overhead cost factors (the other overhead factor remains unchanged from its 2012 level), resulting from the mechanical application of the...

No Point Worrying? Potential Undergraduates, Study-Related Debt, and the Financial Allure of Higher Education

ERIC Educational Resources Information Center

Esson, James; Ertl, Hubert

2016-01-01

As of September 2012, the undergraduate tuition fee cap at English universities was raised from £3375 to £9000 per annum. This article explores the rationales underpinning prospective students' decision whether or not to apply to higher education following the fee increase, specifically, how this decision is influenced by perceptions of…

State Tuition, Fees, and Financial Assistance Policies: For Public Colleges and Universities, 2010-11

ERIC Educational Resources Information Center

Bell, Allison C.; Carnahan, Julie; L'Orange, Hans P.

2011-01-01

This report, "State Tuition, Fees, and Financial Assistance Policies for Public Colleges and Universities: 2010-11", examines the philosophies, policies, and procedures that influence decision-making regarding public college and university tuition, student fees, and student financial aid programs. This report also provides information…

Barriers to electronic prescribing: Nebraska pharmacists' perspective.

PubMed

Lander, Lina; Klepser, Donald G; Cochran, Gary L; Lomelin, Daniel E; Morien, Marsha

2013-01-01

Electronic prescribing (e-prescribing) and its accompanying clinical decision support capabilities have been promoted as means for reducing medication errors and improving efficiency. The objectives of this study were to identify the barriers to adoption of e-prescribing among nonparticipating Nebraska pharmacies and to describe how the lack of pharmacy participation impacts the ability of physicians to meet meaningful use criteria. We interviewed pharmacists and/or managers from nonparticipating pharmacies to determine barriers to the adoption of e-prescribing. We used open-ended questions and a structured questionnaire to capture participants' responses. Of the 23 participants, 10 (43%) reported plans to implement e-prescribing sometime in the future but delayed participation due to transaction fees and maintenance costs, as well as lack of demand from customers and prescribers to implement e-prescribing. Nine participants (39%) reported no intention to e-prescribe in the future, citing start-up costs for implementing e-prescribing, transaction fees and maintenance costs, happiness with the current system, and lack of understanding about e-prescribing's benefits and how to implement e-prescribing. The barriers to e-prescribing identified by both late adopters and those not willing to accept e-prescriptions were similar and were mainly initial costs and transaction fees associated with each new prescription. For some rural pharmacies, not participating in e-prescribing may be a rational business decision. To increase participation, waiving or reimbursing transaction fees, based on demographic or financial characteristics of the pharmacy, may be warranted. © 2012 National Rural Health Association.

School Board Decision-Making and the Elimination of Sport Participation Fees

ERIC Educational Resources Information Center

Heinze, Kathryn L.; Zdroik, Jennifer

2018-01-01

Public schools in the US are increasingly charging "pay-to-play" fees for participating in sports. Although these fees can cause reductions in participation, particularly for children from lower-income families, pay-to-play has become a legitimate practice within the field of public education. This study examines what leads some school…

Expected Rate of Return on the Personal Investment in Education of No-Fee Preservice Students

ERIC Educational Resources Information Center

Zhang, Xuemin

2013-01-01

Return on personal investment is an important factor affecting the decision to invest in education. This article analyzes the personal education costs of no-fee preservice students, estimates and forecasts the return on their personal education investment, and compares the costs and benefits of for-fee preservice students and nonteaching students.…

77 FR 30321 - Proposed Concession Contract for Yellowstone National Park-Alternative Formula for Calculating...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-22

... franchise fee payable to the Government that is based upon consideration of the probable value to the... depreciation. Thus, if we use the standard LSI formula to establish the required minimum franchise fee for the... franchise fee that we would establish under the standard LSI formula, this business decision relies on...

Expanding Medicaid Access without Expanding Medicaid: Why Did Some Nonexpansion States Continue the Primary Care Fee Bump?

PubMed

Wilk, Adam S; Evans, Leigh C; Jones, David K

2018-02-01

Six states that have rejected the Patient Protection and Affordable Care Act's (ACA) Medicaid expansion nonetheless extended the primary care "fee bump," by which the federal government increased Medicaid fees for primary care services up to 100 percent of Medicare fees during 2013-14. We conducted semistructured interviews with leaders in five of these states, as well as in three comparison states, to examine why they would continue a provision of the ACA that moderately expands access at significant state expense while rejecting the expansion and its large federal match, focusing on relevant economic, political, and procedural factors. We found that fee bump extension proposals were more successful where they were dissociated from major national policy debates, actionable with the input of relatively few stakeholder entities, and well aligned with preexisting policy-making structures and decision trends. Republican proposals to cap or reduce federal funding for Medicaid, if enacted, would compel states to contain program costs. In this context, states' established decision-making processes for updating Medicaid fee schedules, which we elucidate in this study, may shape the future of the Medicaid program. Copyright © 2018 by Duke University Press 2018.

Relationship between pharmaceutical company user fees and drug approvals in Canada and Australia: a hypothesis-generating study.

PubMed

Lexchin, Joel

2006-12-01

Since the early- to mid-1990s, drug companies have paid fees for a variety of activities carried out by the Therapeutic Products Directorate in Canada and the Therapeutic Goods Administration in Australia. To explore whether changes in approval times for new active substances and in the percentage of new drug submissions receiving positive decisions coincided with the level of user fees. Data were collected from a range of Canadian and Australian government publications on the following topics: total funding for and workload of the regulatory agencies, the percentage of income that came from tax revenue and user fees, the percentage of new drug submissions that received a positive decision, and-for Canada only-the percent of submissions that were approved on first review. In both countries, there was a moderate-to-strong positive association between the level of industry funding and the percent of submissions that received a positive decision and a moderate-to-strong (Canada) and moderate (Australia) negative association between the level of industry funding and approval times. Changes observed in both countries are favorable to the pharmaceutical industry. Other than user fees leading to a pro-industry bias in the regulatory authorities, other possible explanations include a more efficient use of resources, a smaller workload (Canada), an improvement in the quality of drug submissions (Canada), and more resources (Australia). Further research strategies are needed to either confirm or refute the hypothesis that the level of industry funding affects decisions made in drug regulatory systems.

37 CFR 1.17 - Patent application and reexamination processing fees.

Code of Federal Regulations, 2012 CFR

2012-07-01

... maintenance fee in an expired patent. § 1.741(b)—to accord a filing date to an application under § 1.740 for...—for review of decision refusing to accept and record payment of a maintenance fee filed prior to... publication. § 1.313—to withdraw an application from issue. § 1.314—to defer issuance of a patent. (i...

18 CFR 388.101 - Scope.

Code of Federal Regulations, 2010 CFR

2010-04-01

... governing public notice of proceedings, publication of decisions, requests for informal advice from... responding to subpoenas seeking documents or testimony from Commission employees or former employees, fees for various requests for documents, and requests for reduction or waiver of these fees. ...

Hidden costs: the direct and indirect impact of user fees on access to malaria treatment and primary care in Mali.

PubMed

Johnson, Ari; Goss, Adeline; Beckerman, Jessica; Castro, Arachu

2012-11-01

About 20 years after initial calls for the introduction of user fees in health systems in sub-Saharan Africa, a growing coalition is advocating for their removal. Several African countries have abolished user fees for health care for some or all of their citizens. However, fee-for-service health care delivery remains a primary health care funding model in many countries in sub-Saharan Africa. Although the impact of user fees on utilization of health services and household finances has been studied extensively, further research is needed to characterize the multi-faceted health and social problems associated with charging user fees. This ethnographic study aims to identify consequences of user fees on gender inequality, food insecurity, and household decision-making for a group of women living in poverty. Ethnographic life history interviews were conducted with 24 women in Yirimadjo, Mali in 2007. Purposive sampling selected participants across a broad socio-economic spectrum. Semi-structured interviews addressed participants' past medical history, socio-economic status, social and family history, and access to health care. Interview transcripts were coded using the guiding analytical framework of structural violence. Interviews revealed that user fees for health care not only decreased utilization of health services, but also resulted in delayed presentation for care, incomplete or inadequate care, compromised food security and household financial security, and reduced agency for women in health care decision making. The effects of user fees were amplified by conditions of poverty, as well as gender and health inequality; user fees in turn reinforced the inequalities created by those very conditions. The qualitative data reveal multi-faceted health and socioeconomic effects of user fees, and illustrate that user fees for health care may impact quality of care, health outcomes, food insecurity, and gender inequality, in addition to impacting health care utilization and household finances. As many countries consider user fee abolition policies, these findings indicate the need to create a broader evaluation framework-one that can measure the health and socioeconomic impacts of user fee polices and of their removal. Copyright © 2012 Elsevier Ltd. All rights reserved.

12 CFR 339.8 - Determination fees.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Determination fees. 339.8 Section 339.8 Banks... IN AREAS HAVING SPECIAL FLOOD HAZARDS § 339.8 Determination fees. (a) General. Notwithstanding any...), any bank, or a servicer acting on behalf of the bank, may charge a reasonable fee for determining...

38 CFR 36.4707 - Determination fees.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Determination fees. 36...) LOAN GUARANTY Sale of Loans, Guarantee of Payment, and Flood Insurance § 36.4707 Determination fees. (a... a reasonable fee for determining whether the building or mobile home securing the loan is located or...

12 CFR 614.4950 - Determination fees.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Determination fees. 614.4950 Section 614.4950... Insurance Requirements § 614.4950 Determination fees. (a) General. Notwithstanding any Federal or State law... charge a reasonable fee for determining whether the building or mobile home securing the loan is located...

5 CFR 1631.12 - Waiver or reduction of fees.

Code of Federal Regulations, 2010 CFR

2010-01-01

... not primarily in the commercial interest of the requester. In making its decision on waiving or reducing fees, the Board will consider the following factors: (1) Whether the subject of the requested... Section 1631.12 Administrative Personnel FEDERAL RETIREMENT THRIFT INVESTMENT BOARD AVAILABILITY OF...

12 CFR 22.8 - Determination fees.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 1 2010-01-01 2010-01-01 false Determination fees. 22.8 Section 22.8 Banks and... HAZARDS § 22.8 Determination fees. (a) General. Notwithstanding any Federal or State law other than the... on behalf of the bank, may charge a reasonable fee for determining whether the building or mobile...

77 FR 35338 - Schedule of Fees Authorized

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-13

... registration program, to cover the cost of making import eligibility decisions, and to cover the cost of... establishes to cover the costs of ``making the decisions under this subchapter.'' This includes decisions on... for the cost of carrying out the registration program and making eligibility decisions, and to...

8 CFR 103.5 - Reopening or reconsideration.

Code of Federal Regulations, 2013 CFR

2013-01-01

... BENEFITS; BIOMETRIC REQUIREMENTS; AVAILABILITY OF RECORDS Applying for Benefits, Surety Bonds, Fees § 103.5... affected party or the attorney or representative of record, if any; (B) Accompanied by a nonrefundable fee...) Submitted to the office maintaining the record upon which the unfavorable decision was made for forwarding...

8 CFR 103.5 - Reopening or reconsideration.

Code of Federal Regulations, 2014 CFR

2014-01-01

... BENEFITS; BIOMETRIC REQUIREMENTS; AVAILABILITY OF RECORDS Applying for Benefits, Surety Bonds, Fees § 103.5... affected party or the attorney or representative of record, if any; (B) Accompanied by a nonrefundable fee...) Submitted to the office maintaining the record upon which the unfavorable decision was made for forwarding...

8 CFR 103.5 - Reopening or reconsideration.

Code of Federal Regulations, 2012 CFR

2012-01-01

... BENEFITS; BIOMETRIC REQUIREMENTS; AVAILABILITY OF RECORDS Applying for Benefits, Surety Bonds, Fees § 103.5... affected party or the attorney or representative of record, if any; (B) Accompanied by a nonrefundable fee...) Submitted to the office maintaining the record upon which the unfavorable decision was made for forwarding...

12 CFR 572.8 - Determination fees.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 5 2010-01-01 2010-01-01 false Determination fees. 572.8 Section 572.8 Banks... FLOOD HAZARDS § 572.8 Determination fees. (a) General. Notwithstanding any Federal or State law other... association, or a servicer acting on behalf of the savings association, may charge a reasonable fee for...

12 CFR 760.8 - Determination fees.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Determination fees. 760.8 Section 760.8 Banks... HAVING SPECIAL FLOOD HAZARDS § 760.8 Determination fees. (a) General. Notwithstanding any Federal or... credit union, or a servicer acting on behalf of the credit union, may charge a reasonable fee for...

40 CFR 230.98 - Mitigation banks and in-lieu fee programs.

Code of Federal Regulations, 2011 CFR

2011-07-01

... must be planned and designed to be self-sustaining over time, but some active management and... based approach, to the extent practicable, while still meeting the decision-making time frames specified... watershed approach to the extent practicable in reviewing proposed mitigation banks and in-lieu fee programs...

40 CFR 230.98 - Mitigation banks and in-lieu fee programs.

Code of Federal Regulations, 2010 CFR

2010-07-01

... must be planned and designed to be self-sustaining over time, but some active management and... based approach, to the extent practicable, while still meeting the decision-making time frames specified... watershed approach to the extent practicable in reviewing proposed mitigation banks and in-lieu fee programs...

40 CFR 230.98 - Mitigation banks and in-lieu fee programs.

Code of Federal Regulations, 2012 CFR

2012-07-01

... must be planned and designed to be self-sustaining over time, but some active management and... based approach, to the extent practicable, while still meeting the decision-making time frames specified... watershed approach to the extent practicable in reviewing proposed mitigation banks and in-lieu fee programs...

40 CFR 230.98 - Mitigation banks and in-lieu fee programs.

Code of Federal Regulations, 2014 CFR

2014-07-01

... must be planned and designed to be self-sustaining over time, but some active management and... based approach, to the extent practicable, while still meeting the decision-making time frames specified... watershed approach to the extent practicable in reviewing proposed mitigation banks and in-lieu fee programs...

40 CFR 230.98 - Mitigation banks and in-lieu fee programs.

Code of Federal Regulations, 2013 CFR

2013-07-01

... must be planned and designed to be self-sustaining over time, but some active management and... based approach, to the extent practicable, while still meeting the decision-making time frames specified... watershed approach to the extent practicable in reviewing proposed mitigation banks and in-lieu fee programs...

77 FR 35809 - Revision of Fee Schedules; Fee Recovery for Fiscal Year 2012

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-15

..., 1974, the U.S. Supreme Court rendered major decisions in two cases, National Cable Television...- submission audit has been useful in improving the quality of applications which helps to expedite reviews... and to support nuclear technology programs at minority- serving institutions. Response. The purposes...

47 CFR 1.1167 - Error claims related to regulatory fees.

Code of Federal Regulations, 2010 CFR

2010-10-01

...) Challenges to determinations or an insufficient regulatory fee payment or delinquent fees should be made in writing. A challenge to a determination that a party is delinquent in paying a standard regulatory fee... 47 Telecommunication 1 2010-10-01 2010-10-01 false Error claims related to regulatory fees. 1.1167...

Finance.

ERIC Educational Resources Information Center

MacPhail-Wilcox, Bettye; Beezer, Bruce

In 1988, there were two United States Supreme Court decisions regarding school finance. One decision upheld the constitutionality of a North Dakota statute regarding transportation fees, and the other decision ruled that interest from state and local government bearer bonds was subject to federal income taxation. Cases discussed in this chapter…

33 CFR 332.8 - Mitigation banks and in-lieu fee programs.

Code of Federal Regulations, 2011 CFR

2011-07-01

... and in-lieu fee project sites must be planned and designed to be self-sustaining over time, but some... based approach, to the extent practicable, while still meeting the decision-making time frames specified... district engineer and the IRT should use a watershed approach to the extent practicable in reviewing...

33 CFR 332.8 - Mitigation banks and in-lieu fee programs.

Code of Federal Regulations, 2012 CFR

2012-07-01

... and in-lieu fee project sites must be planned and designed to be self-sustaining over time, but some... based approach, to the extent practicable, while still meeting the decision-making time frames specified... district engineer and the IRT should use a watershed approach to the extent practicable in reviewing...

33 CFR 332.8 - Mitigation banks and in-lieu fee programs.

Code of Federal Regulations, 2014 CFR

2014-07-01

... and in-lieu fee project sites must be planned and designed to be self-sustaining over time, but some... based approach, to the extent practicable, while still meeting the decision-making time frames specified... district engineer and the IRT should use a watershed approach to the extent practicable in reviewing...

33 CFR 332.8 - Mitigation banks and in-lieu fee programs.

Code of Federal Regulations, 2010 CFR

2010-07-01

... and in-lieu fee project sites must be planned and designed to be self-sustaining over time, but some... based approach, to the extent practicable, while still meeting the decision-making time frames specified... district engineer and the IRT should use a watershed approach to the extent practicable in reviewing...

33 CFR 332.8 - Mitigation banks and in-lieu fee programs.

Code of Federal Regulations, 2013 CFR

2013-07-01

... and in-lieu fee project sites must be planned and designed to be self-sustaining over time, but some... based approach, to the extent practicable, while still meeting the decision-making time frames specified... district engineer and the IRT should use a watershed approach to the extent practicable in reviewing...

78 FR 62798 - Self-Regulatory Organizations; Chicago Board Options Exchange, Incorporated; Notice of Filing and...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-22

... information for complex strategies and other market data. NYSE offers market data products entitled ``NYSE... assist them in tracking prices and market trends and making trading decisions. The Exchange believes that... fee schedule of Market Data Express, LLC (``MDX''), an affiliate of CBOE, to establish fees for the...

The California Higher Education Policy Vacuum. The Example of Student Fees.

ERIC Educational Resources Information Center

Callan, Patrick M.

California state legislators are showing a lack of long-term leadership and vision in their planning for the state's higher education needs as indicated in their recent decisions regarding increased tuition and fees. California's public higher education system stands at the nexus of two powerful trends: the long-term social, demographic,…

Mr. Ngao's proposal: introducing client fees. Case scenarios for training and group discussion.

PubMed

1992-01-01

In this supplement to the issue of "The Family Planning Manager" devoted to fees, a hypothetical case scenario is presented to illustrate the introduction of client fees to a family planning program. Managers are instructed to prepare a plan that includes the necessary information for deciding what to charge for, who to charge, and how much to charge; identifies the administrative changes involved in charging fees; and outlines steps that clinic managers should take before introducing client fees. Decisions should be based on factors such as the objectives of fee charging, client willingness and ability to pay, client perception of the quality of current services, services for which clients would be most willing to pay, estimated cost of providing services, and the cost of new administrative procedures inherent in a fee-for-service approach. Administrative procedures for collecting, handling, and accounting for cash; reporting income and expenses; and implementing a fair and flexible system of waivers and exemptions must be defined. Clients should be informed well in advance of fee introduction, and staff trained to manage potential client complaints.

NASA program decisions using reliability analysis.

NASA Technical Reports Server (NTRS)

Steinberg, A.

1972-01-01

NASA made use of the analytical outputs of reliability people to make management decisions on the Apollo program. Such decisions affected the amount of the incentive fees, how much acceptance testing was necessary, how to optimize development testing, whether to approve engineering changes, and certification of flight readiness. Examples of such analysis are discussed and related to programmatic decisions.-

8 CFR 1103.3 - Denials, appeals, and precedent decisions.

Code of Federal Regulations, 2010 CFR

2010-01-01

... types of cases may be appealed. Decisions under the appellate jurisdiction of the Board of Immigration... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Denials, appeals, and precedent decisions... JUSTICE IMMIGRATION REGULATIONS APPEALS, RECORDS, AND FEES § 1103.3 Denials, appeals, and precedent...

77 FR 18907 - Schedule of Fees for Consular Services, Department of State and Overseas Embassies and Consulates

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-29

... 10, 2007, report ``Transparent Cost Estimates Needed to Support Passport Execution Fee Decisions... reporting or recordkeeping requirements. List of Subjects 22 CFR Part 22 Passports and visas. 22 CFR Part 42 Immigration, Passports and visas. Accordingly, for the reasons stated in the preamble, 22 CFR parts 22 and 42...

37 CFR 1.704 - Reduction of period of adjustment of patent term.

Code of Federal Regulations, 2010 CFR

2010-07-01

... decision reviving the application or accepting late payment of the issue fee; or (ii) The date that is four months after the date the grantable petition to revive the application or accept late payment of the issue fee was filed; (4) Failure to file a petition to withdraw the holding of abandonment or to revive...

7 CFR 27.87 - Fees; classification and Micronaire determination information.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 2 2010-01-01 2010-01-01 false Fees; classification and Micronaire determination... STANDARDS AND STANDARD CONTAINER REGULATIONS COTTON CLASSIFICATION UNDER COTTON FUTURES LEGISLATION Regulations Costs of Classification and Micronaire § 27.87 Fees; classification and Micronaire determination...

7 CFR 27.87 - Fees; classification and Micronaire determination information.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 2 2011-01-01 2011-01-01 false Fees; classification and Micronaire determination... STANDARDS AND STANDARD CONTAINER REGULATIONS COTTON CLASSIFICATION UNDER COTTON FUTURES LEGISLATION Regulations Costs of Classification and Micronaire § 27.87 Fees; classification and Micronaire determination...

48 CFR 970.5215-1 - Total available fee: Base fee amount and performance fee amount.

Code of Federal Regulations, 2014 CFR

2014-10-01

... unilateral determination made by the DOE Operations/Field Office Manager, or designee. (3) The evaluation of.../Field Office Manager, or designee, will be (insert title of DOE Operations/Field Office Manager, or... available fee amount earned determinations. The DOE Operations/Field Office Manager, or designee, shall...

48 CFR 970.5215-1 - Total available fee: Base fee amount and performance fee amount.

Code of Federal Regulations, 2011 CFR

2011-10-01

... unilateral determination made by the DOE Operations/Field Office Manager, or designee. (3) The evaluation of.../Field Office Manager, or designee, will be (insert title of DOE Operations/Field Office Manager, or... available fee amount earned determinations. The DOE Operations/Field Office Manager, or designee, shall...

48 CFR 970.5215-1 - Total available fee: Base fee amount and performance fee amount.

Code of Federal Regulations, 2013 CFR

2013-10-01

... unilateral determination made by the DOE Operations/Field Office Manager, or designee. (3) The evaluation of.../Field Office Manager, or designee, will be (insert title of DOE Operations/Field Office Manager, or... available fee amount earned determinations. The DOE Operations/Field Office Manager, or designee, shall...

48 CFR 970.5215-1 - Total available fee: Base fee amount and performance fee amount.

Code of Federal Regulations, 2012 CFR

2012-10-01

... unilateral determination made by the DOE Operations/Field Office Manager, or designee. (3) The evaluation of.../Field Office Manager, or designee, will be (insert title of DOE Operations/Field Office Manager, or... available fee amount earned determinations. The DOE Operations/Field Office Manager, or designee, shall...

49 CFR 1002.3 - Updating user fees.

Code of Federal Regulations, 2010 CFR

2010-10-01

... updating fees. Each fee shall be updated by updating the cost components comprising the fee. Cost... direct labor costs are direct labor costs determined by the cost study set forth in Revision of Fees For... by total office costs for the Offices directly associated with user fee activity. Actual updating of...

10 CFR 780.53 - Criteria for decisions for royalties, awards and compensation.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 10 Energy 4 2010-01-01 2010-01-01 false Criteria for decisions for royalties, awards and... Criteria for decisions for royalties, awards and compensation. (a) In deciding a reasonable royalty fee for... financed research or with other Federal support; (4) The degree of utility, novelty, and importance of the...

Do Tuition Fees Affect Enrollment Behavior? Evidence from a "Natural Experiment" in Germany

ERIC Educational Resources Information Center

Hubner, Malte

2012-01-01

This paper uses the introduction of tuition fees in seven of the sixteen German states in 2007 as a natural experiment to identify the effects of tuition prices on enrollment probabilities. Based on information on enrollment decisions of the entire population of high-school graduates between 2002 and 2008, I find a negative effect of tuition fees…

8 CFR 103.10 - Precedent decisions.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 8 Aliens and Nationality 1 2012-01-01 2012-01-01 false Precedent decisions. 103.10 Section 103.10 Aliens and Nationality DEPARTMENT OF HOMELAND SECURITY IMMIGRATION REGULATIONS IMMIGRATION BENEFITS; BIOMETRIC REQUIREMENTS; AVAILABILITY OF RECORDS Applying for Benefits, Surety Bonds, Fees § 103.10 Precedent...

8 CFR 103.10 - Precedent decisions.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 8 Aliens and Nationality 1 2013-01-01 2013-01-01 false Precedent decisions. 103.10 Section 103.10 Aliens and Nationality DEPARTMENT OF HOMELAND SECURITY IMMIGRATION REGULATIONS IMMIGRATION BENEFITS; BIOMETRIC REQUIREMENTS; AVAILABILITY OF RECORDS Applying for Benefits, Surety Bonds, Fees § 103.10 Precedent...

8 CFR 103.10 - Precedent decisions.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 8 Aliens and Nationality 1 2014-01-01 2014-01-01 false Precedent decisions. 103.10 Section 103.10 Aliens and Nationality DEPARTMENT OF HOMELAND SECURITY IMMIGRATION REGULATIONS IMMIGRATION BENEFITS; BIOMETRIC REQUIREMENTS; AVAILABILITY OF RECORDS Applying for Benefits, Surety Bonds, Fees § 103.10 Precedent...

The Decision-Making and Changing Behavioural Dynamics of Potential Higher Education Students: The Impacts of Increasing Tuition Fees in England

ERIC Educational Resources Information Center

Wilkins, Stephen; Shams, Farshid; Huisman, Jeroen

2013-01-01

Recent changes in the English tuition fee policies have spurred a debate on the impacts on student choices for higher education. Expectations range from a sharp decrease in participation in higher education to relatively little change in student demand. We surveyed 1549 year 12 sixth-form students from four institutions spread geographically…

75 FR 28315 - CSX Transportation, Inc.-Abandonment Exemption-in Vigo County, IN

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-20

... later than 10 days after service of a decision granting the petition for exemption. Each OFA must be accompanied by a $1,500 filing fee. See 49 CFR 1002.2(f)(25). All interested persons should be aware that... be accompanied by a $250 filing fee. See 49 CFR 1002.2(f)(27). All filings in response to this notice...

78 FR 52235 - Wisconsin Central Ltd.-Abandonment Exemption-in Winnebago County, Wis.

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-22

...) will be due no later than 10 days after service of a decision granting the petition for exemption. Each OFA must be accompanied by a $1,600 filing fee. See 49 CFR 1002.2(f)(25). All interested persons..., 2013. Each trail use request must be accompanied by a $250 filing fee. See 49 CFR 1002.2(f)(27). All...

Deferred and Income-Contingent Tuition Fees: An Empirical Assessment Using Belgian, German and UK Data

ERIC Educational Resources Information Center

Vandenberghe, V.; Debande, O.

2007-01-01

This paper is a numerical exploration of the following. Assume, in the European Union context, that decision-makers want to spend more on higher education via higher tuition fees, but also want payments to be deferred and income-contingent. There are several possible ways to achieve this. First, ask graduates to repay a fixed amount each year if…

48 CFR 915.404-4-71-6 - Fee base.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 48 Federal Acquisition Regulations System 5 2012-10-01 2012-10-01 false Fee base. 915.404-4-71-6... CONTRACT TYPES CONTRACTING BY NEGOTIATION Contract Pricing 915.404-4-71-6 Fee base. (a) The fee base shown... estimate of cost to which a percentage factor is applied to determine maximum fee allowances. The fee base...

48 CFR 915.404-4-71-6 - Fee base.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 48 Federal Acquisition Regulations System 5 2013-10-01 2013-10-01 false Fee base. 915.404-4-71-6... CONTRACT TYPES CONTRACTING BY NEGOTIATION Contract Pricing 915.404-4-71-6 Fee base. (a) The fee base shown... estimate of cost to which a percentage factor is applied to determine maximum fee allowances. The fee base...

48 CFR 915.404-4-71-6 - Fee base.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 48 Federal Acquisition Regulations System 5 2011-10-01 2011-10-01 false Fee base. 915.404-4-71-6... CONTRACT TYPES CONTRACTING BY NEGOTIATION Contract Pricing 915.404-4-71-6 Fee base. (a) The fee base shown... estimate of cost to which a percentage factor is applied to determine maximum fee allowances. The fee base...

48 CFR 915.404-4-71-6 - Fee base.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Fee base. 915.404-4-71-6... CONTRACT TYPES CONTRACTING BY NEGOTIATION Contract Pricing 915.404-4-71-6 Fee base. (a) The fee base shown... estimate of cost to which a percentage factor is applied to determine maximum fee allowances. The fee base...

Alternative Fuels Data Center

Science.gov Websites

Registration Fee Battery electric vehicle owners are required to pay an additional registration fee registration fee of $50. The Indiana Bureau of Motor Vehicles will determine new fee amounts every five years

The burden of debt for Canadian dental students: part 1. Review of the literature.

PubMed

Matthew, Ian R; Walton, Joanne N; Dumaresq, Cheryl; Sudmant, Walter

2006-09-01

Debt among Canadian university graduates is increasing, while money apportioned to federal and provincial needs-based student assistance programs has been decreasing since the 1990s. Dental students have had to absorb increased tuition fees at both the undergraduate and post-baccalaureate levels. Existing debt and high tuition fees may adversely influence a potential candidate"s decision to enroll in dental school. Likewise, debt incurred during the minimum 2 years of pre-dental education adds to the future debt load of dental graduates. It seems that few dental students can remain debt-free during their dental education, although data are lacking about the extent of debt among dental students and its impact on their career decisions. Government statistics focus primarily on tuition costs for baccalaureate-degree students. Tuition and clinic-related fees constitute a significant proportion of costs for dental students; moreover, university administrations perceive dentistry as an expensive curriculum. This first article of a 4-part series examines debt among dental students, both nationally and internationally.

4 CFR 201.9 - Restrictions on charging fees.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 4 Accounts 1 2010-01-01 2010-01-01 false Restrictions on charging fees. 201.9 Section 201.9 Accounts RECOVERY ACCOUNTABILITY AND TRANSPARENCY BOARD PUBLIC INFORMATION AND REQUESTS § 201.9 Restrictions on charging fees. (a) When determining search or review fees: (1) No search fee shall be charged...

Royalty Fees Part I: The Copyright Clearance Center and Publishers.

ERIC Educational Resources Information Center

Eiblum, Paula; Ardito, Stephanie C.

1998-01-01

Discussion of copyrights, royalty fees, and intellectual property focuses on the Copyright Clearance Center and publishers. Topics include results of a survey of library and information science journal publishers; how users verify royalty fees; how publishers determine fees; royalty fee reporting; and terms and conditions imposed on electronic…

How can PPOs control prices without violating antitrust laws?

PubMed

Fried, J M

1984-03-01

Preferred provider organizations (PPOs) have caused concern because they raise the question whether providers can establish mechanisms to control the price of medical care without violating antitrust laws. The U.S. Supreme Court recently decided in Arizona v. Maricopa County Medical Society that the practices of a physicians' organization which set fee schedules by majority vote constituted price fixing because "independent competing entrepreneurs" made the agreements. The decision implies that PPOs must carefully structure collective efforts to set prices in order to avoid unlawful agreement among competitors. To avoid antitrust exposure, hospitals may independently determine prices and contract individually with providers, or they may act as brokers for individual physicians, establishing fees and claims-processing procedures and then contracting with physicians who agree to these requirements. Setting fees independently may be difficult, however, since hospitals need to know what payment physicians will accept. Thus some physician involvement is probably inevitable. No antitrust liability results, however, if individual physicians are sampled in an information-gathering process but do not collectively set fees. In addition, a PPO that is structured as a partnership or other joint arrangement involving true risk sharing should withstand antitrust challenge. In recent business review letters, the Department of Justice approved two different PPO structures: A Hospital Corporation of America subsidiary would contract (nonexclusively) with providers, hospitals, and third party payers to treat the third party payers' beneficiaries at discounted rates. The charges would be negotiated individually with each physician and hospital. A management consultant firm would act as an intermediary between providers and third party payers, negotiating patient discounts but not participating in fee setting. A PPO need not be structured in every respect like these programs. Individual situations vary, and with sound antitrust advice, PPOs can avoid legal pitfalls.

76 FR 35946 - BNSF Railway Company-Abandonment Exemption-in Los Angeles County, CA.

Federal Register 2010, 2011, 2012, 2013, 2014

2011-06-20

.... Any OFA under 49 CFR 1152.27(b)(2) will be due no later than 10 days after service of a decision granting the petition for exemption. Each OFA must be accompanied by a $1,500 filing fee. See 49 CFR 1002.2... fee. See 49 CFR 1002.2(f)(27). All filings in response to this notice must refer to Docket No. AB 6...

78 FR 59424 - Wisconsin Central Ltd.-Abandonment Exemption-in Brown County, WI

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-26

... assistance (OFA) under 49 CFR 1152.27(b)(2) will be due no later than 10 days after service of a decision granting the petition for exemption. Each OFA must be accompanied by a $1,600 filing fee. See 49 CFR 1002.2... $250 filing fee. See 49 CFR 1002.2(f)(27). All filings in response to this notice must refer to Docket...

77 FR 21153 - Georgia Department of Transportation-Abandonment Exemption-in Fulton County, GA

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-09

... assistance (OFA) under 49 CFR 1152.27(b)(2) will be due no later than 10 days after service of a decision granting the petition for exemption. Each OFA must be accompanied by a $1,500 filing fee. See 49 CFR 1002.2... accompanied by a $250 filing fee. See 49 CFR 1002.2(f)(27). All filings in response to this notice must refer...

78 FR 66988 - Minnesota Northern Railroad, Inc.-Abandonment Exemption-in Polk County, Minn.

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-07

... assistance (OFA) under 49 CFR 1152.27(b)(2) will be due no later than 10 days after service of a decision granting the petition for exemption. Each OFA must be accompanied by a $1,600 filing fee. See 49 CFR 1002.2... filing fee. See 49 CFR 1002.2(f)(27). All filings in response to this notice must refer to Docket No. AB...

Expanding health insurance to increase health care utilization: will it have different effects in rural vs. urban areas?

PubMed

Erlyana, Erlyana; Damrongplasit, Kannika Kampanya; Melnick, Glenn

2011-05-01

This study investigates the importance of medical fee and distance to health care provider on individual's decision to seek care in developing countries. The estimation method used a mixed logit model applied to data from the third wave of the Indonesian family life survey (2000). The key variables of interest include medical fee and distance to different types of health care provider and individual characteristic variables. Urban dweller's decision to choose health care providers are sensitive to the monetary cost of medical care as measured by medical fee but they are not sensitive to distance. For those who reside in rural area, they are sensitive to the non-medical component cost of care as measured by travel distance but they are not sensitive to medical fee. As a result of those findings, policy makers should consider different sets of policy instruments when attempting to expand health service's usage in urban and rural areas of Indonesia. To increase access in urban areas, we recommend expansion of health insurance coverage in order to lower out-of-pocket medical expenditures. As for rural areas, expansion of medical infrastructures to reduce commuting distance and costs will be needed to increase utilization. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

An agent-based model for an air emissions cap and trade program: A case study in Taiwan.

PubMed

Huang, Hsing-Fu; Ma, Hwong-Wen

2016-12-01

To determine the actual status of individuals in a system and the trading interaction between polluters, this study uses an agent-based model to set up a virtual world that represents the Kaohsiung and Pingtung regions in Taiwan, which are under the country's air emissions cap and trade program. The model can simulate each controlled industry's dynamic behavioral condition with the bottom-up method and can investigate the impact of the program and determine the industry's emissions reduction and trading condition. This model can be used elastically to predict the impact of the trading market through adjusting different settings of the program rules or combining the settings with other measures. The simulation results show that the emissions trading market has an oversupply, but we find that the market trading amounts are low. Additionally, we find that increasing the air pollution fee and offset rate restrains the agents' trading decision, according to the simulation results of each scenario. In particular, NO x and SO x trading amounts are easily impacted by the pollution fee, reduction rate, and offset rate. Also, the more transparent the market, the more it can help polluters trade. Therefore, if authorities want to intervene in the emissions trading market, they must be careful in adjusting the air pollution fee and program rules; otherwise, the trading market system cannot work effectively. We also suggest setting up a trading platform to help the dealers negotiate successfully. Copyright © 2016 Elsevier Ltd. All rights reserved.

48 CFR 1316.405-2 - Cost-plus-award-fee contracts.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 5 2010-10-01 2010-10-01 false Cost-plus-award-fee... CONTRACTING METHODS AND CONTRACT TYPES TYPES OF CONTRACTS Incentive Contracts 1316.405-2 Cost-plus-award-fee contracts. Insert clause 1352.216-72, Determination of Award Fee, in all cost-plus-award-fee contracts. ...

48 CFR 1852.216-77 - Award fee for end item contracts.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Contractor's performance for the entire contract will be evaluated to determine total earned award fee. No award fee or base fee will be paid to the Contractor if the final award fee evaluation is “poor... the Contractor's interim performance every 6* months to monitor Contractor performance prior to...

10 CFR 1303.109 - Restrictions on charging fees.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 10 Energy 4 2010-01-01 2010-01-01 false Restrictions on charging fees. 1303.109 Section 1303.109 Energy NUCLEAR WASTE TECHNICAL REVIEW BOARD PUBLIC INFORMATION AND REQUESTS § 1303.109 Restrictions on charging fees. (a) When determining search or review fees: (1) No search or review fee shall be charged for...

45 CFR 2105.5 - Fees.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 45 Public Welfare 4 2010-10-01 2010-10-01 false Fees. 2105.5 Section 2105.5 Public Welfare.... 552, THE FREEDOM OF INFORMATION ACT § 2105.5 Fees. (a) Fees shall be charged according to the schedule... been notified that it cannot be determined in advance whether any records will be made available, fees...

75 FR 80894 - Delta Southern Railroad, Inc.-Abandonment Exemption-in Desha and Chicot Counties, Ark.

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-23

... 49 CFR 1152.27(b)(2) will be due no later than 10 days after service of a decision granting the petition for exemption. Each OFA must be accompanied by a $1,500 filing fee. See 49 CFR 1002.2(f)(25). All... January 12, 2011. Each trail use request must be accompanied by a $250 filing fee. See 49 CFR 1002.2(f)(27...

77 FR 77183 - Union Pacific Railroad Company-Abandonment of Freight Easement Exemption-in Alameda County, Cal...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-31

... CFR 1152.27(b)(2) will be due no later than 10 days after service of a decision granting the petition for exemption. Each OFA must be accompanied by a $1,600 filing fee. See 49 CFR 1002.2(f)(25). All... January 22, 2013. Each trail use request must be accompanied by a $250 filing fee. See 49 CFR 1002.2(f)(27...

Legal considerations for document delivery services.

PubMed

Bunting, A

1994-04-01

Health sciences libraries that provide fee-based information services must consider and develop policies and procedures for complying with legal requirements. This paper reviews the provisions of copyright law that pertain to document delivery, including two court decisions concerning copyright. Also discussed are recent actions by publishers to reinforce their view of libraries' responsibilities for royalty fees for articles copied and their use of licenses to impose additional restrictions on the use of and reproduction of materials.

76 FR 6161 - Annual Determination of Average Cost of Incarceration

Federal Register 2010, 2011, 2012, 2013, 2014

2011-02-03

... AGENCY: Bureau of Prisons, Justice. ACTION: Notice. SUMMARY: The fee to cover the average cost of...: 28 CFR part 505 allows for assessment and collection of a fee to cover the average cost of... Prisons determined that, based upon fiscal year 2009 data, the fee to cover the average cost of...

76 FR 57081 - Annual Determination of Average Cost of Incarceration

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-15

... AGENCY: Bureau of Prisons, Justice. ACTION: Notice. SUMMARY: The fee to cover the average cost of... INFORMATION: 28 CFR part 505 allows for assessment and collection of a fee to cover the average cost of... Prisons determined that, based upon fiscal year 2010 data, the fee to cover the average cost of...

49 CFR 360.5 - Updating user fees.

Code of Federal Regulations, 2014 CFR

2014-10-01

... determined by the cost study in Regulations Governing Fees For Service, 1 I.C.C. 2d 60 (1984), or subsequent... material in the Federal Register or FMCSA Register. (This rounding procedures excludes copying, printing... determined by the cost study in Regulations Governing Fees For Service, 1 I.C.C. 2d 60 (1984), or subsequent...

77 FR 12843 - Fees for Sanitation Inspections of Cruise Ships

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-02

... used to determine the fees: [GRAPHIC] [TIFF OMITTED] TN02MR12.006 The average cost per inspection is multiplied by size and cost factors to determine the fee for vessels in each size category. The size and cost... exists rodent, insect, or other vermin infestations, contaminated food or water, or other sanitary...

36 CFR 1254.104 - How does NARA determine fees to prepare documents for microfilming?

Code of Federal Regulations, 2010 CFR

2010-07-01

... benefits) and supply costs when we perform the work. When a NARA contractor performs the work, the fees are... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false How does NARA determine fees to prepare documents for microfilming? 1254.104 Section 1254.104 Parks, Forests, and Public Property...

42 CFR 414.62 - Fee schedule for clinical psychologist services.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 3 2010-10-01 2010-10-01 false Fee schedule for clinical psychologist services... Physicians and Other Practitioners § 414.62 Fee schedule for clinical psychologist services. The fee schedule for clinical psychologist services is set at 100 percent of the amount determined for corresponding...

48 CFR 1352.216-72 - Determination of award fee.

Code of Federal Regulations, 2010 CFR

2010-10-01

... to: (1) Quality of performance of the contract requirements; (2) Effective management of the contract... Award Fee (APR 2010) Based upon the quality of its performance and the results of the Government's performance evaluation, the contractor may earn an award fee. (a) The total amount of award fee available...

48 CFR 52.216-10 - Incentive Fee.

Code of Federal Regulations, 2010 CFR

2010-10-01

... determined as provided in this contract. (b) Target cost and target fee. The target cost and target fee... (d) below. (1) Target cost, as used in this contract, means the estimated cost of this contract as initially negotiated, adjusted in accordance with paragraph (d) below. (2) Target fee, as used in this...

48 CFR 52.216-10 - Incentive Fee.

Code of Federal Regulations, 2011 CFR

2011-10-01

... determined as provided in this contract. (b) Target cost and target fee. The target cost and target fee... (d) below. (1) Target cost, as used in this contract, means the estimated cost of this contract as initially negotiated, adjusted in accordance with paragraph (d) below. (2) Target fee, as used in this...

48 CFR 1352.216-72 - Determination of award fee.

Code of Federal Regulations, 2011 CFR

2011-10-01

... to: (1) Quality of performance of the contract requirements; (2) Effective management of the contract... Award Fee (Date) Based upon the quality of its performance and the results of the Government's performance evaluation, the contractor may earn an award fee. (a) The total amount of award fee available...

75 FR 58961 - U.S. Citizenship and Immigration Services Fee Schedule

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-24

... accounting process, and determined that current fees do not recover the full costs of services provided. DHS... and Budget Circulars. 6. Accounting Standards. B. Relative Amount of Fees. 1. Recovery of Additional.... Arrival-Departure Records. 3. Standardization of the Fee Waiver Process. 4. Commonwealth of the Northern...

50 CFR 520.7 - Fees.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 50 Wildlife and Fisheries 7 2010-10-01 2010-10-01 false Fees. 520.7 Section 520.7 Wildlife and Fisheries MARINE MAMMAL COMMISSION PUBLIC AVAILABILITY OF AGENCY MATERIALS § 520.7 Fees. (a) The following... Counsel or the Director determines that waiver or reduction of the fee is in the public interest because...

49 CFR 250.3 - Fees.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 4 2010-10-01 2010-10-01 false Fees. 250.3 Section 250.3 Transportation Other... TRANSPORTATION GUARANTEE OF CERTIFICATES OF TRUSTEES OF RAILROADS IN REORGANIZATION § 250.3 Fees. On date of... Administrator as a guarantee fee such amount as the Administrator hereafter may determine and prescribe as...

Journal Finances: A Study of the Manuscript Submission Fee.

ERIC Educational Resources Information Center

Jones, J. Richard

1980-01-01

Reports the results of a survey conducted of 208 journal editors to determine: (1) the editors' attitudes toward manuscript submission fees; (2) the extent to which these fees are used; (3) the magnitude of the fees; and (4) their projected future use. Data tables summarize findings by academic discipline. (JP)

Legal considerations for document delivery services.

PubMed Central

Bunting, A

1994-01-01

Health sciences libraries that provide fee-based information services must consider and develop policies and procedures for complying with legal requirements. This paper reviews the provisions of copyright law that pertain to document delivery, including two court decisions concerning copyright. Also discussed are recent actions by publishers to reinforce their view of libraries' responsibilities for royalty fees for articles copied and their use of licenses to impose additional restrictions on the use of and reproduction of materials. PMID:8004023

Removing user fees in the health sector: a review of policy processes in six sub-Saharan African countries.

PubMed

Meessen, Bruno; Hercot, David; Noirhomme, Mathieu; Ridde, Valéry; Tibouti, Abdelmajid; Tashobya, Christine Kirunga; Gilson, Lucy

2011-11-01

In recent years, governments of several low-income countries have taken decisive action by removing fully or partially user fees in the health sector. In this study, we review recent reforms in six sub-Saharan African countries: Burkina Faso, Burundi, Ghana, Liberia, Senegal and Uganda. The review describes the processes and strategies through which user fee removal reforms have been implemented and tries to assess them by referring to a good practice hypotheses framework. The analysis shows that African leaders are willing to take strong action to remove financial barriers met by vulnerable groups, especially pregnant women and children. However, due to a lack of consultation and the often unexpected timing of the decision taken by the political authorities, there was insufficient preparation for user fee removal in several countries. This lack of preparation resulted in poor design of the reform and weaknesses in the processes of policy formulation and implementation. Our assessment is that there is now a window of opportunity in many African countries for policy action to address barriers to accessing health care. Mobilizing sufficient financial resources and obtaining long-term commitment are obviously crucial requirements, but design details, the formulation process and implementation plan also need careful thought. We contend that national policy-makers and international agencies could better collaborate in this respect.

Resource utilization in surgery after the revision of surgical fee schedule in Japan.

PubMed

Nakata, Yoshinori; Yoshimura, Tatsuya; Watanabe, Yuichi; Otake, Hiroshi; Oiso, Giichiro; Sawa, Tomohiro

2015-01-01

The purpose of this paper is to examine whether the current surgical reimbursement system in Japan reflects resource utilization after the revision of fee schedule in 2014. The authors collected data from all the surgical procedures performed at Teikyo University Hospital from April 1 through September 30, 2014. The authors defined the decision-making unit as a surgeon with the highest academic rank in the surgery. Inputs were defined as the number of medical doctors who assisted surgery, and the time of operation from skin incision to closure. An output was defined as the surgical fee. The authors calculated surgeons' efficiency scores using data envelopment analysis. The efficiency scores of each surgical specialty were significantly different (p=0.000). This result demonstrates that the Japanese surgical reimbursement scales still fail to reflect resource utilization despite the revision of surgical fee schedule.

12 CFR 502.75 - What if I do not pay my fees on time?

Code of Federal Regulations, 2011 CFR

2011-01-01

... 12 Banks and Banking 5 2011-01-01 2011-01-01 false What if I do not pay my fees on time? 502.75... FEES Fees § 502.75 What if I do not pay my fees on time? (a) Interest. An examination or investigation... rate (that OTS will determine quarterly) equal to 150 percent of the average of the bond-equivalent...

47 CFR 1.1910 - Effect of insufficient fee payments, delinquent debts, or debarment.

Code of Federal Regulations, 2010 CFR

2010-10-01

... determine if the applicant has paid the appropriate application fee, appropriate regulatory fees, is... proper application or regulatory fee will be handled pursuant to the rules set forth in 47 CFR part 1... challenge through an administrative appeal or a contested judicial proceeding either to the existence or...

49 CFR 360.5 - Updating user fees.

Code of Federal Regulations, 2010 CFR

2010-10-01

... updating the cost components comprising the fee. Cost components shall be updated as follows: (1) Direct... determined by the cost study in Regulations Governing Fees For Service, 1 I.C.C. 2d 60 (1984), or subsequent... by total office costs for the office directly associated with user fee activity. Actual updating of...

29 CFR 70.43 - Payment of fees.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Secretary of Labor PRODUCTION OR DISCLOSURE OF INFORMATION OR MATERIALS Costs for Production of Records § 70.43 Payment of fees. (a) De minimis costs. Where the cost of collecting and processing a fee to be... and review time and copying costs. Where a disclosure officer determines or estimates that a total fee...

Spillover effects of Medicare fee reductions: evidence from ophthalmology.

PubMed

Mitchell, Jean M; Hadley, Jack; Gaskin, Darrell J

2002-09-01

Relatively little research has examined physicians' supply responses to Medicare fee cuts especially whether fee reductions for specific procedures have "spillover" effects that cause physicians to increase the supply of other services they provide. In this study we investigate whether ophthalmologist changed their provision of non-cataract services to Medicare patients over the time period 1992-1994, when the Medicare Fee Schedule (MFS) resulted in a 17.4% reduction in the average fee paid for a cataract extraction. Following the McGuire-Pauly model of physician behavior (McGuire and Pauly, 1991), we estimated a supply function for non-cataract procedures that included three price variables (own-price, a Medicare cross-price and a private cross-price) and an income effect. The Medicare cross-price and income variables capture spillover effects. Consistent with the model's predictions, we found that the Medicare cross-price is significant and negative, implying that a 10% reduction in the fee for a cataract extraction will cause ophthalmologists to supply about 5% more non-cataract services. Second, the income variable is highly significant, but its impact on the supply of non-cataract services is trivial. The suggests that physicians behave more like profit maximizing firms than target income seekers. We also found that the own-price and the private cross-price variables are highly significant and have the expected positive and negative effects on the volume of non-cataract services respectively. Our results demonstrate the importance of evaluating volume responses to fee changes for the array of services the physician performs, not just the procedure whose fee has been reduced. Focusing only on the procedure whose fee has been cut will yield an incomplete picture of how fee reductions for specific procedures affect physician supply decisions.

Use of the partial farm budget technique to predict the economic impact of the flock management decision to use B-mode ultrasonographic pregnancy diagnosis.

PubMed

Sprecher, D J; Ley, W B; Whittier, W D; Bowen, J M; Thatcher, C D; Pelzer, K D; Moore, J M

1989-07-15

A computer spreadsheet was developed to predict the economic impact of a management decision to use B-mode ultrasonographic ovine pregnancy diagnosis. The spreadsheet design and spreadsheet cell formulas are provided. The program used the partial farm budget technique to calculate net return (NR) or cash flow changes that resulted from the decision to use ultrasonography. Using the program, either simple pregnancy diagnosis or pregnancy diagnosis with the ability to determine singleton or multiple pregnancies may be compared with no flock ultrasonographic pregnancy diagnosis. A wide range of user-selected regional variables are used to calculate the cash flow changes associated with the ultrasonography decisions. A variable may be altered through a range of values to conduct a sensitivity analysis of predicted NR. Example sensitivity analyses are included for flock conception rate, veterinary ultrasound fee, and the price of corn. Variables that influence the number of cull animals and the cost of ultrasonography have the greatest impact on predicted NR. Because the determination of singleton or multiple pregnancies is more time consuming, its economic practicality in comparison with simple pregnancy diagnosis is questionable. The value of feed saved by identifying and separately feeding ewes with singleton pregnancies is not offset by the increased ultrasonography cost.

Fee Comparisons of Treatments for Nonmelanoma Skin Cancer in a Private Practice Academic Setting

PubMed Central

Wilson, Leslie S.; Pregenzer, Mark; Basu, Rituparna; Bertenthal, Daniel; Torres, Jeanette; Asgari, Maryam; Chren, Mary-Margaret

2013-01-01

OBJECTIVE To compare fees for biopsy, treatment procedure, repair, and 2-month follow-up for nonmelanoma skin cancer (NMSC) treatments: electrodesiccation and curettage (ED&C), excision, and Mohs micrographic surgery (MMS). METHODS A cost comparison of 936 primary NMSCs diagnosed in 1999/2000 at a University affiliated dermatology practice. Clinical data was from medical record review. 2007 Medicare Fee Schedule costs determined fees for surgical care. Pearson chi-square tests, t-tests and analysis of variance compared fee differences. Linear regression determined independent effects of tumor and treatment characteristics on fees. RESULTS Mean fees/lesion were $463 for ED&C, $1,222 for excision, and $2,085 for MMS (p < .001). For all treatments, primary procedure costs were highest (38%, 45%, and 41%). Total repair fees were higher with MMS ($735) vs excisions ($197). Fees were higher for head and neck tumors (p < .001), H-zone tumors (p < .001), and tumors smaller than 10 mm in diameter (p = .04). Regression models predicted that the treatment fees would be $2,109 for MMS and $1,252 for excision (p < .001). Tumor size greater than 10 mm in diameter (added $128), tumors on the head and neck (added $966), and MMS (added $857 vs excision) were independently related to higher fees (p < .001). CONCLUSION Even after adjusting for risk factors, MMS has higher fees than excision for primary NMSC. Repairs accounted for the majority of this difference. These fee comparisons provide a basis for comparative effectiveness studies of treatments for this common cancer. PMID:22145798

37 CFR 1.377 - Review of decision refusing to accept and record payment of a maintenance fee filed prior to...

Code of Federal Regulations, 2010 CFR

2010-07-01

... agent registered to practice before the Patent and Trademark Office, or by the patentee, the assignee... 37 Patents, Trademarks, and Copyrights 1 2010-07-01 2010-07-01 false Review of decision refusing... 1.377 Patents, Trademarks, and Copyrights UNITED STATES PATENT AND TRADEMARK OFFICE, DEPARTMENT OF...

Set the Wrong Tuition and You'll Pay a Price

ERIC Educational Resources Information Center

Strauss, David W.

2006-01-01

For all of the attention rising college costs continue to receive, it is striking how poorly informed many decision makers are when it comes to setting tuition and fees. And it's equally astounding that so many institutions are learning the consequences of pricing decisions undertaken solely by trial and error when a wrong judgment can affect…

Using Benchmarking To Influence Tuition and Fee Decisions.

ERIC Educational Resources Information Center

Hubbell, Loren W. Loomis; Massa, Robert J.; Lapovsky, Lucie

2002-01-01

Discusses the use of benchmarking in managing enrollment. Using a case study, illustrates how benchmarking can help administrators develop strategies for planning and implementing admissions and pricing practices. (EV)

78 FR 46980 - Prescription Drug User Fee Rates for Fiscal Year 2014

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-02

... 116.333 The FY 2014 application fee is estimated by dividing the average number of full applications... dividing the adjusted total fee revenue to be derived from establishments ($252,342,667) by the estimated... use this number for its FY 2014 estimate. The FY 2014 product fee rate is determined by dividing the...

78 FR 76412 - Agency Information Collection (Application for Reimbursement of National Test Fee) Activity Under...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-17

... (Application for Reimbursement of National Test Fee) Activity Under OMB Review AGENCY: Veterans Benefits... National Test Fee, VA Form 22-0810. OMB Control Number: 2900-0706. Type of Review: Revision of a currently... to request reimbursement of national test fees. VA will use the data collected to determine the...

45 CFR 2507.8 - How are fees determined?

Code of Federal Regulations, 2010 CFR

2010-10-01

... assessable charges are likely to exceed $250.00, and the requester has no history of payment of FOIA fees. (Where the requester has a history of prompt payment of fees, the Corporation shall notify the requester... failed to pay a FOIA fee charged in a timely fashion (i.e., within 30 days of the date of the billing...

36 CFR 1251.20 - Are there any fees associated with producing records or providing testimony?

Code of Federal Regulations, 2011 CFR

2011-07-01

... searching, reviewing, and duplicating records, costs of attorney time spent in reviewing the demand or... records certification fees, must be submitted to the official who makes the final determination on demands... fees. Fees are not assessed if the total charge is $10.00 or less, or as otherwise stated in NARA...

36 CFR 1251.20 - Are there any fees associated with producing records or providing testimony?

Code of Federal Regulations, 2010 CFR

2010-07-01

... searching, reviewing, and duplicating records, costs of attorney time spent in reviewing the demand or... records certification fees, must be submitted to the official who makes the final determination on demands... fees. Fees are not assessed if the total charge is $10.00 or less, or as otherwise stated in NARA...

Physician fees and managed care plans.

PubMed

Zwanziger, Jack

2002-01-01

One of the objectives of managed care organizations (MCOs) has been to reduce the rate of growth of health care expenditures, including that of physician fees. Yet, due to a lack of data, no one has been able to determine whether MCOs have been successful in encouraging the growth of price competition in the market for physician services in order to slow the growth in physician fees. This study uses a unique, national-level data set to determine what factors influenced the physician fees that MCOs negotiated during the 1990-92 period. The most influential characteristics were physician supply and managed care penetration, which suggest that the introduction of competition into the health care market was an effective force in reducing physician fees.

7 CFR 1436.12 - Interest and fees.

Code of Federal Regulations, 2012 CFR

2012-01-01

... § 1436.12 Interest and fees. (a) Loans will bear interest at the rate equivalent, as determined by CCC... of the loan. (c) Each borrower on a loan application must pay a non-refundable application fee in...

Report on Surface Transportation Board's user fees

DOT National Transportation Integrated Search

1998-11-17

The objective of Inspector Generals's (IG) audit was to evaluate Surface : Transportation Board's (STB) use of fees to fund its operations. To : accomplish this objective, the IG determined whether: (1) STB is assessing : fees for all billable servic...

48 CFR 52.203-10 - Price or Fee Adjustment for Illegal or Improper Activity.

Code of Federal Regulations, 2011 CFR

2011-10-01

... contract and the total cost and fee under a cost-type contract by the amount of profit or fee determined as... Regulation. (b) The price or fee reduction referred to in paragraph (a) of this clause shall be— (1) For cost...-incentive contracts, the Government may— (i) Reduce the contract target price and contract target profit...

30 CFR 206.360 - What records must I keep to support my calculations of royalty or fees under this subpart?

Code of Federal Regulations, 2010 CFR

2010-07-01

... calculations of royalty or fees under this subpart? 206.360 Section 206.360 Mineral Resources MINERALS... Resources § 206.360 What records must I keep to support my calculations of royalty or fees under this subpart? If you determine royalties or direct use fees for your geothermal resource under this subpart...

Pricing and Enrollment Planning.

ERIC Educational Resources Information Center

Martin, Robert E.

2003-01-01

Presents a management model for pricing and enrollment planning that yields optimal pricing decisions relative to student fees and average scholarship, the institution's financial ability to support students, and an average cost-pricing rule. (SLD)

RVU costing applications.

PubMed

Berlin, M F; Faber, B P; Berlin, L M; Budzynski, M R

1997-11-01

Relative value unit (RVU) cost accounting which uses the resource-based relative value scale (RBRVS), can be used to determine the cost to produce given services and determine appropriate physician fees. The calculations derived from RVU costing have additional applications, such as analyzing fee schedules, evaluating the profitability of third-party payer reimbursement, calculating a floor capitation rate, and allocating capitation payments within the group. The ability to produce this information can help group practice administrators determine ways to manage the cost of providing services, set more realistic fees, and negotiate more profitable contracts.

Estimated Cost to a Restaurant of a Foodborne Illness Outbreak.

PubMed

Bartsch, Sarah M; Asti, Lindsey; Nyathi, Sindiso; Spiker, Marie L; Lee, Bruce Y

Although outbreaks of restaurant-associated foodborne illness occur periodically and make the news, a restaurant may not be aware of the cost of an outbreak. We estimated this cost under varying circumstances. We developed a computational simulation model; scenarios varied outbreak size (5 to 250 people affected), pathogen (n = 15), type of dining establishment (fast food, fast casual, casual dining, and fine dining), lost revenue (ie, meals lost per illness), cost of lawsuits and legal fees, fines, and insurance premium increases. We estimated that the cost of a single foodborne illness outbreak ranged from $3968 to $1.9 million for a fast-food restaurant, $6330 to $2.1 million for a fast-casual restaurant, $8030 to $2.2 million for a casual-dining restaurant, and $8273 to $2.6 million for a fine-dining restaurant, varying from a 5-person outbreak, with no lost revenue, lawsuits, legal fees, or fines, to a 250-person outbreak, with high lost revenue (100 meals lost per illness), and a high amount of lawsuits and legal fees ($1 656 569) and fines ($100 000). This cost amounts to 10% to 5790% of a restaurant's annual marketing costs and 0.3% to 101% of annual profits and revenue. The biggest cost drivers were lawsuits and legal fees, outbreak size, and lost revenue. Pathogen type affected the cost by a maximum of $337 000, the difference between a Bacillus cereus outbreak (least costly) and a listeria outbreak (most costly). The cost of a single foodborne illness outbreak to a restaurant can be substantial and outweigh the typical costs of prevention and control measures. Our study can help decision makers determine investment and motivate research for infection-control measures in restaurant settings.

48 CFR 915.404-4-71-6 - Fee base.

Code of Federal Regulations, 2014 CFR

2014-10-01

... in the Construction Contracts Schedule and Construction Management Contracts Schedule represents that... in the case of a construction or construction management contract: (1) Site preparation and utilities... fee base for the basic fee determination for a construction contract and construction management...

7 CFR 27.80 - Fees; classification, Micronaire, and supervision.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 2 2012-01-01 2012-01-01 false Fees; classification, Micronaire, and supervision. 27... Classification and Micronaire § 27.80 Fees; classification, Micronaire, and supervision. For services rendered by... classification and Micronaire determination results certified on cotton class certificates.) (e) Supervision, by...

7 CFR 27.80 - Fees; classification, Micronaire, and supervision.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 2 2011-01-01 2011-01-01 false Fees; classification, Micronaire, and supervision. 27... Classification and Micronaire § 27.80 Fees; classification, Micronaire, and supervision. For services rendered by... classification and Micronaire determination results certified on cotton class certificates.) (e) Supervision, by...

46 CFR 389.4 - Application and fee.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 8 2010-10-01 2010-10-01 false Application and fee. 389.4 Section 389.4 Shipping MARITIME ADMINISTRATION, DEPARTMENT OF TRANSPORTATION MISCELLANEOUS DETERMINATION OF AVAILABILITY OF COASTWISE-QUALIFIED LAUNCH BARGES § 389.4 Application and fee. (a) When, after surveying the market and...

46 CFR 389.4 - Application and fee.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 8 2011-10-01 2011-10-01 false Application and fee. 389.4 Section 389.4 Shipping MARITIME ADMINISTRATION, DEPARTMENT OF TRANSPORTATION MISCELLANEOUS DETERMINATION OF AVAILABILITY OF COASTWISE-QUALIFIED VESSELS FOR TRANSPORTATION OF PLATFORM JACKETS § 389.4 Application and fee. (a) When...

36 CFR 51.3 - How are terms defined in this part?

Code of Federal Regulations, 2010 CFR

2010-07-01

... of higher authority than the official that made the disputed decision. A franchise fee is the... as agreeing to all of the minimum requirements of the proposed concession contract and prospectus and...

How Much Will My Child's Operation Cost? Availability of Consumer Prices From US Hospitals for a Common Pediatric Orthopaedic Surgical Procedure.

PubMed

Racimo, Allison R; Talathi, Nakul S; Zelenski, Nicole A; Wells, Lawrence; Shah, Apurva S

2018-05-02

Price transparency allows patients to make value-based health care decisions and is particularly important for individuals who are uninsured or enrolled in high-deductible health care plans. The availability of consumer prices for children undergoing orthopaedic surgery has not been previously investigated. We aimed to determine the availability of price estimates from hospitals in the United States for an archetypal pediatric orthopaedic surgical procedure (closed reduction and percutaneous pinning of a distal radius fracture) and identify variations in price estimates across hospitals. This prospective investigation utilized a scripted telephone call to obtain price estimates from 50 "top-ranked hospitals" for pediatric orthopaedics and 1 "non-top-ranked hospital" from each state and the District of Columbia. Price estimates were requested using a standardized script, in which an investigator posed as the mother of a child with a displaced distal radius fracture that needed closed reduction and pinning. Price estimates (complete or partial) were recorded for each hospital. The number of calls and the duration of time required to obtain the pricing information was also recorded. Variation was assessed, and hospitals were compared on the basis of ranking, teaching status, and region. Less than half (44%) of the 101 hospitals provided a complete price estimate. The mean price estimate for top-ranked hospitals ($17,813; range, $2742 to $49,063) was 50% higher than the price estimate for non-top-ranked hospitals ($11,866; range, $3623 to $22,967) (P=0.020). Differences in price estimates were attributable to differences in hospital fees (P=0.003), not surgeon fees. Top-ranked hospitals required more calls than non-top-ranked hospitals (4.4±2.9 vs. 2.8±2.3 calls, P=0.003). A longer duration of time was required to obtain price estimates from top-ranked hospitals than from non-top-ranked hospitals (8.2±9.4 vs. 4.1±5.1 d, P=0.024). Price estimates for pediatric orthopaedic procedures are difficult to obtain. Top-ranked hospitals are more expensive and less likely to provide price information than non-top-ranked hospitals, with price differences primarily caused by variation in hospital fees, not surgeon fees. Level II-economic and decision analyses.

49 CFR 1511.7 - Remittance of Aviation Security Infrastructure Fees.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 49 Transportation 9 2011-10-01 2011-10-01 false Remittance of Aviation Security Infrastructure... AVIATION SECURITY INFRASTRUCTURE FEE § 1511.7 Remittance of Aviation Security Infrastructure Fees. (a) No..., or an amount as otherwise determined by the Administrator, which will represent the Aviation Security...

49 CFR 1511.7 - Remittance of Aviation Security Infrastructure Fees.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 49 Transportation 9 2013-10-01 2013-10-01 false Remittance of Aviation Security Infrastructure... AVIATION SECURITY INFRASTRUCTURE FEE § 1511.7 Remittance of Aviation Security Infrastructure Fees. (a) No..., or an amount as otherwise determined by the Administrator, which will represent the Aviation Security...

49 CFR 1511.7 - Remittance of Aviation Security Infrastructure Fees.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 49 Transportation 9 2014-10-01 2014-10-01 false Remittance of Aviation Security Infrastructure... AVIATION SECURITY INFRASTRUCTURE FEE § 1511.7 Remittance of Aviation Security Infrastructure Fees. (a) No..., or an amount as otherwise determined by the Administrator, which will represent the Aviation Security...

49 CFR 1511.7 - Remittance of Aviation Security Infrastructure Fees.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 49 Transportation 9 2012-10-01 2012-10-01 false Remittance of Aviation Security Infrastructure... AVIATION SECURITY INFRASTRUCTURE FEE § 1511.7 Remittance of Aviation Security Infrastructure Fees. (a) No..., or an amount as otherwise determined by the Administrator, which will represent the Aviation Security...

49 CFR 1511.7 - Remittance of Aviation Security Infrastructure Fees.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 9 2010-10-01 2010-10-01 false Remittance of Aviation Security Infrastructure... AVIATION SECURITY INFRASTRUCTURE FEE § 1511.7 Remittance of Aviation Security Infrastructure Fees. (a) No..., or an amount as otherwise determined by the Administrator, which will represent the Aviation Security...

48 CFR 2452.216-74 - Distribution of award fee.

Code of Federal Regulations, 2012 CFR

2012-10-01

...: Evaluation Period: [insert time period] Available Award Fee: [insert dollar amount] (b) In the event of...-rata distribution associated with evaluation period activities or events as determined by the Fee... 2416.406(e)(3), add paragraph (c): (c) The contract clauses required for cost-reimbursement contracts...

48 CFR 2452.216-74 - Distribution of award fee.

Code of Federal Regulations, 2010 CFR

2010-10-01

...: Evaluation Period: [insert time period] Available Award Fee: [insert dollar amount] (b) In the event of...-rata distribution associated with evaluation period activities or events as determined by the Fee... 2416.406(e)(3), add paragraph (c): (c) The contract clauses required for cost-reimbursement contracts...

48 CFR 2452.216-74 - Distribution of award fee.

Code of Federal Regulations, 2014 CFR

2014-10-01

...: Evaluation Period: [insert time period] Available Award Fee: [insert dollar amount] (b) In the event of...-rata distribution associated with evaluation period activities or events as determined by the Fee... 2416.406(e)(3), add paragraph (c): (c) The contract clauses required for cost-reimbursement contracts...

48 CFR 2452.216-74 - Distribution of award fee.

Code of Federal Regulations, 2013 CFR

2013-10-01

...: Evaluation Period: [insert time period] Available Award Fee: [insert dollar amount] (b) In the event of...-rata distribution associated with evaluation period activities or events as determined by the Fee... 2416.406(e)(3), add paragraph (c): (c) The contract clauses required for cost-reimbursement contracts...

48 CFR 2452.216-74 - Distribution of award fee.

Code of Federal Regulations, 2011 CFR

2011-10-01

...: Evaluation Period: [insert time period] Available Award Fee: [insert dollar amount] (b) In the event of...-rata distribution associated with evaluation period activities or events as determined by the Fee... 2416.406(e)(3), add paragraph (c): (c) The contract clauses required for cost-reimbursement contracts...

16 CFR 1015.9 - Fees for production of records.

Code of Federal Regulations, 2010 CFR

2010-01-01

... determine and levy fees for duplication, search, review, and other services, in accordance with this section... reproducing or handling, such as photographs, slides, blueprints, video and audio tape recordings, or other unusual materials: direct-cost basis. (9) Any other service: An appropriate fee established by the...

42 CFR 493.643 - Fee for determination of program compliance.

Code of Federal Regulations, 2013 CFR

2013-10-01

... sets the fee amounts annually on a calendar year basis. Laboratories are inspected biennially... additional fee is based on the actual resources and time necessary to perform the activities. (c..., and proficiency testing purposes). (i) (A) Schedule A Low Volume. The laboratory performs not more...

42 CFR 493.643 - Fee for determination of program compliance.

Code of Federal Regulations, 2012 CFR

2012-10-01

... sets the fee amounts annually on a calendar year basis. Laboratories are inspected biennially... additional fee is based on the actual resources and time necessary to perform the activities. (c..., and proficiency testing purposes). (i) (A) Schedule A Low Volume. The laboratory performs not more...

42 CFR 493.643 - Fee for determination of program compliance.

Code of Federal Regulations, 2014 CFR

2014-10-01

... sets the fee amounts annually on a calendar year basis. Laboratories are inspected biennially... additional fee is based on the actual resources and time necessary to perform the activities. (c..., and proficiency testing purposes). (i) (A) Schedule A Low Volume. The laboratory performs not more...

77 FR 51697 - Telemarketing Sales Rule Fees

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-27

... percent threshold, the fees will change for fiscal year 2013. Second, to determine how much the fees... will not establish or alter any record keeping, reporting, or third-party disclosure requirements... Registry may not participate in any arrangement to share the cost of accessing the registry, including any...

78 FR 53642 - Telemarketing Sales Rule Fees

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-30

... percent threshold, the fees will change for fiscal year 2014. Second, to determine how much the fees... Amended TSR and will not establish or alter any record keeping, reporting, or third-party disclosure... not participate in any arrangement to share the cost of accessing the registry, including any...

75 FR 39577 - 30-Day Notice of Intention To Request Clearance of Collection of Information; Opportunity for...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-09

... obligations assumed. It also requires that franchise fees be determined with consideration to the opportunity... that franchise fees can be determined in a timely manner and without an undue burden on the...

Allocating Practice Expense Under the Medicare Fee Schedule

PubMed Central

Pope, Gregory C.; Burge, Russel T.

1993-01-01

Currently, relative value units for practice expense are determined under the Medicare fee schedule (MFS) using historical physician charges. This seems inconsistent with the goal of a resource-based fee schedule. A specialty resource-based method of determining practice expense payments is presented and simulated here. The method assumes that, for each service, the payment for practice expense should be the same proportion of the total payment as actual physician practice expenses are of total practice revenues. A comparison with the approach developed by the Physician Payment Review Commission (PPRC) shows similar fees, but the specialty-based method proposed here requires no data beyond what is already employed in the MFS. PMID:10130574

22 CFR 1102.5 - Categories of requesters for fee purposes.

Code of Federal Regulations, 2010 CFR

2010-04-01

... MEXICO, UNITED STATES SECTION FREEDOM OF INFORMATION ACT § 1102.5 Categories of requesters for fee... prescribes specific levels of fees for each of these categories. The Section will take into account information provided by requesters in determining their eligibility for inclusion in one of these categories...

48 CFR 915.404-4-71-3 - Factors for determining fees.

Code of Federal Regulations, 2010 CFR

2010-10-01

... the rewards associated with, fee or profit, as follows— (1) Management risk relating to performance, including the— (i) Quality and diversity of principal work tasks required to do the job; (ii) Labor... business in subcontracting, energy conservation, etc. (c) The total fee objective and amount for a...

48 CFR 970.1504-1-5 - General considerations and techniques for determining fixed fees.

Code of Federal Regulations, 2011 CFR

2011-10-01

...) The Department's fee policy recognizes that fee is remuneration to contractors for the entrepreneurial... and amounts for DOE management and operating contracts is inappropriate considering the limited level.... Instead of being solely cost-based, the desirable approach calls for a structure that allows evaluation of...

48 CFR 970.1504-1-5 - General considerations and techniques for determining fixed fees.

Code of Federal Regulations, 2010 CFR

2010-10-01

...) The Department's fee policy recognizes that fee is remuneration to contractors for the entrepreneurial... and amounts for DOE management and operating contracts is inappropriate considering the limited level.... Instead of being solely cost-based, the desirable approach calls for a structure that allows evaluation of...

43 CFR 2.16 - How are fees determined?

Code of Federal Regulations, 2010 CFR

2010-10-01

... supersede any statutory authority which requires the bureau to charge specific fees for certain types of... aggregated and fees charged accordingly. Bureaus may presume that multiple requests of this type that are... noncommercial scientific institutions, news media, and all others. (See §§ 2.3 and 2.17.) ...

43 CFR 2.16 - How are fees determined?

Code of Federal Regulations, 2011 CFR

2011-10-01

... supersede any statutory authority which requires the bureau to charge specific fees for certain types of... aggregated and fees charged accordingly. Bureaus may presume that multiple requests of this type that are... noncommercial scientific institutions, news media, and all others. (See §§ 2.3 and 2.17.) ...

4 CFR 201.11 - Requirements for waiver or reduction of fees.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 4 Accounts 1 2010-01-01 2010-01-01 false Requirements for waiver or reduction of fees. 201.11 Section 201.11 Accounts RECOVERY ACCOUNTABILITY AND TRANSPARENCY BOARD PUBLIC INFORMATION AND REQUESTS... request additional information if necessary. However, the Board must make a determination on the fee...

48 CFR 915.404-4-71-3 - Factors for determining fees.

Code of Federal Regulations, 2011 CFR

2011-10-01

... the rewards associated with, fee or profit, as follows— (1) Management risk relating to performance, including the— (i) Quality and diversity of principal work tasks required to do the job; (ii) Labor... business in subcontracting, energy conservation, etc. (c) The total fee objective and amount for a...

48 CFR 915.404-4-71-5 - Fee schedules.

Code of Federal Regulations, 2010 CFR

2010-10-01

... until such Force account work exceeds, in the aggregate, 20 percent of the base. Excessive use of Force..., appropriate fee reductions for such excessive Force account labor shall be computed as follows: (1) Determine... following adjustments shall be made to the Schedule fee amounts for complexity levels, excessive...

48 CFR 915.404-4-71-5 - Fee schedules.

Code of Federal Regulations, 2011 CFR

2011-10-01

... until such Force account work exceeds, in the aggregate, 20 percent of the base. Excessive use of Force..., appropriate fee reductions for such excessive Force account labor shall be computed as follows: (1) Determine... following adjustments shall be made to the Schedule fee amounts for complexity levels, excessive...

48 CFR 915.404-4-71-5 - Fee schedules.

Code of Federal Regulations, 2013 CFR

2013-10-01

... until such Force account work exceeds, in the aggregate, 20 percent of the base. Excessive use of Force..., appropriate fee reductions for such excessive Force account labor shall be computed as follows: (1) Determine... following adjustments shall be made to the Schedule fee amounts for complexity levels, excessive...

48 CFR 915.404-4-71-5 - Fee schedules.

Code of Federal Regulations, 2012 CFR

2012-10-01

... until such Force account work exceeds, in the aggregate, 20 percent of the base. Excessive use of Force..., appropriate fee reductions for such excessive Force account labor shall be computed as follows: (1) Determine... following adjustments shall be made to the Schedule fee amounts for complexity levels, excessive...

48 CFR 915.404-4-71-5 - Fee schedules.

Code of Federal Regulations, 2014 CFR

2014-10-01

... until such Force account work exceeds, in the aggregate, 20 percent of the base. Excessive use of Force..., appropriate fee reductions for such excessive Force account labor shall be computed as follows: (1) Determine... following adjustments shall be made to the Schedule fee amounts for complexity levels, excessive...

75 FR 4838 - 60-Day Notice of Intention To Request Clearance of Collection of Information; Opportunity for...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-29

... franchise fees be determined with consideration to the opportunity for net profit in relation to both gross... franchise fees determined in a timely manner and without an undue burden on the concessioner. This program...

Transversal analysis of public policies on user fees exemptions in six West African countries.

PubMed

Ridde, Valéry; Queuille, Ludovic; Kafando, Yamba; Robert, Emilie

2012-11-20

While more and more West African countries are implementing public user fees exemption policies, there is still little knowledge available on this topic. The long time required for scientific production, combined with the needs of decision-makers, led to the creation in 2010 of a project to support implementers in aggregating knowledge on their experiences. This article presents a transversal analysis of user fees exemption policies implemented in Benin, Burkina Faso, Mali, Niger, Togo and Senegal. This was a multiple case study with several embedded levels of analysis. The cases were public user fees exemption policies selected by the participants because of their instructive value. The data used in the countries were taken from documentary analysis, interviews and questionnaires. The transversal analysis was based on a framework for studying five implementation components and five actors' attitudes usually encountered in these policies. The analysis of the implementation components revealed: a majority of State financing; maintenance of centrally organized financing; a multiplicity of reimbursement methods; reimbursement delays and/or stock shortages; almost no implementation guides; a lack of support measures; communication plans that were rarely carried out, funded or renewed; health workers who were given general information but not details; poorly informed populations; almost no evaluation systems; ineffective and poorly funded coordination systems; low levels of community involvement; and incomplete referral-evacuation systems. With regard to actors' attitudes, the analysis revealed: objectives that were appreciated by everyone; dissatisfaction with the implementation; specific tensions between healthcare providers and patients; overall satisfaction among patients, but still some problems; the perception that while the financial barrier has been removed, other barriers persist; occasionally a reorganization of practices, service rationing due to lack of reimbursement, and some overcharging or shifting of resources. This transversal analysis confirms the need to assign a great deal of importance to the implementation of user fees exemption policies once these decisions have been taken. It also highlights some practices that suggest avenues of future research.

Analyzing the influence of institutions on health policy development in Uganda: a case study of the decision to abolish user fees.

PubMed

Moat, K A; Abelson, J

2011-12-01

During the 2001 election campaign, President Yoweri Museveni announced he was abolishing user fees for health services in Uganda. No analysis has been carried out to explain how he was able to initiate such an important policy decision without encountering any immediate barriers. To explain this outcome through in-depth policy analysis driven by the application of key analytical frameworks. An explanatory case study informed by analytical frameworks from the institutionalism literature was undertaken. Multiple data sources were used including: academic literature, key government documents, grey literature, and a variety of print media. According to the analytical frameworks employed, several formal institutional constraints existed that would have reduced the prospects for the abolition of user fees. However, prevalent informal institutions such as "Big Man" presidentialism and clientelism that were both 'competing' and 'complementary' can be used to explain the policy outcome. The analysis suggests that these factors trumped the impact of more formal institutional structures in the Ugandan context. Consideration should be given to the interactions between formal and informal institutions in the analysis of health policy processes in Uganda, as they provide a more nuanced understanding of how each set of factors influence policy outcomes.

What criteria guide national entrepreneurs' policy decisions on user fee removal for maternal health care services? Use of a best-worst scaling choice experiment in West Africa.

PubMed

Torbica, Aleksandra; De Allegri, Manuela; Belemsaga, Danielle; Medina-Lara, Antonieta; Ridde, Valery

2014-10-01

Several countries in sub-Saharan Africa have implemented policies to remove or reduce user fees. Our aim was to identify criteria guiding such decisions among national policy entrepreneurs, those who link up problem definition, solution development and political processes. We administered a best-worst scaling (BWS) experiment to 89 policy entrepreneurs, asking them to identify the most and the least important criteria on a series of predefined sets. Sets were compiled using a Balance Incomplete Block Design which generated random combinations of all 11 criteria included in the experiment. In turn, those had emerged from a prior set of focus group discussions organized among policy entrepreneurs. Ordered logit models were used to investigate the value of single criteria as well as heterogeneity of preferences. Political commitment was identified as the most important criterion guiding policy decisions on user fee abolition or reduction to the overall sample, but particularly so for more experienced respondents aged over 50 years. International pressure and donor money were identified as least important while equity and institutional capacity were deemed of relatively little importance. Respondents more involved in advising on policy than on formulating policy rated economic issues such as financial sustainability and cost-effectiveness as less important. It is feasible to apply BWS experiments in low-income countries, although whether the technique can be adjusted to elicit preferences among non-literate respondents in these settings is unclear. © The Author(s) 2014 Reprints and permissions: sagepub.co.uk/journalsPermissions.nav.

48 CFR 1552.216-70 - Award Fee.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Section 1552.216-70 Federal Acquisition Regulations System ENVIRONMENTAL PROTECTION AGENCY CLAUSES AND... the award fee to be paid is determined by the Government's judgmental evaluation of the contractor's performance in terms of the criteria stated in the contract. This determination and the methodology for...

75 FR 69486 - Self-Regulatory Organizations; NASDAQ OMX PHLX LLC; Notice of Filing and Immediate Effectiveness...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-12

... evaluate the customer Cancellation Fee for non-Select Symbols as well to determine if the volume from... on BKX; (iv) delete the Cancellation Fee for electronically delivered customer orders from Section I... Exchange assesses a Cancellation Fee on electronically delivered customer and Professional AON orders that...

48 CFR 2452.216-70 - Estimated cost, base fee and award fee.

Code of Federal Regulations, 2010 CFR

2010-10-01

...] increments on the schedule set forth in the Performance Evaluation Plan established by the government. The amount payable shall be based on the progress toward completion of contract tasks as determined by the... payments of the award fee in accordance with the schedule established in the Performance Evaluation Plan...

76 FR 19029 - Submission for OMB Review; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-06

... commercially should be granted a license or, if currently licensed, to determine the royalty fee the licensed... Service to approve commercial use of the Woodsy Owl symbol and to collect royalty fees for such use. An... plans to market the products. If information is not collected royalty fees would not be collected in...

24 CFR 232.510 - Commitment and commitment fee.

Code of Federal Regulations, 2013 CFR

2013-04-01

... of Fire Safety Equipment Fees and Charges § 232.510 Commitment and commitment fee. (a) Issuance of... setting forth the terms and conditions upon which the fire safety loan will be insured. (b) Type of... installation of the fire safety equipment, as determined by the Secretary of HHS. (c) Term of commitment. (1...

24 CFR 232.510 - Commitment and commitment fee.

Code of Federal Regulations, 2012 CFR

2012-04-01

... of Fire Safety Equipment Fees and Charges § 232.510 Commitment and commitment fee. (a) Issuance of... setting forth the terms and conditions upon which the fire safety loan will be insured. (b) Type of... installation of the fire safety equipment, as determined by the Secretary of HHS. (c) Term of commitment. (1...

24 CFR 232.510 - Commitment and commitment fee.

Code of Federal Regulations, 2014 CFR

2014-04-01

... of Fire Safety Equipment Fees and Charges § 232.510 Commitment and commitment fee. (a) Issuance of... setting forth the terms and conditions upon which the fire safety loan will be insured. (b) Type of... installation of the fire safety equipment, as determined by the Secretary of HHS. (c) Term of commitment. (1...

43 CFR 3836.25 - What if BLM denies my petition for deferment of assessment work?

Code of Federal Regulations, 2011 CFR

2011-10-01

...) ANNUAL ASSESSMENT WORK REQUIREMENTS FOR MINING CLAIMS Deferring Assessment Work § 3836.25 What if BLM... BLM decision denying the petition in which to pay the maintenance fee to maintain your claim. ...

43 CFR 3836.25 - What if BLM denies my petition for deferment of assessment work?

Code of Federal Regulations, 2012 CFR

2012-10-01

...) ANNUAL ASSESSMENT WORK REQUIREMENTS FOR MINING CLAIMS Deferring Assessment Work § 3836.25 What if BLM... BLM decision denying the petition in which to pay the maintenance fee to maintain your claim. ...

43 CFR 3836.25 - What if BLM denies my petition for deferment of assessment work?

Code of Federal Regulations, 2014 CFR

2014-10-01

...) ANNUAL ASSESSMENT WORK REQUIREMENTS FOR MINING CLAIMS Deferring Assessment Work § 3836.25 What if BLM... BLM decision denying the petition in which to pay the maintenance fee to maintain your claim. ...

43 CFR 3836.25 - What if BLM denies my petition for deferment of assessment work?

Code of Federal Regulations, 2013 CFR

2013-10-01

...) ANNUAL ASSESSMENT WORK REQUIREMENTS FOR MINING CLAIMS Deferring Assessment Work § 3836.25 What if BLM... BLM decision denying the petition in which to pay the maintenance fee to maintain your claim. ...

Does User Fee Removal Policy Provide Financial Protection from Catastrophic Health Care Payments? Evidence from Zambia

PubMed Central

Masiye, Felix; Kaonga, Oliver; Kirigia, Joses M

2016-01-01

Background Out-of-pocket payments in health care have been shown to impose significant burden on households in Sub-Saharan Africa, leading to constrained access to health care and impoverishment. In an effort to reduce the financial burden imposed on households by user fees, some countries in Sub-Saharan Africa have abolished user fees in the health sector. Zambia is one of few countries in Sub-Saharan Africa to abolish user fees in primary health care facilities with a view to alleviating financial burden of out-of-pocket payments among the poor. The main aim of this paper was to examine the extent and patterns of financial protection from fees following the decision to abolish user fees in public primary health facilities. Methods Our analysis is based on a nationally representative health expenditure and utilization survey conducted in 2014. We calculated the incidence and intensity of catastrophic health expenditure based on households’ out-of-pocket payments during a visit as a percentage of total household consumption expenditure. We further show the intensity of the problem of catastrophic health expenditure (CHE) experienced by households. Results Our analysis show that following the removal of user fees, a majority of patients who visited public health facilities benefitted from free care at the point of use. Further, seeking care at public primary health facilities is associated with a reduced likelihood of incurring CHE after controlling for economic wellbeing and other covariates. However, 10% of households are shown to suffer financial catastrophe as a result of out-of-pocket payments. Further, there is considerable inequality in the incidence of CHE whereby the poorest expenditure quintile experienced a much higher incidence. Conclusion Despite the removal of user fees at primary health care level, CHE is high among the poorest sections of the population. This study also shows that cost of transportation is mainly responsible for limiting the protective effectiveness of user fee removal on CHE among particularly poorest households. PMID:26795620

Does User Fee Removal Policy Provide Financial Protection from Catastrophic Health Care Payments? Evidence from Zambia.

PubMed

Masiye, Felix; Kaonga, Oliver; Kirigia, Joses M

2016-01-01

Out-of-pocket payments in health care have been shown to impose significant burden on households in Sub-Saharan Africa, leading to constrained access to health care and impoverishment. In an effort to reduce the financial burden imposed on households by user fees, some countries in Sub-Saharan Africa have abolished user fees in the health sector. Zambia is one of few countries in Sub-Saharan Africa to abolish user fees in primary health care facilities with a view to alleviating financial burden of out-of-pocket payments among the poor. The main aim of this paper was to examine the extent and patterns of financial protection from fees following the decision to abolish user fees in public primary health facilities. Our analysis is based on a nationally representative health expenditure and utilization survey conducted in 2014. We calculated the incidence and intensity of catastrophic health expenditure based on households' out-of-pocket payments during a visit as a percentage of total household consumption expenditure. We further show the intensity of the problem of catastrophic health expenditure (CHE) experienced by households. Our analysis show that following the removal of user fees, a majority of patients who visited public health facilities benefitted from free care at the point of use. Further, seeking care at public primary health facilities is associated with a reduced likelihood of incurring CHE after controlling for economic wellbeing and other covariates. However, 10% of households are shown to suffer financial catastrophe as a result of out-of-pocket payments. Further, there is considerable inequality in the incidence of CHE whereby the poorest expenditure quintile experienced a much higher incidence. Despite the removal of user fees at primary health care level, CHE is high among the poorest sections of the population. This study also shows that cost of transportation is mainly responsible for limiting the protective effectiveness of user fee removal on CHE among particularly poorest households.

Professionally exempt nurses & the fee basis of payment.

PubMed

Bernard, Lucian J

2003-09-01

Within the home health industry, per-visit pay has long been used by agencies to compensate nurses. This "fee-based" system of compensation has been subject to scrutiny by the Department of Labor (DOL), which claims that this is not an appropriate method to compensate professional nurses who would qualify as "exempt" employees under the Fair Labor Standards Act. Recent court decisions have disagreed with the DOL's position on the issue, but home health agencies need to be careful about employee compensation statutes at both the federal and state level so as not to open themselves up to potentially devastating penalties.

48 CFR 2452.216-72 - Determination of award fee earned.

Code of Federal Regulations, 2010 CFR

2010-10-01

... conclusion of each evaluation period specified in the Performance Evaluation Plan, the government shall evaluate the contractor's performance and determine the amount, if any, of award fee earned by the... Official's (FDO's) judgmental evaluation in accordance with the criteria set forth in the Performance...

14 CFR 302.609 - Completion of proceedings.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 302.609 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION (AVIATION... dismissed, the Secretary will issue a determination as to whether the fee is reasonable within 120 days... issue a determination as to whether the fee is reasonable within 120 days after the complaint is filed. ...

14 CFR 302.609 - Completion of proceedings.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 302.609 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION (AVIATION... dismissed, the Secretary will issue a determination as to whether the fee is reasonable within 120 days... issue a determination as to whether the fee is reasonable within 120 days after the complaint is filed. ...

14 CFR 302.609 - Completion of proceedings.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 302.609 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION (AVIATION... dismissed, the Secretary will issue a determination as to whether the fee is reasonable within 120 days... issue a determination as to whether the fee is reasonable within 120 days after the complaint is filed. ...

14 CFR 302.609 - Completion of proceedings.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 302.609 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION (AVIATION... dismissed, the Secretary will issue a determination as to whether the fee is reasonable within 120 days... issue a determination as to whether the fee is reasonable within 120 days after the complaint is filed. ...

42 CFR 493.649 - Methodology for determining fee amount.

Code of Federal Regulations, 2010 CFR

2010-10-01

... fringe benefit costs to support the required number of State inspectors, management and direct support... full time equivalent employee. Included in this cost are salary and fringe benefit costs, necessary... 42 Public Health 5 2010-10-01 2010-10-01 false Methodology for determining fee amount. 493.649...

Acceptable Reimbursable Costs Guidelines in Determining Community Services Fees.

ERIC Educational Resources Information Center

Petersen, Allan; And Others

Guidelines for California's community colleges are proposed with respect to acceptable reimbursable costs in determining community services fees. These guidelines are offered in the aftermath of the 1984 passage of an amendment to the Education Code, section 78305, which prohibits expenditures of State General Fund monies to establish and maintain…

49 CFR 6.11 - Allowable fees and expenses.

Code of Federal Regulations, 2010 CFR

2010-10-01

...) No award for the fee of an attorney or agent under these rules may exceed $125.00 per hour. This... expert witnesses, or $24.09 per hour, whichever is less. (c) In determining the reasonableness of the fee... factors as may bear on the value of the services provided. (d) The reasonable cost of any study, analysis...

49 CFR 6.11 - Allowable fees and expenses.

Code of Federal Regulations, 2011 CFR

2011-10-01

...) No award for the fee of an attorney or agent under these rules may exceed $125.00 per hour. This... expert witnesses, or $24.09 per hour, whichever is less. (c) In determining the reasonableness of the fee... factors as may bear on the value of the services provided. (d) The reasonable cost of any study, analysis...

24 CFR 891.525 - Amount and terms of financing.

Code of Federal Regulations, 2010 CFR

2010-04-01

... amount—leaseholds. In the event the loan is secured by a leasehold estate rather than a fee simple estate... fee. If the Borrower is the fee simple owner of the project not encumbered by a mortgage, the maximum... thereof. (g) Loan interest rate. Loans shall bear interest at a rate determined by HUD in accordance with...

12 CFR 622.106 - Service of subpoena and payment of witness fees.

Code of Federal Regulations, 2011 CFR

2011-01-01

... Board, determines in his, her, or its discretion, to be just, reasonable, and proper. .... Witnesses who are subpoenaed shall be paid the same fees and mileage that are paid witnesses in the district courts of the United States. The fees and mileage need not be tendered at the time a subpoena is served...

49 CFR 594.5 - Establishment and payment of fees.

Code of Federal Regulations, 2010 CFR

2010-10-01

... vehicle is eligible for importation shall file with the petition the fee specified in § 594.7(e). (e) No... importation of motor vehicles as provided in Section 592.4 of this chapter. A person who for personal use imports a vehicle covered by a determination of the Administrator must pay the fee specified in either...

76 FR 591 - Determination of Reasonable Rates and Terms for Noncommercial Broadcasting

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-05

... Participate, along with the $150 filing fee, may be delivered to the Copyright Royalty Board by either mail or...), Petitions to Participate, along with the $150 filing fee, must be addressed to: Copyright Royalty Board, P.O... to the ``Copyright Royalty Board.'' If a check received in payment of the filing fee is returned for...

77 FR 133 - Determination of Rates and Terms for Business Establishment Services

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-03

... filing fee, may be delivered to the Copyright Royalty Board by either mail or hand delivery. Petitions to... filing fee must be addressed to: Copyright Royalty Board, P.O. Box 70977, Washington, DC 20024-0977. If... Royalty Board.'' If a check received in payment of the filing fee is returned for lack of sufficient funds...

Use of fees to fund local public health services in Western Massachusetts.

PubMed

Shila Waritu, A; Bulzacchelli, Maria T; Begay, Michael E

2015-01-01

Recent budget cuts have forced many local health departments (LHDs) to cut staff and services. Setting fees that cover the cost of service provision is one option for continuing to fund certain activities. To describe the use of fees by LHDs in Western Massachusetts and determine whether fees charged cover the cost of providing selected services. A cross-sectional descriptive analysis was used to identify the types of services for which fees are charged and the fee amounts charged. A comparative cost analysis was conducted to compare fees charged with estimated costs of service provision. Fifty-nine LHDs in Western Massachusetts. Number of towns charging fees for selected types of services; minimum, maximum, and mean fee amounts; estimated cost of service provision; number of towns experiencing a surplus or deficit for each service; and average size of deficits experienced. Enormous variation exists both in the types of services for which fees are charged and fee amounts charged. Fees set by most health departments did not cover the cost of service provision. Some fees were set as much as $600 below estimated costs. These results suggest that considerations other than costs of service provision factor into the setting of fees by LHDs in Western Massachusetts. Given their limited and often uncertain funding, LHDs could benefit from examining their fee schedules to ensure that the fee amounts charged cover the costs of providing the services. Cost estimates should include at least the health agent's wage and time spent performing inspections and completing paperwork, travel expenses, and cost of necessary materials.

Household Size and the Decision to Purchase Health Insurance in Cambodia: Results of a Discrete-Choice Experiment with Scale Adjustment.

PubMed

Ozawa, Sachiko; Grewal, Simrun; Bridges, John F P

2016-04-01

Community-based health insurance (CBHI) schemes have been introduced in low- and middle-income countries to increase health service utilization and provide financial protection from high healthcare expenditures. We assess the impact of household size on decisions to enroll in CBHI and demonstrate how to correct for group disparity in scale (i.e. variance differences). A discrete choice experiment was conducted across five CBHI attributes. Preferences were elicited through forced-choice paired comparison choice tasks designed based on D-efficiency. Differences in preferences were examined between small (1-4 family members) and large (5-12 members) households using conditional logistic regression. Swait and Louviere test was used to identify and correct for differences in scale. One-hundred and sixty households were surveyed in Northwest Cambodia. Increased insurance premium was associated with disutility [odds ratio (OR) 0.61, p < 0.01], while significant increase in utility was noted for higher hospital fee coverage (OR 10.58, p < 0.01), greater coverage of travel and meal costs (OR 4.08, p < 0.01), and more frequent communication with the insurer (OR 1.33, p < 0.01). While the magnitude of preference for hospital fee coverage appeared larger for the large household group (OR 14.15) compared to the small household group (OR 8.58), differences in scale were observed (p < 0.05). After adjusting for scale (k, ratio of scale between large to small household groups = 1.227, 95 % confidence interval 1.002-1.515), preference differences by household size became negligible. Differences in stated preferences may be due to scale, or variance differences between groups, rather than true variations in preference. Coverage of hospital fees, travel and meal costs are given significant weight in CBHI enrollment decisions regardless of household size. Understanding how community members make decisions about health insurance can inform low- and middle-income countries' paths towards universal health coverage.

Decentralization in Zambia: resource allocation and district performance.

PubMed

Bossert, Thomas; Chitah, Mukosha Bona; Bowser, Diana

2003-12-01

Zambia implemented an ambitious process of health sector decentralization in the mid 1990s. This article presents an assessment of the degree of decentralization, called 'decision space', that was allowed to districts in Zambia, and an analysis of data on districts available at the national level to assess allocation choices made by local authorities and some indicators of the performance of the health systems under decentralization. The Zambian officials in health districts had a moderate range of choice over expenditures, user fees, contracting, targeting and governance. Their choices were quite limited over salaries and allowances and they did not have control over additional major sources of revenue, like local taxes. The study found that the formula for allocation of government funding which was based on population size and hospital beds resulted in relatively equal per capita expenditures among districts. Decentralization allowed the districts to make decisions on internal allocation of resources and on user fee levels and expenditures. General guidelines for the allocation of resources established a maximum and minimum percentage to be allocated to district offices, hospitals, health centres and communities. Districts tended to exceed the maximum for district offices, but the large urban districts and those without public district hospitals were not even reaching the minimum for hospital allocations. Wealthier and urban districts were more successful in raising revenue through user fees, although the proportion of total expenditures that came from user fees was low. An analysis of available indicators of performance, such as the utilization of health services, immunization coverage and family planning activities, found little variation during the period 1995-98 except for a decline in immunization coverage, which may have also been affected by changes in donor funding. These findings suggest that decentralization may not have had either a positive or negative impact on services.

38 CFR 21.7122 - Courses precluded.

Code of Federal Regulations, 2013 CFR

2013-07-01

...) VOCATIONAL REHABILITATION AND EDUCATION All Volunteer Force Educational Assistance Program (Montgomery GI... decisions. (Authority: 3034, 3689(d), 3696) (d) Restrictions on enrollment: percentage of students receiving... students enrolled in the course are having all or part of their tuition, fees or other charges paid for...

38 CFR 21.7122 - Courses precluded.

Code of Federal Regulations, 2010 CFR

2010-07-01

...) VOCATIONAL REHABILITATION AND EDUCATION All Volunteer Force Educational Assistance Program (Montgomery GI... decisions. (Authority: 3034, 3689(d), 3696) (d) Restrictions on enrollment: percentage of students receiving... students enrolled in the course are having all or part of their tuition, fees or other charges paid for...

38 CFR 21.7122 - Courses precluded.

Code of Federal Regulations, 2011 CFR

2011-07-01

...) VOCATIONAL REHABILITATION AND EDUCATION All Volunteer Force Educational Assistance Program (Montgomery GI... decisions. (Authority: 3034, 3689(d), 3696) (d) Restrictions on enrollment: percentage of students receiving... students enrolled in the course are having all or part of their tuition, fees or other charges paid for...

38 CFR 21.7122 - Courses precluded.

Code of Federal Regulations, 2014 CFR

2014-07-01

...) VOCATIONAL REHABILITATION AND EDUCATION All Volunteer Force Educational Assistance Program (Montgomery GI... decisions. (Authority: 3034, 3689(d), 3696) (d) Restrictions on enrollment: percentage of students receiving... students enrolled in the course are having all or part of their tuition, fees or other charges paid for...

38 CFR 21.7122 - Courses precluded.

Code of Federal Regulations, 2012 CFR

2012-07-01

...) VOCATIONAL REHABILITATION AND EDUCATION All Volunteer Force Educational Assistance Program (Montgomery GI... decisions. (Authority: 3034, 3689(d), 3696) (d) Restrictions on enrollment: percentage of students receiving... students enrolled in the course are having all or part of their tuition, fees or other charges paid for...

7 CFR 1486.303 - What specific contracting procedures must be adhered to?

Code of Federal Regulations, 2010 CFR

2010-01-01

... MARKETS PROGRAM Program Operations § 1486.303 What specific contracting procedures must be adhered to? (a...) Perform some form of fee, price, or cost analysis, such as a comparison of price quotations to market...) Document the decision-making process. ...

49 CFR 1108.5 - Fees and costs.

Code of Federal Regulations, 2011 CFR

2011-10-01

..., appeals of arbitration decisions, and petitions to modify or vacate an arbitration award will be as set... OF TRANSPORTATION RULES OF PRACTICE ARBITRATION OF CERTAIN DISPUTES SUBJECT TO THE STATUTORY... will bear the expenses of arbitration, including compensation of the arbitrator. Absent an agreement...

75 FR 7657 - Truth in Lending

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-22

... designed to increase over-the-limit fees or other penalty fees. Pursuant to this authority, the proposed... proposed rule would have imposed two specific requirements designed to enable administrators to determine...

48 CFR 952.223-77 - Conditional payment of fee or profit-protection of worker safety and health.

Code of Federal Regulations, 2011 CFR

2011-10-01

... or profit of the period may be reduced. Such reduction shall not be less than 26% nor greater than... of fee or profit that is subject to reduction in a period in which a performance failure occurs, in... which reductions of fee or profit will be determined are: (1) First Degree: Performance failures that...

20 CFR 410.686c - Petition for approval of fee.

Code of Federal Regulations, 2011 CFR

2011-04-01

... ACT OF 1969, TITLE IV-BLACK LUNG BENEFITS (1969- ) Determinations of Disability, Other Determinations... in the same matter before any State or Federal court; (5) The amount and itemization of expenses... approval but collection of any such approved fee shall be a matter between the attorney and his client. [37...

78 FR 59949 - Annual Factors for Determining Public Housing Agency Administrative Fees for the Section 8...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-30

... DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT [Docket No. FR-5724-N-02] Annual Factors for... Web site of the annual factors for determining the on-going administrative fee for housing agencies... Relay Service during business hours at 1-800-877-8337. SUPPLEMENTARY INFORMATION: The annual factors for...

75 FR 17281 - Changes in Hourly Fee Rates for Science and Technology Laboratory Services-Fiscal Years 2010-2012

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-06

..., residue chemistry, proximate analysis for composition, and biomolecular (DNA-based) testing. A user fee... provide greater clarity of reported test analyses and laboratory determinations. DATES: Effective April 7... analyses and laboratory determinations provided by AMS laboratory services apply only to the submitted...

The News. Spring 2006

ERIC Educational Resources Information Center

Giles, Ray, Ed.

2006-01-01

This Spring issue of the quarterly newsletter of the Community College League of California contains the following articles: (1) Enrollment Drops; Fees to Blame?; (2) Senate's Grad Proposal Triggers Debate on Mission, Access; (3) Compton Decision has Affected Perceptions of Commission (discussion with Barbara Beno); (4) Dynamic New Architectural…

Investigating the value of time and value of reliability for managed lanes : [summary].

DOT National Transportation Integrated Search

2015-09-01

Managed lanes employ various operational and design strategies to improve highway : efficiency by moving traffic to lanes that are restricted, for example, to drivers with one or : more passengers or to drivers that pay a fee. A drivers decision t...

12 CFR 550.60 - What other definitions apply to this part?

Code of Federal Regulations, 2010 CFR

2010-01-01

... advice for a fee regarding fiduciary assets, or making discretionary decisions regarding investment or..., contacting existing or potential customers, answering questions and providing information to customers related to their accounts, acting as liaison between you and your customer (for example, forwarding...

32 CFR 518.19 - General provisions.

Code of Federal Regulations, 2011 CFR

2011-07-01

... in this section are not all inclusive. Each fee decision must be considered on a case-by-case basis... graduate high education, an institution of undergraduate higher education, an institution of professional education, and an institution of vocational education, which operates a program or programs of scholarly...

32 CFR 518.19 - General provisions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... in this section are not all inclusive. Each fee decision must be considered on a case-by-case basis... graduate high education, an institution of undergraduate higher education, an institution of professional education, and an institution of vocational education, which operates a program or programs of scholarly...

Money, Money, Money.

ERIC Educational Resources Information Center

Splitt, David A.

1988-01-01

Summarizes several U.S. Supreme Court actions, including decisions to review a North Dakota case concerning fees for rural bus students and a Florida case involving differential contributions and benefits for male and female employees. The Court refused to hear certain cases involving school consolidation (Kansas City), mainstreaming of retarded…

42 CFR 493.649 - Methodology for determining fee amount.

Code of Federal Regulations, 2011 CFR

2011-10-01

... activities performed by Federal agencies is the most recent average hourly cost to HHS to staff and support a... laboratories, conduct special studies, bill and collect fees, issue certificates, establish accounting...

41 CFR 301-71.212 - Should we report late payment fees as wages on a Form W-2?

Code of Federal Regulations, 2010 CFR

2010-07-01

... 41 Public Contracts and Property Management 4 2010-07-01 2010-07-01 false Should we report late payment fees as wages on a Form W-2? 301-71.212 Section 301-71.212 Public Contracts and Property... late payment fees as wages on a Form W-2? No, the Internal Revenue Service (IRS) has determined that...

75 FR 66193 - Post-9/11 GI Bill 2010-2011 Tuition and Fee In-State Maximums

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-27

... DEPARTMENT OF VETERANS AFFAIRS Post-9/11 GI Bill 2010-2011 Tuition and Fee In-State Maximums... advise the public of the Post-9/11 GI Bill tuition and fee in-State maximum rates for the 2010- 2011... maximum amounts listed below to determine the amounts payable for training pursued under the Post-9/11 GI...

30 CFR 1206.361 - How will ONRR determine whether my royalty or direct use fee payments are correct?

Code of Federal Regulations, 2013 CFR

2013-07-01

... 30 Mineral Resources 3 2013-07-01 2013-07-01 false How will ONRR determine whether my royalty or direct use fee payments are correct? 1206.361 Section 1206.361 Mineral Resources OFFICE OF NATURAL RESOURCES REVENUE, DEPARTMENT OF THE INTERIOR NATURAL RESOURCES REVENUE PRODUCT VALUATION Geothermal...

12 CFR 1402.23 - Waiver or reduction of fees.

Code of Federal Regulations, 2010 CFR

2010-01-01

... significantly to public understanding of the operations or activities of the Government, and the disclosure of... Corporation may grant a waiver or reduction of fees if the Farm Credit System Insurance Corporation determines...

49 CFR 360.5 - Updating user fees.

Code of Federal Regulations, 2011 CFR

2011-10-01

... determined by the cost study in Regulations Governing Fees For Service, 1 I.C.C. 2d 60 (1984), or subsequent... material in the Federal Register or FMCSA Register. (This rounding procedures excludes copying, printing...

49 CFR 360.5 - Updating user fees.

Code of Federal Regulations, 2013 CFR

2013-10-01

... determined by the cost study in Regulations Governing Fees For Service, 1 I.C.C. 2d 60 (1984), or subsequent... material in the Federal Register or FMCSA Register. (This rounding procedures excludes copying, printing...

49 CFR 360.5 - Updating user fees.

Code of Federal Regulations, 2012 CFR

2012-10-01

... determined by the cost study in Regulations Governing Fees For Service, 1 I.C.C. 2d 60 (1984), or subsequent... material in the Federal Register or FMCSA Register. (This rounding procedures excludes copying, printing...

32 CFR 719.138 - Fees of civilian witnesses.

Code of Federal Regulations, 2010 CFR

2010-07-01

...) Method of Payment. The fees and mileage of a civilian witness shall be paid by the disbursing officer of... whose testimony is determined not to meet the standards of relevancy and materiality set forth in...

12 CFR 7.4002 - National bank charges.

Code of Federal Regulations, 2010 CFR

2010-01-01

... judgment and safe and sound banking principles. A national bank establishes non-interest charges and fees in accordance with safe and sound banking principles if the bank employs a decision-making process... of the competitive position of the bank in accordance with the bank's business plan and marketing...

32 CFR 1700.13 - Right to appeal and appeal procedures.

Code of Federal Regulations, 2010 CFR

2010-07-01

... FOIA Officer c/o Director, Information Management Office, Office of the Director of National... NATIONAL INTELLIGENCE PROCEDURES FOR DISCLOSURE OF RECORDS PURSUANT TO THE FREEDOM OF INFORMATION ACT... decision. (c) Exceptions. No appeal shall be accepted if the requester has outstanding fees for information...

32 CFR 1700.13 - Right to appeal and appeal procedures.

Code of Federal Regulations, 2011 CFR

2011-07-01

... FOIA Officer c/o Director, Information Management Office, Office of the Director of National... NATIONAL INTELLIGENCE PROCEDURES FOR DISCLOSURE OF RECORDS PURSUANT TO THE FREEDOM OF INFORMATION ACT... decision. (c) Exceptions. No appeal shall be accepted if the requester has outstanding fees for information...

32 CFR 1700.13 - Right to appeal and appeal procedures.

Code of Federal Regulations, 2013 CFR

2013-07-01

... FOIA Officer c/o Director, Information Management Office, Office of the Director of National... NATIONAL INTELLIGENCE PROCEDURES FOR DISCLOSURE OF RECORDS PURSUANT TO THE FREEDOM OF INFORMATION ACT... decision. (c) Exceptions. No appeal shall be accepted if the requester has outstanding fees for information...

32 CFR 1700.13 - Right to appeal and appeal procedures.

Code of Federal Regulations, 2014 CFR

2014-07-01

... FOIA Officer c/o Director, Information Management Office, Office of the Director of National... NATIONAL INTELLIGENCE PROCEDURES FOR DISCLOSURE OF RECORDS PURSUANT TO THE FREEDOM OF INFORMATION ACT... decision. (c) Exceptions. No appeal shall be accepted if the requester has outstanding fees for information...

32 CFR 1700.13 - Right to appeal and appeal procedures.

Code of Federal Regulations, 2012 CFR

2012-07-01

... FOIA Officer c/o Director, Information Management Office, Office of the Director of National... NATIONAL INTELLIGENCE PROCEDURES FOR DISCLOSURE OF RECORDS PURSUANT TO THE FREEDOM OF INFORMATION ACT... decision. (c) Exceptions. No appeal shall be accepted if the requester has outstanding fees for information...

Transversal analysis of public policies on user fees exemptions in six West African countries

PubMed Central

2012-01-01

Background While more and more West African countries are implementing public user fees exemption policies, there is still little knowledge available on this topic. The long time required for scientific production, combined with the needs of decision-makers, led to the creation in 2010 of a project to support implementers in aggregating knowledge on their experiences. This article presents a transversal analysis of user fees exemption policies implemented in Benin, Burkina Faso, Mali, Niger, Togo and Senegal. Methods This was a multiple case study with several embedded levels of analysis. The cases were public user fees exemption policies selected by the participants because of their instructive value. The data used in the countries were taken from documentary analysis, interviews and questionnaires. The transversal analysis was based on a framework for studying five implementation components and five actors’ attitudes usually encountered in these policies. Results The analysis of the implementation components revealed: a majority of State financing; maintenance of centrally organized financing; a multiplicity of reimbursement methods; reimbursement delays and/or stock shortages; almost no implementation guides; a lack of support measures; communication plans that were rarely carried out, funded or renewed; health workers who were given general information but not details; poorly informed populations; almost no evaluation systems; ineffective and poorly funded coordination systems; low levels of community involvement; and incomplete referral-evacuation systems. With regard to actors’ attitudes, the analysis revealed: objectives that were appreciated by everyone; dissatisfaction with the implementation; specific tensions between healthcare providers and patients; overall satisfaction among patients, but still some problems; the perception that while the financial barrier has been removed, other barriers persist; occasionally a reorganization of practices, service rationing due to lack of reimbursement, and some overcharging or shifting of resources. Conclusions This transversal analysis confirms the need to assign a great deal of importance to the implementation of user fees exemption policies once these decisions have been taken. It also highlights some practices that suggest avenues of future research. PMID:23167598

Administration: Attendance of Military and Civilian Personnel at Private Organization Meetings

DTIC Science & Technology

1983-12-01

actual costs incurred by the sponsor of the meeting. b. Attendee and traveler should be aware that there are reimburs - able and nonreimbursable...registration fees and that all registration and admittance fees may not be reimbursable . Reimbursement for such fees will be determined by the orders...or substantial be authorized attendance in a permissive TDY status without payment of travel expenses, per diem, or other reimbursable entitlements

Midmarket Solar Policies in the United States: A Guide for Midsized Solar Customers

DOE Office of Scientific and Technical Information (OSTI.GOV)

Tian, Tian; Liu, Chang; O'Shaughnessy, Eric

The midscale market for solar photovoltaics (PV) has not experienced the same high growth rate as residential- or utility-scale market segments in the past five years when solar PV deployment increased rapidly. Midscale solar can be defined as behind-the-meter solar PV between 50 kilowatts and 2 megawatts adopted by multi-housing residential, commercial, industrial, non-profit, and other entities. A number of challenges face the midscale segment, including difficulties in contracting, mismatch between tenant lease and PV financing terms, high transaction costs relative to project sizes, and inefficiencies in matching prospective projects with capital. The changing policy landscape across U.S. states providesmore » both opportunities and challenges to midmarket solar. Some states, such as California, are expanding system capacity limits for policies such as net metering, thus enabling a wider range of customers to benefit from excess generation. A number of states and utilities are making changes to rate design to introduce new or higher user fees for solar customers or reduced tariffs for net metering, which decrease the value of solar generation. An understanding of these policies relative to project feasibility and economics is important for prospective customers to make informed decisions to adopt solar PV. This guide complements existing solar policy resources to help potential customers navigate through the policy landscape in order to make informed decisions for their solar investment. The first part of this guide introduces the key solar policies necessary for policy-based decision-making, which involves using knowledge of a solar policy to improve project economics and efficiency. Policies that could result in policy-based decisions include interconnection standards, net metering, user fees, incentives, and third-party ownership policies. The goal of this section is to equip prospective customers and project developers with the tools necessary to understand and use solar policies in a dynamic policy environment. The second part of this guide provides a complete, state-by-state inventory of midmarket solar policies for potential customers and developers to use as reference when making policy-based decisions. Although solar policies are dynamic, the profiles provide a framework for assessing policies to build the parameters that could be used to determine feasibility and structure of a solar PV system for midmarket customers and developers.« less

Development of a decision model for the techno-economic assessment of municipal solid waste utilization pathways.

PubMed

Khan, Md Mohib-Ul-Haque; Jain, Siddharth; Vaezi, Mahdi; Kumar, Amit

2016-02-01

Economic competitiveness is one of the key factors in making decisions towards the development of waste conversion facilities and devising a sustainable waste management strategy. The goal of this study is to develop a framework, as well as to develop and demonstrate a comprehensive techno-economic model to help county and municipal decision makers in establishing waste conversion facilities. The user-friendly data-intensive model, called the FUNdamental ENgineering PrinciplEs-based ModeL for Estimation of Cost of Energy and Fuels from MSW (FUNNEL-Cost-MSW), compares nine different waste management scenarios, including landfilling and composting, in terms of economic parameters such as gate fees and return on investment. In addition, a geographic information system (GIS) model was developed to determine suitable locations for waste conversion facilities and landfill sites based on integration of environmental, social, and economic factors. Finally, a case study on Parkland County and its surrounding counties in the province of Alberta, Canada, was conducted and a sensitivity analysis was performed to assess the influence of the key technical and economic parameters on the calculated results. Copyright © 2015 Elsevier Ltd. All rights reserved.

Two-Year Costs and Quality in the Comprehensive Primary Care Initiative.

PubMed

Dale, Stacy B; Ghosh, Arkadipta; Peikes, Deborah N; Day, Timothy J; Yoon, Frank B; Taylor, Erin Fries; Swankoski, Kaylyn; O'Malley, Ann S; Conway, Patrick H; Rajkumar, Rahul; Press, Matthew J; Sessums, Laura; Brown, Randall

2016-06-16

The 4-year, multipayer Comprehensive Primary Care Initiative was started in October 2012 to determine whether several forms of support would produce changes in care delivery that would improve the quality and reduce the costs of care at 497 primary care practices in seven regions across the United States. Support included the provision of care-management fees, the opportunity to earn shared savings, and the provision of data feedback and learning support. We tracked changes in the delivery of care by practices participating in the initiative and used difference-in-differences regressions to compare changes over the first 2 years of the initiative in Medicare expenditures, health care utilization, claims-based measures of quality, and patient experience for Medicare fee-for-service beneficiaries attributed to initiative practices and a group of matched comparison practices. During the first 2 years, initiative practices received a median of $115,000 per clinician in care-management fees. The practices reported improvements in approaches to the delivery of primary care in areas such as management of the care of high-risk patients and enhanced access to care. Changes in average monthly Medicare expenditures per beneficiary did not differ significantly between initiative and comparison practices when care-management fees were not taken into account (-$11; 95% confidence interval [CI], -$23 to $1; P=0.07; negative values indicate less growth in spending at initiative practices) or when these fees were taken into account ($7; 95% CI, -$5 to $19; P=0.27). The only significant differences in other measures were a 3% reduction in primary care visits for initiative practices relative to comparison practices (P<0.001) and changes in two of the six domains of patient experience--discussion of decisions regarding medication with patients and the provision of support for patients taking care of their own health--both of which showed a small improvement in initiative practices relative to comparison practices (P=0.006 and P<0.001, respectively). Midway through this 4-year intervention, practices participating in the initiative have reported progress in transforming the delivery of primary care. However, at this point these practices have not yet shown savings in expenditures for Medicare Parts A and B after accounting for care-management fees, nor have they shown an appreciable improvement in the quality of care or patient experience. (Funded by the Department of Health and Human Services, Centers for Medicare and Medicaid Services; ClinicalTrials.gov number, NCT02320591.).

17 CFR 201.57 - Commission review.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 17 Commodity and Securities Exchanges 2 2010-04-01 2010-04-01 false Commission review. 201.57... Regulations Pertaining to the Equal Access to Justice Act § 201.57 Commission review. In accordance with the... Division of the Commission may seek review of the initial decision on the fee application, or the...

49 CFR 1016.309 - Agency review.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 8 2010-10-01 2010-10-01 false Agency review. 1016.309 Section 1016.309... Agency review. In the event the adjudicative officer is not the entire Board, the applicant or agency counsel may seek review of the initial decision on the fee application, or the Board may review the...

5 CFR 550.801 - Applicability.

Code of Federal Regulations, 2010 CFR

2010-01-01

..., interest, and reasonable attorney fees for the purpose of making an employee financially whole (to the... decision relating to an unfair labor practice or a grievance), the employee is found by an appropriate... the employee. This subpart should be read together with this section of law. (b) This subpart does not...

25 CFR 517.4 - Requirements for making requests.

Code of Federal Regulations, 2010 CFR

2010-04-01

... INFORMATION ACT PROCEDURES § 517.4 Requirements for making requests. (a) How to make a FOIA request. Requests... additional information. If the requester is making a request for records about another individual, the..., the requester will be notified of this decision and advised that fees associated with the processing...

47 CFR 1.1117 - Adjustments to charges.

Code of Federal Regulations, 2010 CFR

2010-10-01

.... (1) The fees will be adjusted by the Commission to reflect the percentage change in the Consumer Price Index for all Urban Consumers (CPI-U) from the date of enactment of the authorizing legislation... these decisions be subject to petitions for reconsideration under § 1.429 of the rules. Requests for...

49 CFR 826.38 - Board review.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 7 2010-10-01 2010-10-01 false Board review. 826.38 Section 826.38 Transportation... IMPLEMENTING THE EQUAL ACCESS TO JUSTICE ACT OF 1980 Procedures for Considering Applications § 826.38 Board review. Either the applicant or agency counsel may seek review of the initial decision on the fee...

21 CFR 20.50 - Nonspecific and overly burdensome requests.

Code of Federal Regulations, 2010 CFR

2010-04-01

... policy reasons justifying the requests. A decision on the processing of such a request for information... PUBLIC INFORMATION Procedures and Fees § 20.50 Nonspecific and overly burdensome requests. The Food and... taking into account the staff-hours required, the tasks from which these resources must be diverted, the...

Our Experiment in Online, Real-Time Reference.

ERIC Educational Resources Information Center

Broughton, Kelly

2001-01-01

Describes experiences in providing real-time online reference services to users with remote Web access at the Bowling Green State University library. Discusses the decision making process first used to select HumanClick software to communicate via chat; and the selection of a fee-based customer service product, Virtual Reference Desk. (LRW)

29 CFR 24.109 - Decision and orders of the administrative law judge.

Code of Federal Regulations, 2010 CFR

2010-07-01

... factor in the unfavorable personnel action alleged in the complaint. (b) In cases under the Energy..., and compensatory damages. In cases arising under the Safe Drinking Water Act or the Toxic Substances... attorney fees) reasonably incurred. (2) In cases brought under the Energy Reorganization Act, when an...

15 CFR 18.23 - Judicial review.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 15 Commerce and Foreign Trade 1 2010-01-01 2010-01-01 false Judicial review. 18.23 Section 18.23 Commerce and Foreign Trade Office of the Secretary of Commerce ATTORNEY'S FEES AND OTHER EXPENSES Procedures for Considering Applications § 18.23 Judicial review. Judicial review of final agency decisions on...

2012: A Brave New World

ERIC Educational Resources Information Center

Jeffreys, Andrea

2012-01-01

The Australian Government decision in response to the Bradley review to introduce a demand-driven funding model for undergraduate university places from 2012 was met with mixed reaction across the higher education sector. The removal of caps without subsequent fee deregulation is considered by some to be unsustainable. Opinions suggest that…

Access assured: a pilot program to finance primary care for uninsured patients using a monthly enrollment fee.

PubMed

Saultz, John W; Brown, David; Stenberg, Stephen; Rdesinski, Rebecca E; Tillotson, Carrie J; Eigner, Danielle; Devoe, Jennifer

2010-01-01

Access Assured is an experimental program being used by 2 academic family medicine practices to deliver primary care to an uninsured patient population using a monthly retainer payment system in addition to a sliding fee schedule for office visits. This prospective cohort study was designed to determine whether patients would join such a program, to describe the population of people who did so, and to assess the program's financial viability. We used data abstracted from our electronic medical record system to describe the demographic characteristics and care utilization patterns of those patients enrolling during the first year of the study, between February 1, 2008, and January 31, 2009. We also compared 2 subpopulations of enrollees defined by their eligibility for office fee discounts based on income. A total of 600 Access Assured members made 1943 office visits during the study period, receiving a total of 4538.22 relative value units of service. Based on the membership fee, office visit fee collections, and remaining accounts receivable, this resulted in an expected reimbursement rate of $42.88 per relative value units. Three hundred one of the 600 (50.2%) patients had incomes above 400% of the federal poverty level (FPL) at the time of each of their office visits and were therefore not eligible for any visit fee discount. Another 156 patients (26.0%) were eligible for a 100% discount of all visit fees based on their income below 200% of the FPL. Using a multivariable Poisson regression analysis of these 2 groups, we determined that age was a significant determinant of return visit rate, with a 0.7% increase in return visit rate for each additional year of age (P = .006). Women had a 26% higher return visit rate than men (P = .001). After accounting for age, sex, and clinic site, fee discount level based on income was not a significant independent determinant of return visit rate (P = .118). A retainer-based program to enroll uninsured patients being used in 2 academic family medicine clinics attracted 600 patients during its first year. The program was financially viable and resulted in an expansion of our service to uninsured patients. More than half of the patients had incomes above 400% of the FPL, suggesting that the population of uninsured Oregonians may be economically more diverse than suspected.

The Benefits of Internalizing Air Quality and Greenhouse Gas Externalities in the US Energy System

NASA Astrophysics Data System (ADS)

Brown, Kristen E.

The emission of pollutants from energy use has effects on both local air quality and the global climate, but the price of energy does not reflect these externalities. This study aims to analyze the effect that internalizing these externalities in the cost of energy would have on the US energy system, emissions, and human health. In this study, we model different policy scenarios in which fees are added to emissions related to generation and use of energy. The fees are based on values of damages estimated in the literature and are applied to upstream and combustion emissions related to electricity generation, industrial energy use, transportation energy use, residential energy use, and commercial energy use. The energy sources and emissions are modeled through 2055 in five-year time steps. The emissions in 2045 are incorporated into a continental-scale atmospheric chemistry and transport model, CMAQ, to determine the change in air quality due to different emissions reduction scenarios. A benefit analysis tool, BenMAP, is used with the air quality results to determine the monetary benefit of emissions reductions related to the improved air quality. We apply fees to emissions associated with health impacts, climate change, and a combination of both. We find that the fees we consider lead to reductions in targeted emissions as well as co-reducing non-targeted emissions. For fees on the electric sector alone, health impacting pollutant (HIP) emissions reductions are achieved mainly through control devices while Greenhouse Gas (GHG) fees are addressed through changes in generation technologies. When sector specific fees are added, reductions come mainly from the industrial and electricity generation sectors, and are achieved through a mix of energy efficiency, increased use of renewables, and control devices. Air quality is improved in almost all areas of the country with fees, including when only GHG fees are applied. Air quality tends to improve more in regions with larger emissions reductions, especially for PM2.5.

Costs incurred by applying computer-aided design/computer-aided manufacturing techniques for the reconstruction of maxillofacial defects.

PubMed

Rustemeyer, Jan; Melenberg, Alex; Sari-Rieger, Aynur

2014-12-01

This study aims to evaluate the additional costs incurred by using a computer-aided design/computer-aided manufacturing (CAD/CAM) technique for reconstructing maxillofacial defects by analyzing typical cases. The medical charts of 11 consecutive patients who were subjected to the CAD/CAM technique were considered, and invoices from the companies providing the CAD/CAM devices were reviewed for every case. The number of devices used was significantly correlated with cost (r = 0.880; p < 0.001). Significant differences in mean costs were found between cases in which prebent reconstruction plates were used (€3346.00 ± €29.00) and cases in which they were not (€2534.22 ± €264.48; p < 0.001). Significant differences were also obtained between the costs of two, three and four devices, even when ignoring the cost of reconstruction plates. Additional fees provided by statutory health insurance covered a mean of 171.5% ± 25.6% of the cost of the CAD/CAM devices. Since the additional fees provide financial compensation, we believe that the CAD/CAM technique is suited for wide application and not restricted to complex cases. Where additional fees/funds are not available, the CAD/CAM technique might be unprofitable, so the decision whether or not to use it remains a case-to-case decision with respect to cost versus benefit. Copyright © 2014 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

‘Rowing against the current’: the policy process and effects of removing user fees for caesarean sections in Benin

PubMed Central

Cresswell, Jenny A; Makoutodé, Patrick; De Brouwere, Vincent; Witter, Sophie; Filippi, Veronique; Kanhonou, Lydie G; Goufodji, Sourou B; Lange, Isabelle L; Lawin, Lionel; Affo, Fabien; Marchal, Bruno

2018-01-01

Background In 2009, the Benin government introduced a user fee exemption policy for caesarean sections. We analyse this policy with regard to how the existing ideas and institutions related to user fees influenced key steps of the policy cycle and draw lessons that could inform the policy dialogue for universal health coverage in the West African region. Methods Following the policy stages model, we analyse the agenda setting, policy formulation and legitimation phase, and assess the implementation fidelity and policy results. We adopted an embedded case study design, using quantitative and qualitative data collected with 13 tools at the national level and in seven hospitals implementing the policy. Results We found that the initial political goal of the policy was not to reduce maternal mortality but to eliminate the detention in hospitals of mothers and newborns who cannot pay the user fees by exempting a comprehensive package of maternal health services. We found that the policy development process suffered from inadequate uptake of evidence and that the policy content and process were not completely in harmony with political and public health goals. The initial policy intention clashed with the neoliberal orientation of the political system, the fee recovery principles institutionalised since the Bamako Initiative and the prevailing ideas in favour of user fees. The policymakers did not take these entrenched factors into account. The resulting tension contributed to a benefit package covering only caesarean sections and to the variable implementation and effectiveness of the policy. Conclusion The influence of organisational culture in the decision-making processes in the health sector is often ignored but must be considered in the design and implementation of any policy aimed at achieving universal health coverage in West African countries. PMID:29564156

20 CFR 655.163 - Certification fee.

Code of Federal Regulations, 2011 CFR

2011-04-01

... Employees' Benefits EMPLOYMENT AND TRAINING ADMINISTRATION, DEPARTMENT OF LABOR TEMPORARY EMPLOYMENT OF FOREIGN WORKERS IN THE UNITED STATES Labor Certification Process for Temporary Agricultural Employment in the United States (H-2A Workers) Labor Certification Determinations § 655.163 Certification fee. A...

Willingness to pay for physician services at a primary contact in Ukraine: results of a contingent valuation study.

PubMed

Danyliv, Andriy; Pavlova, Milena; Gryga, Irena; Groot, Wim

2013-06-08

The existence of quasi-formal and informal payments in the Ukrainian health care system jeopardizes equity and creates barriers to access to proper care. Patient payment policies that better match patient preferences are necessary. We analyze the potential and feasibility of official patient charges for public health care services in Ukraine by studying the patterns of fee acceptability, ability and willingness to pay (WTP) for public health care among population groups. We use contingent valuation data collected from 303 respondents representative of the adult Ukrainian population. Three decision points were separated: objection to pay, inability to pay, and level of positive non-zero WTP. These decisions were studied for relations with quality profiles of the services, and socio-demographic characteristics of the respondents and their households. The likelihood to object to pay is mostly determined by the quality characteristics of the services. Objection to pay is not related to corresponding behavior in real life. The likelihood of being unable to pay is associated with older age, lower income, and a larger share of household members with no income. The level of positive WTP is positively related to income (+7% per 1000 UAH increase in income) and is lower for people who visited a doctor but did not pay (-22%). Rather substantial WTP levels (between 0.9% and 1.9% of household income) for one visit to physician indicate a potential for official patient charges in Ukraine. User fees may cover a substantial share of personnel cost in the out-patient sector. The patterns of inability to pay support well designed exemption criteria based on age, income, and other aspects of economic status. The WTP patterns highlight the necessity for payments that are proportional to income. Other methodological and policy implications are discussed.

49 CFR 801.60 - Fee schedule.

Code of Federal Regulations, 2014 CFR

2014-10-01

... will exceed $25.00, the NTSB will not expend additional agency resources on the request until the... of administrative resources in determining whether to grant waivers or reductions of fees. (e) Services available free of charge. (1) The following documents are available without commercial...

49 CFR 801.60 - Fee schedule.

Code of Federal Regulations, 2012 CFR

2012-10-01

... will exceed $25.00, the NTSB will not expend additional agency resources on the request until the... of administrative resources in determining whether to grant waivers or reductions of fees. (e) Services available free of charge. (1) The following documents are available without commercial...

49 CFR 801.60 - Fee schedule.

Code of Federal Regulations, 2013 CFR

2013-10-01

... will exceed $25.00, the NTSB will not expend additional agency resources on the request until the... of administrative resources in determining whether to grant waivers or reductions of fees. (e) Services available free of charge. (1) The following documents are available without commercial...

49 CFR 801.60 - Fee schedule.

Code of Federal Regulations, 2010 CFR

2010-10-01

... will exceed $25.00, the NTSB will not expend additional agency resources on the request until the... of administrative resources in determining whether to grant waivers or reductions of fees. (e) Services available free of charge. (1) The following documents are available without commercial...

49 CFR 801.60 - Fee schedule.

Code of Federal Regulations, 2011 CFR

2011-10-01

... will exceed $25.00, the NTSB will not expend additional agency resources on the request until the... of administrative resources in determining whether to grant waivers or reductions of fees. (e) Services available free of charge. (1) The following documents are available without commercial...

28 CFR 105.26 - State agency's responsibilities.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Section 105.26 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) CRIMINAL HISTORY BACKGROUND... responsible for: (1) Determining whether to establish a fee to perform a check of state criminal history... fingerprint submissions and fees from the authorized employer; performing a check of state criminal history...

28 CFR 105.26 - State agency's responsibilities.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Section 105.26 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) CRIMINAL HISTORY BACKGROUND... responsible for: (1) Determining whether to establish a fee to perform a check of state criminal history... fingerprint submissions and fees from the authorized employer; performing a check of state criminal history...

28 CFR 105.26 - State agency's responsibilities.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Section 105.26 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) CRIMINAL HISTORY BACKGROUND... responsible for: (1) Determining whether to establish a fee to perform a check of state criminal history... fingerprint submissions and fees from the authorized employer; performing a check of state criminal history...

28 CFR 105.26 - State agency's responsibilities.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Section 105.26 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) CRIMINAL HISTORY BACKGROUND... responsible for: (1) Determining whether to establish a fee to perform a check of state criminal history... fingerprint submissions and fees from the authorized employer; performing a check of state criminal history...

28 CFR 105.26 - State agency's responsibilities.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Section 105.26 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) CRIMINAL HISTORY BACKGROUND... responsible for: (1) Determining whether to establish a fee to perform a check of state criminal history... fingerprint submissions and fees from the authorized employer; performing a check of state criminal history...

A step by step selection method for the location and the size of a waste-to-energy facility targeting the maximum output energy and minimization of gate fee.

PubMed

Kyriakis, Efstathios; Psomopoulos, Constantinos; Kokkotis, Panagiotis; Bourtsalas, Athanasios; Themelis, Nikolaos

2017-06-23

This study attempts the development of an algorithm in order to present a step by step selection method for the location and the size of a waste-to-energy facility targeting the maximum output energy, also considering the basic obstacle which is in many cases, the gate fee. Various parameters identified and evaluated in order to formulate the proposed decision making method in the form of an algorithm. The principle simulation input is the amount of municipal solid wastes (MSW) available for incineration and along with its net calorific value are the most important factors for the feasibility of the plant. Moreover, the research is focused both on the parameters that could increase the energy production and those that affect the R1 energy efficiency factor. Estimation of the final gate fee is achieved through the economic analysis of the entire project by investigating both expenses and revenues which are expected according to the selected site and outputs of the facility. In this point, a number of commonly revenue methods were included in the algorithm. The developed algorithm has been validated using three case studies in Greece-Athens, Thessaloniki, and Central Greece, where the cities of Larisa and Volos have been selected for the application of the proposed decision making tool. These case studies were selected based on a previous publication made by two of the authors, in which these areas where examined. Results reveal that the development of a «solid» methodological approach in selecting the site and the size of waste-to-energy (WtE) facility can be feasible. However, the maximization of the energy efficiency factor R1 requires high utilization factors while the minimization of the final gate fee requires high R1 and high metals recovery from the bottom ash as well as economic exploitation of recovered raw materials if any.

Home Health Care for California's Injured Workers: Options for Implementing a Fee Schedule.

PubMed

Wynn, Barbara O; Boustead, Anne

2015-07-15

The California Department of Industrial Relations/Division of Worker's Compensation asked RAND to provide technical assistance in developing a fee schedule for home health services provided to injured workers. The fee schedule needs to address the full spectrum of home health services ranging from skilled nursing and therapy services to unskilled personal care or chore services that may be provided by family members. RAND researchers consulted with stakeholders in the California workers' compensation system to outline issues the fee schedule should address, reviewed home health fee schedules used by other payers, and conducted interviews with WC administrators from other jurisdictions to elicit their experiences. California stakeholders identified unskilled attendant services as most problematic in determining need and payment rates, particularly services furnished by family members. RAND researchers concentrated on fee schedule options that would result in a single fee schedule covering the full range of home health care services furnished to injured workers and made three sets of recommendations. The first set pertains to obtaining additional information that would highlight the policy issues likely to occur with the implementation of the fee schedule and alternatives for assessing an injured worker's home health care needs. Another approach conforms most closely with the Labor Code requirements. It would integrate the fee schedules used by Medicare, In-Home Health Supportive Services, and the federal Office of Workers' Compensation. The third approach would base the home health fee schedule on rules used by the federal Office of Workers' Compensation.

Are Small Reimbursement Changes Enough to Change Cancer Care? Reimbursement Variation in Prostate Cancer Treatment.

PubMed

Ellis, Shellie D; Chen, Ronald C; Dusetzina, Stacie B; Wheeler, Stephanie B; Jackson, George L; Nielsen, Matthew E; Carpenter, William R; Weinberger, Morris

2016-04-01

The Centers for Medicare and Medicaid Services recently initiated small reimbursement adjustments to improve the value of care delivered under fee-for-service. To estimate the degree to which reimbursement influences physician decision making, we examined utilization of gonadotropin-releasing hormone (GnRH) agonists among urologists as Part B drug reimbursement varied in a fee-for-service environment. We analyzed treatment patterns of urologists treating 15,128 men included in SEER-linked Medicare claims who were diagnosed with localized prostate cancer between January 1, 2000, and December 31, 2003. We calculated a reimbursement generosity index to measure differences in GnRH agonist reimbursement among regional Medicare carriers and over time. We used multilevel analysis to control for patient and provider characteristics. Among urologists treating early-stage and lower grade prostate cancer, variation in reimbursement was not associated with overuse of GnRH agonists from 2000 to 2003, a period of guideline stability (odds ratio, 1.00; 95% CI, 0.99 to 1.00). Small differences in androgen-deprivation therapy reimbursement generosity were not associated with differential use. Fee-for-service reimbursement changes currently being implemented to improve quality in fee-for-service Medicare may not affect patterns of cancer care. Copyright © 2016 by American Society of Clinical Oncology.

31 CFR 6.15 - Agency review.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Agency review. 6.15 Section 6.15... EQUAL ACCESS TO JUSTICE ACT Procedures for Considering Applications § 6.15 Agency review. Either the applicant or agency counsel may seek review of the initial decision on the fee application, or the agency...

33 CFR 325.2 - Processing of applications.

Code of Federal Regulations, 2011 CFR

2011-07-01

... advised in writing of the reason(s) for denial. If the final decision is to issue the permit and a... on the permit application is the signature on the letter notifying the applicant of the denial of the... request and, where applicable, upon the payment of administrative fees. This list will be distributed to...

33 CFR 325.2 - Processing of applications.

Code of Federal Regulations, 2010 CFR

2010-07-01

... advised in writing of the reason(s) for denial. If the final decision is to issue the permit and a... on the permit application is the signature on the letter notifying the applicant of the denial of the... request and, where applicable, upon the payment of administrative fees. This list will be distributed to...

Adult and Organizational Learning and Policy Development in Environments of Gray

ERIC Educational Resources Information Center

Fair-Szofran, Nancy C.

2010-01-01

Adult and Organizational Learning and Policy Development in Environments of Gray The purpose of this study was to describe, analyze and provide an understanding of the values that influence state legislators' decision-making as it relates to appropriations, tuition and fees, and financial aid for public postsecondary education in Idaho. The study…

78 FR 21613 - Prescription Drug User Fee Act Patient-Focused Drug Development; Announcement of Disease Areas...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-11

... syndrome; narcolepsy; neurological manifestations of inborn errors of metabolism; Parkinson's disease and... available therapies. Patients who live with a disease have a direct stake in the outcome of FDA's decisions... of applications for new drugs in certain disease areas. For FDA's review divisions, this kind of...

Equity in Student Finance: Cross-UK Comparisons

ERIC Educational Resources Information Center

Blackburn, Lucy Hunter

2016-01-01

Comparisons with other parts of the United Kingdom have played an important role in justifying decisions made in relation to student funding in Scotland since devolution. This article considers first what comparative claims have been made for the content of student funding policy in four areas: fees, debt, total living cost support and…

76 FR 18265 - Fairholme VP Series Fund, Inc. and Fairholme Capital Management LLC

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-01

... VLI Accounts, the Plans and the participants in participant- directed Plans can make decisions quickly.... Miller, Esq., Seward & Kissel LLP, 1200 G Street, NW., Washington, DC 20005. FOR FURTHER INFORMATION... INFORMATION: The following is a summary of the application. The complete application may be obtained for a fee...

75 FR 36149 - Union Pacific Railroad Company-Abandonment Exemption-in Kane County, IL.

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-24

... 1152.27(b)(2) will be due no later than 10 days after service of a decision granting the petition for exemption. Each OFA must be accompanied by a $1,500 filing fee. See 49 CFR 1002.2(f)(25). All interested... 14, 2010. Each [[Page 36150

32 CFR 322.5 - Procedures.

Code of Federal Regulations, 2010 CFR

2010-07-01

.... (8) The requester shall not be charged a fee for the making of a comprehensible copy to satisfy the... initial decision within 60 calendar days of the date of the response letter and that the appeal must be... a request within the statutory time limits, the GC shall process the absence of a response as it...

Agency Shop Fees and the Supreme Court: Union Control and Academic Freedom.

ERIC Educational Resources Information Center

Russo, Charles J.; And Others

1992-01-01

In "Lehnert v. Ferris Faculty Association" the Supreme Court agreed that local unions can charge nonmembers for some parent-organization expenses not directly related to bargaining. Contends that the decision weakens the academic freedom for college and university faculty members who do not wish to voluntarily support union activity. (21…

43 CFR 2203.5 - Action on advice of the Attorney General.

Code of Federal Regulations, 2011 CFR

2011-10-01

... record of decision on the proposed exchange, discuss the consideration given any advice received from the... 43 Public Lands: Interior 2 2011-10-01 2011-10-01 false Action on advice of the Attorney General... PROCEDURES Exchanges Involving Fee Federal Coal Deposits § 2203.5 Action on advice of the Attorney General...

Is There Variation in Procedural Utilization for Lumbar Spine Disorders Between a Fee-for-Service and Salaried Healthcare System?

PubMed

Schoenfeld, Andrew J; Makanji, Heeren; Jiang, Wei; Koehlmoos, Tracey; Bono, Christopher M; Haider, Adil H

2017-12-01

Whether compensation for professional services drives the use of those services is an important question that has not been answered in a robust manner. Specifically, there is a growing concern that spine care practitioners may preferentially choose more costly or invasive procedures in a fee-for-service system, irrespective of the underlying lumbar disorder being treated. (1) Were proportions of interbody fusions higher in the fee-for-service setting as opposed to the salaried Department of Defense setting? (2) Were the odds of interbody fusion increased in a fee-for-service setting after controlling for indications for surgery? Patients surgically treated for lumbar disc herniation, spinal stenosis, and spondylolisthesis (2006-2014) were identified. Patients were divided into two groups based on whether the surgery was performed in the fee-for-service setting (beneficiaries receive care at a civilian facility with expenses covered by TRICARE insurance) or at a Department of Defense facility (direct care). There were 28,344 patients in the entire study, 21,290 treated in fee-for-service and 7054 treated in Department of Defense facilities. Differences in the rates of fusion-based procedures, discectomy, and decompression between both healthcare settings were assessed using multinomial logistic regression to adjust for differences in case-mix and surgical indication. TRICARE beneficiaries treated for lumbar spinal disorders in the fee-for-service setting had higher odds of receiving interbody fusions (fee-for-service: 7267 of 21,290 [34%], direct care: 1539 of 7054 [22%], odds ratio [OR]: 1.25 [95% confidence interval 1.20-1.30], p < 0.001). Purchased care patients were more likely to receive interbody fusions for a diagnosis of disc herniation (adjusted OR 2.61 [2.36-2.89], p < 0.001) and for spinal stenosis (adjusted OR 1.39 [1.15-1.69], p < 0.001); however, there was no difference for patients with spondylolisthesis (adjusted OR 0.99 [0.84-1.16], p = 0.86). The preferential use of interbody fusion procedures was higher in the fee-for-service setting irrespective of the underlying diagnosis. These results speak to the existence of provider inducement within the field of spine surgery. This reality portends poor performance for surgical practices and hospitals in Accountable Care Organizations and bundled payment programs in which provider inducement is allowed to persist. Level III, economic and decision analysis.

EFFECT OF FEES ON WATER SERVICE CUTOFFS AND PAYMENT DELINQUENCIES

EPA Science Inventory

A study was conducted to determine whether increased water and sewer user fees have generated increases in payment delinquencies and service cutoff rates and whether they have created other problems such as increased health hazards. Another objective was to examine the varied use...

Implementing shared decision-making in routine practice: barriers and opportunities.

PubMed

Holmes-Rovner, Margaret; Valade, Diane; Orlowski, Catherine; Draus, Catherine; Nabozny-Valerio, Barbara; Keiser, Susan

2000-09-01

OBJECTIVE: Determine feasibility of shared decision-making programmes in fee-for-service hospital systems including physicians' offices and in-patient facilities. DESIGN: Survey and participant observation. Data obtained during Phase 1 of a patient outcome study. SETTINGS AND PARTICIPANTS: Three hospitals in Michigan: one 299-bed rural regional hospital, one 650-bed urban community hospital, one 459-bed urban and suburban teaching hospital. All nurses and physicians who agreed to use the programmes participated in the evaluation (n = 34). INTERVENTION: Two shared decision-making(R) (SDP) multimedia programmes: surgical treatment choice for breast cancer and ischaemic heart disease treatment choice. MAIN OUTCOME MEASURES: (1) clinicians' evaluations of programme quality; (2) challenges in hospital settings; and (3) patient referral rates. RESULTS: SDP programmes were judged to be clear, accurate and about the right length and amount of information. Programmes were judged to be informative and appropriate for patients to see before making a decision. Clinicians were neutral about patients' desire to participate in treatment decision-making. Referral volume to SDPs was lower than expected: 24 patients in 7 months across three hospitals. Implementation challenges centred on time pressures in patient care. CONCLUSIONS: Productivity and time pressure in US health care severely constrain shared decision-making programme implementation. Physician referral may not be a reliable mechanism for patient access. Possible innovations include: (1) incorporation into the informed consent process; (2) provider or payer negotiated requirement in the routine hospital procedure to use the SDP as a quality indicator; and (3) payer reimbursement to professional providers who make SDP programmes available to patients.

Beyond Fees and Charges: The Need for a Pricing Strategy.

ERIC Educational Resources Information Center

Tugman, Sarah Jones

1985-01-01

As citizens demand governmental accountability, recreation agencies must devote attention to determining the cost of programs and to justifying the fee structure assigned to each program. This article addresses the need for proper pricing and offers a plan for establishing a pricing strategy. (MT)

A practical tool for modeling biospecimen user fees.

PubMed

Matzke, Lise; Dee, Simon; Bartlett, John; Damaraju, Sambasivarao; Graham, Kathryn; Johnston, Randal; Mes-Masson, Anne-Marie; Murphy, Leigh; Shepherd, Lois; Schacter, Brent; Watson, Peter H

2014-08-01

The question of how best to attribute the unit costs of the annotated biospecimen product that is provided to a research user is a common issue for many biobanks. Some of the factors influencing user fees are capital and operating costs, internal and external demand and market competition, and moral standards that dictate that fees must have an ethical basis. It is therefore important to establish a transparent and accurate costing tool that can be utilized by biobanks and aid them in establishing biospecimen user fees. To address this issue, we built a biospecimen user fee calculator tool, accessible online at www.biobanking.org . The tool was built to allow input of: i) annual operating and capital costs; ii) costs categorized by the major core biobanking operations; iii) specimen products requested by a biobank user; and iv) services provided by the biobank beyond core operations (e.g., histology, tissue micro-array); as well as v) several user defined variables to allow the calculator to be adapted to different biobank operational designs. To establish default values for variables within the calculator, we first surveyed the members of the Canadian Tumour Repository Network (CTRNet) management committee. We then enrolled four different participants from CTRNet biobanks to test the hypothesis that the calculator tool could change approaches to user fees. Participants were first asked to estimate user fee pricing for three hypothetical user scenarios based on their biobanking experience (estimated pricing) and then to calculate fees for the same scenarios using the calculator tool (calculated pricing). Results demonstrated significant variation in estimated pricing that was reduced by calculated pricing, and that higher user fees are consistently derived when using the calculator. We conclude that adoption of this online calculator for user fee determination is an important first step towards harmonization and realistic user fees.

5 CFR 294.109 - Fees.

Code of Federal Regulations, 2013 CFR

2013-01-01

... direct costs associated with any response it has prepared. (5) If fees for document search are authorized... searching for documents and other direct costs of a search, even if a search fails to locate records or if records located are determined to be exempt from disclosure. Searches should be conducted in the most...

5 CFR 294.109 - Fees.

Code of Federal Regulations, 2011 CFR

2011-01-01

... direct costs associated with any response it has prepared. (5) If fees for document search are authorized... searching for documents and other direct costs of a search, even if a search fails to locate records or if records located are determined to be exempt from disclosure. Searches should be conducted in the most...

5 CFR 2502.14 - Miscellaneous fee provisions.

Code of Federal Regulations, 2014 CFR

2014-01-01

... Charges for Search and Reproduction § 2502.14 Miscellaneous fee provisions. (a) Charging interest—notice... from the date of billing. (b) Charges for an unsuccessful search. OA may assess charges for time spent searching, even if it fails to locate the records or if records located are determined to be exempt from...

5 CFR 294.109 - Fees.

Code of Federal Regulations, 2012 CFR

2012-01-01

... direct costs associated with any response it has prepared. (5) If fees for document search are authorized... searching for documents and other direct costs of a search, even if a search fails to locate records or if records located are determined to be exempt from disclosure. Searches should be conducted in the most...

5 CFR 2502.14 - Miscellaneous fee provisions.

Code of Federal Regulations, 2013 CFR

2013-01-01

... Charges for Search and Reproduction § 2502.14 Miscellaneous fee provisions. (a) Charging interest—notice... from the date of billing. (b) Charges for an unsuccessful search. OA may assess charges for time spent searching, even if it fails to locate the records or if records located are determined to be exempt from...

5 CFR 294.109 - Fees.

Code of Federal Regulations, 2014 CFR

2014-01-01

... direct costs associated with any response it has prepared. (5) If fees for document search are authorized... searching for documents and other direct costs of a search, even if a search fails to locate records or if records located are determined to be exempt from disclosure. Searches should be conducted in the most...

5 CFR 2502.14 - Miscellaneous fee provisions.

Code of Federal Regulations, 2012 CFR

2012-01-01

... Charges for Search and Reproduction § 2502.14 Miscellaneous fee provisions. (a) Charging interest—notice... from the date of billing. (b) Charges for an unsuccessful search. OA may assess charges for time spent searching, even if it fails to locate the records or if records located are determined to be exempt from...

5 CFR 2502.14 - Miscellaneous fee provisions.

Code of Federal Regulations, 2011 CFR

2011-01-01

... Charges for Search and Reproduction § 2502.14 Miscellaneous fee provisions. (a) Charging interest—notice... from the date of billing. (b) Charges for an unsuccessful search. OA may assess charges for time spent searching, even if it fails to locate the records or if records located are determined to be exempt from...

45 CFR 1182.12 - Fees charged to locate, review, or copy records.

Code of Federal Regulations, 2010 CFR

2010-10-01

... FOUNDATION ON THE ARTS AND THE HUMANITIES INSTITUTE OF MUSEUM AND LIBRARY SERVICES IMPLEMENTATION OF THE... requests by the same individual shall be aggregated to determine the total fee. (c) Special and additional services provided at your request, such as certification or authentication, postal insurance, and special...

20 CFR 655.163 - Certification fee.

Code of Federal Regulations, 2010 CFR

2010-04-01

... States Department of Labor. In the case of an agricultural association acting as a joint employer... determination by the CO to grant an Application for Temporary Employment Certification in whole or in part will include a bill for the required certification fees. Each employer of H-2A workers under the Application...

49 CFR 7.43 - Fee schedule.

Code of Federal Regulations, 2010 CFR

2010-10-01

.... The rates for manual searching, computer operator/programmer time and time spent reviewing records... requested under subpart C of this part, including making it available for inspection, will be determined by... search. (b) The standard fee for a computer search for a record requested under subpart C of this part is...

49 CFR 7.43 - Fee schedule.

Code of Federal Regulations, 2011 CFR

2011-10-01

.... The rates for manual searching, computer operator/programmer time and time spent reviewing records... requested under subpart C of this part, including making it available for inspection, will be determined by... search. (b) The standard fee for a computer search for a record requested under subpart C of this part is...

12 CFR 1402.21 - Categories of requesters-fees.

Code of Federal Regulations, 2013 CFR

2013-01-01

... searches made by computer, the Farm Credit System Insurance Corporation will determine the hourly cost of... the cost of search (including the operator time and the cost of operating the computer to process a... 1402.21 Banks and Banking FARM CREDIT SYSTEM INSURANCE CORPORATION RELEASING INFORMATION Fees for...

12 CFR 1402.21 - Categories of requesters-fees.

Code of Federal Regulations, 2014 CFR

2014-01-01

... searches made by computer, the Farm Credit System Insurance Corporation will determine the hourly cost of... the cost of search (including the operator time and the cost of operating the computer to process a... 1402.21 Banks and Banking FARM CREDIT SYSTEM INSURANCE CORPORATION RELEASING INFORMATION Fees for...

12 CFR 1402.21 - Categories of requesters-fees.

Code of Federal Regulations, 2012 CFR

2012-01-01

... searches made by computer, the Farm Credit System Insurance Corporation will determine the hourly cost of... the cost of search (including the operator time and the cost of operating the computer to process a... 1402.21 Banks and Banking FARM CREDIT SYSTEM INSURANCE CORPORATION RELEASING INFORMATION Fees for...

12 CFR 1402.21 - Categories of requesters-fees.

Code of Federal Regulations, 2010 CFR

2010-01-01

... searches made by computer, the Farm Credit System Insurance Corporation will determine the hourly cost of... the cost of search (including the operator time and the cost of operating the computer to process a... 1402.21 Banks and Banking FARM CREDIT SYSTEM INSURANCE CORPORATION RELEASING INFORMATION Fees for...

12 CFR 1402.21 - Categories of requesters-fees.

Code of Federal Regulations, 2011 CFR

2011-01-01

... searches made by computer, the Farm Credit System Insurance Corporation will determine the hourly cost of... the cost of search (including the operator time and the cost of operating the computer to process a... 1402.21 Banks and Banking FARM CREDIT SYSTEM INSURANCE CORPORATION RELEASING INFORMATION Fees for...

An analysis of state imposed taxes and fees on motor carriers of passengers.

DOT National Transportation Integrated Search

1979-01-01

The research reported here was undertaken in response to a request by the Legislature of Virginia that a study be conducted of state imposed taxes and fees on motor carriers of passengers, the purpose being to determine the effects a reduction in one...

76 FR 67557 - Proposed Information Collection (Application for Reimbursement of Licensing or Certification Test...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-11-01

... (Application for Reimbursement of Licensing or Certification Test Fees) Activity: Comment Request AGENCY... information needed to determine an applicant's eligibility for reimbursement of licensing and certification.... Title: Application for Reimbursement of Licensing or Certification Test Fees, (38 U.S.C. chapters 30, 32...

48 CFR 1252.216-71 - Determination of award fee.

Code of Federal Regulations, 2014 CFR

2014-10-01

... contractor shall be periodically informed of the quality of its performance and areas in which improvements... reasons why the award fee was or was not earned. The contractor may submit a performance self-evaluation... self-evaluation received within ___ (insert number) days after the end of the current evaluation period...

48 CFR 1252.216-71 - Determination of award fee.

Code of Federal Regulations, 2010 CFR

2010-10-01

... contractor shall be periodically informed of the quality of its performance and areas in which improvements... reasons why the award fee was or was not earned. The contractor may submit a performance self-evaluation... self-evaluation received within ___ (insert number) days after the end of the current evaluation period...

48 CFR 1252.216-71 - Determination of award fee.

Code of Federal Regulations, 2013 CFR

2013-10-01

... contractor shall be periodically informed of the quality of its performance and areas in which improvements... reasons why the award fee was or was not earned. The contractor may submit a performance self-evaluation... self-evaluation received within ___ (insert number) days after the end of the current evaluation period...

48 CFR 1252.216-71 - Determination of award fee.

Code of Federal Regulations, 2012 CFR

2012-10-01

... contractor shall be periodically informed of the quality of its performance and areas in which improvements... reasons why the award fee was or was not earned. The contractor may submit a performance self-evaluation... self-evaluation received within ___ (insert number) days after the end of the current evaluation period...

48 CFR 1252.216-71 - Determination of award fee.

Code of Federal Regulations, 2011 CFR

2011-10-01

... contractor shall be periodically informed of the quality of its performance and areas in which improvements... reasons why the award fee was or was not earned. The contractor may submit a performance self-evaluation... self-evaluation received within ___ (insert number) days after the end of the current evaluation period...

41 CFR 50-203.19 - Subpoenas and witness fees.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 41 Public Contracts and Property Management 1 2010-07-01 2010-07-01 true Subpoenas and witness fees. 50-203.19 Section 50-203.19 Public Contracts and Property Management Other Provisions Relating to Public Contracts PUBLIC CONTRACTS, DEPARTMENT OF LABOR 203-RULES OF PRACTICE Minimum Wage Determinations...

76 FR 78950 - FBI Criminal Justice Information Services Division; Revised User Fee Schedule

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-20

... fingerprint-based Criminal History Record Information (CHRI) checks for noncriminal justice purposes. DATES... user fees for authorized agencies requesting noncriminal fingerprint-based CHRI checks at 28 CFR 20.31(e). The FBI will periodically review the process of fingerprint- based CHRI checks to determine the...

"Should I Stay or Should I Go?": Dilemmas and Decisions among UK Undergraduates

ERIC Educational Resources Information Center

Bradley, Harriet

2017-01-01

There is increasing concern about high rates of dropout from universities, especially among students from disadvantaged backgrounds. In the UK this is related to recent changes in higher education policy, especially the imposition of a higher fees regime and the uncapping of student numbers. While recent research has explored the demography of…

Research Says / Mindsets Are Key to Effective Data Use

ERIC Educational Resources Information Center

Goodwin, Bryan

2015-01-01

All around us are examples of people and organizations with good information making bad decisions. Consider the case of Blockbuster. Less than a decade ago, Blockbuster had 8,000 stores in 17 countries and millions of customers. It was awash in data, including customer surveys that said people disliked going to video stores and hated late fees.…

Is the Free Rider Back on the Bus? "Lehnert" from a Union Perspective.

ERIC Educational Resources Information Center

Darko, Richard J.; LaPointe, Mary Jane

1993-01-01

An introduction by Hugh D. Jascourt and this article analyze the effects of the United States Supreme Court ruling in "Lehnert v. Ferris Faculty Association." Addresses the effect of the decision on fair-share-fee provisions in collective-bargaining agreements and its application to public-sector employees, particularly teachers. (50…

20 CFR 410.687a - Effective date.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 20 Employees' Benefits 2 2010-04-01 2010-04-01 false Effective date. 410.687a Section 410.687a..., Finality of Decisions, and Representation of Parties § 410.687a Effective date. The provisions of §§ 410... rendered in connection with those claims for which a fee has not been fully paid before this effective date...

The Demand for Higher Education in the Netherlands, 1950-1999

ERIC Educational Resources Information Center

Canton, Erik; de Jong, Frank

2005-01-01

This paper investigates the role of economic factors in the university enrollment decision for the post-war period in The Netherlands. We include those factors standing at the heart of the idea that education is an investment. The econometric results suggest that students are not responsive to tuition fees, but financial support (the sum of loans…

22 CFR 171.51 - Appeals of denials of fee waivers or reductions.

Code of Federal Regulations, 2010 CFR

2010-04-01

... Requester of Liaison Division of the Office of the Information and Privacy Coordinator at the address given... forth in § 171.17. (b) The Requester Liaison Division Chief will issue a final decision in writing within 30 days from the date on which the office of the Information and Privacy Coordinator receives the...

78 FR 62849 - Self-Regulatory Organizations; C2 Options Exchange, Incorporated; Notice of Filing and Immediate...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-22

... includes order and last sale information for complex strategies and other market data. NYSE offers market... assist them in tracking prices and market trends and making trading decisions. The Exchange believes that... (the ``Exchange'' or ``C2'') proposes to amend the fee schedule of Market Data Express, LLC (``MDX...

29 CFR 1910.7 - Definition and requirements for a nationally recognized testing laboratory.

Code of Federal Regulations, 2014 CFR

2014-07-01

... issue a decision as to whether it has been demonstrated, based on a preponderance of the evidence, that... based on the record as to whether it has been demonstrated, based on a preponderance of evidence, that... service listed in paragraph (f)(1) of this section. OSHA calculates the fees based on either the average...

29 CFR 1910.7 - Definition and requirements for a nationally recognized testing laboratory.

Code of Federal Regulations, 2013 CFR

2013-07-01

... issue a decision as to whether it has been demonstrated, based on a preponderance of the evidence, that... based on the record as to whether it has been demonstrated, based on a preponderance of evidence, that... service listed in paragraph (f)(1) of this section. OSHA calculates the fees based on either the average...

Cost consideration as a factor affecting recreation site decisions

Treesearch

Allan Marsinko; John Dwyer; Herb Schroeder

2001-01-01

Because they are charged with providing opportunities for all potential site users, it is important that managers at public sites understand the characteristics and behaviors of different user groups. Recreationists who are sensitive to cost may be more sensitive to certain changes in policies, such as fees and other charges, than those who are not sensitive to costs....

A Study of Fund Raising and Fee Collection Practices in Tennessee Public Schools.

ERIC Educational Resources Information Center

Peach, Larry E.; Reddick, Thomas L.

Most school systems in Tennessee raise additional revenue for instructional and extracurricular activities through fund raising projects and voluntary student fee collections. Responses to a questionnaire by 129 principals (from a sample of 15) were analyzed to determine the extent, diversity, and results of fund raising activities and fee…

43 CFR 2.16 - How are fees determined?

Code of Federal Regulations, 2012 CFR

2012-10-01

... authorized to charge fees to recover the direct costs of searching for, reviewing (commercial-use requesters... bureau has a reasonable basis to conclude that a requester or group of requesters has divided a request... receive up to a total of 100 pages of duplication without charge (there is no charge for searching for...

13 CFR 115.16 - Determination of Surety's Loss.

Code of Federal Regulations, 2010 CFR

2010-01-01

... claim, written concurrence from SBA that the suit may be filed; (3) Attorney's fees and court costs incurred by the Surety in a suit by or against SBA or its Administrator; and (4) Fees, costs, or other...) Loss under a Performance Bond is, at the Surety's option, the sum necessary to meet the cost of...

Public Opinion toward User Fees in Public Libraries.

ERIC Educational Resources Information Center

Kinnucan, Mark T.; Estabrook, Leigh; Ferguson, Mark R.

1998-01-01

A reanalysis of data from a national telephone poll (n1181) conducted in 1991 determined that if local libraries faced a fiscal crisis, 47% favored raising taxes, 44% preferred instituting user fees, and 9% advocated reducing services. Frequent library use, urban residence, higher level of education, and greater income were associated with a…

75 FR 21536 - Assessment and Collection of Regulatory Fees for Fiscal Year 2010

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-26

... Act of 1995 Analysis..... 31 H. Congressional Review Act Analysis 32 I. Ex Parte Rules 33 J. Filing... 2010 Appendix D Factors, Measurements, and Calculations That Go Into Determining Station Signal..., Commercial Mobile Radio Service (``CMRS'') Cellular/Mobile and CMRS Messaging), or a fee factor per revenue...

32 CFR 842.54 - Attorney fees.

Code of Federal Regulations, 2013 CFR

2013-07-01

... exceeding $1,000,000 may be determined by the Secretary of the Air Force. For the purposes of this paragraph... Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE CLAIMS AND LITIGATION ADMINISTRATIVE CLAIMS Military Claims Act (10 U.S.C. 2733) § 842.54 Attorney fees. In the settlement of any claim...

32 CFR 842.54 - Attorney fees.

Code of Federal Regulations, 2011 CFR

2011-07-01

... exceeding $1,000,000 may be determined by the Secretary of the Air Force. For the purposes of this paragraph... Defense Department of Defense (Continued) DEPARTMENT OF THE AIR FORCE CLAIMS AND LITIGATION ADMINISTRATIVE CLAIMS Military Claims Act (10 U.S.C. 2733) § 842.54 Attorney fees. In the settlement of any claim...

5 CFR 1631.14 - Fee schedule.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Disclosure of Records Under the Freedom of Information Act, 5 U.S.C. 552 § 1631.14 Fee schedule. (a) Manual... operator/programmer salary, plus 23.5 percent, apportionable to the search. The Board may assess charges... determined to be exempt from disclosure. (c) Duplication costs. (1) For copies of documents reproduced on a...

5 CFR 1631.14 - Fee schedule.

Code of Federal Regulations, 2011 CFR

2011-01-01

... Disclosure of Records Under the Freedom of Information Act, 5 U.S.C. 552 § 1631.14 Fee schedule. (a) Manual... operator/programmer salary, plus 23.5 percent, apportionable to the search. The Board may assess charges... determined to be exempt from disclosure. (c) Duplication costs. (1) For copies of documents reproduced on a...

32 CFR 701.48 - Fee waivers.

Code of Federal Regulations, 2012 CFR

2012-07-01

... determines that waiver or reduction of the fees is in the public interest because furnishing the information... case-by-case basis, consistent with the following factors: (a) Disclosure of the information “is in the... activities of the DON/DoD. An example of such records might be press clippings, magazine articles, or records...

32 CFR 701.48 - Fee waivers.

Code of Federal Regulations, 2013 CFR

2013-07-01

... determines that waiver or reduction of the fees is in the public interest because furnishing the information... case-by-case basis, consistent with the following factors: (a) Disclosure of the information “is in the... activities of the DON/DoD. An example of such records might be press clippings, magazine articles, or records...

32 CFR 701.48 - Fee waivers.

Code of Federal Regulations, 2010 CFR

2010-07-01

... determines that waiver or reduction of the fees is in the public interest because furnishing the information... case-by-case basis, consistent with the following factors: (a) Disclosure of the information “is in the... activities of the DON/DoD. An example of such records might be press clippings, magazine articles, or records...

32 CFR 701.48 - Fee waivers.

Code of Federal Regulations, 2011 CFR

2011-07-01

... determines that waiver or reduction of the fees is in the public interest because furnishing the information... case-by-case basis, consistent with the following factors: (a) Disclosure of the information “is in the... activities of the DON/DoD. An example of such records might be press clippings, magazine articles, or records...

32 CFR 701.48 - Fee waivers.

Code of Federal Regulations, 2014 CFR

2014-07-01

... determines that waiver or reduction of the fees is in the public interest because furnishing the information... case-by-case basis, consistent with the following factors: (a) Disclosure of the information “is in the... activities of the DON/DoD. An example of such records might be press clippings, magazine articles, or records...

10 CFR 1703.106 - Requests for waiver or reduction of fees.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 10 Energy 4 2010-01-01 2010-01-01 false Requests for waiver or reduction of fees. 1703.106 Section 1703.106 Energy DEFENSE NUCLEAR FACILITIES SAFETY BOARD PUBLIC INFORMATION AND REQUESTS § 1703.106... request within five working days of the request coming into his possession. No determination shall be made...

10 CFR 1703.106 - Requests for waiver or reduction of fees.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 10 Energy 4 2013-01-01 2013-01-01 false Requests for waiver or reduction of fees. 1703.106 Section 1703.106 Energy DEFENSE NUCLEAR FACILITIES SAFETY BOARD PUBLIC INFORMATION AND REQUESTS § 1703.106... request within five working days of the request coming into his possession. No determination shall be made...

10 CFR 1703.106 - Requests for waiver or reduction of fees.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 10 Energy 4 2014-01-01 2014-01-01 false Requests for waiver or reduction of fees. 1703.106 Section 1703.106 Energy DEFENSE NUCLEAR FACILITIES SAFETY BOARD PUBLIC INFORMATION AND REQUESTS § 1703.106... request within five working days of the request coming into his possession. No determination shall be made...

10 CFR 1703.106 - Requests for waiver or reduction of fees.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 10 Energy 4 2011-01-01 2011-01-01 false Requests for waiver or reduction of fees. 1703.106 Section 1703.106 Energy DEFENSE NUCLEAR FACILITIES SAFETY BOARD PUBLIC INFORMATION AND REQUESTS § 1703.106... request within five working days of the request coming into his possession. No determination shall be made...

10 CFR 1703.106 - Requests for waiver or reduction of fees.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 10 Energy 4 2012-01-01 2012-01-01 false Requests for waiver or reduction of fees. 1703.106 Section 1703.106 Energy DEFENSE NUCLEAR FACILITIES SAFETY BOARD PUBLIC INFORMATION AND REQUESTS § 1703.106... request within five working days of the request coming into his possession. No determination shall be made...

77 FR 74372 - Revisions to the California State Implementation Plan, South Coast Air Quality Management District

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-14

... of South Coast Air Quality Management District (SCAQMD) Rule 317, ``Clean Air Act Non- Attainment Fee... determined that SCAQMD's alternative fee-equivalent program is not less stringent than the program required by section 185, and, therefore, is approvable as an equivalent alternative program, consistent with...

20 CFR 902.4 - Access to records.

Code of Federal Regulations, 2010 CFR

2010-04-01

... regular business hours on regular business days at the office of the Executive Director. Every request for... without undue difficulty. (c) Fees. A fee at the rate of $5.00 per hour or fraction thereof or the time... provided without charge or at a reduced charge where the Chairman determines that waiver or reduction of...

77 FR 50521 - Agency Information Collection Activities: Request for an Individual Fee Waiver, Form Number I-912...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-21

... DEPARTMENT OF HOMELAND SECURITY U.S. Citizenship and Immigration Services [OMB Control Number 1615... Security, U.S. Citizenship and Immigration Services (USCIS) will be submitting the following information... Immigration Services (USCIS) to make a determination that the applicant is unable to pay the application fee...

Protocol: a realist review of user fee exemption policies for health services in Africa.

PubMed

Robert, Emilie; Ridde, Valéry; Marchal, Bruno; Fournier, Pierre

2012-01-01

Background Four years prior to the Millenium Development Goals (MDGs) deadline, low- and middle-income countries and international stakeholders are looking for evidence-based policies to improve access to healthcare for the most vulnerable populations. User fee exemption policies are one of the potential solutions. However, the evidence is disparate, and systematic reviews have failed to provide valuable lessons. The authors propose to produce an innovative synthesis of the available evidence on user fee exemption policies in Africa to feed the policy-making process. Methods The authors will carry out a realist review to answer the following research question: what are the outcomes of user fee exemption policies implemented in Africa? why do they produce such outcomes? and what contextual elements come into play? This type of review aims to understand how contextual elements influence the production of outcomes through the activation of specific mechanisms, in the form of context-mechanism-outcome configurations. The review will be conducted in five steps: (1) identifying with key stakeholders the mechanisms underlying user fee exemption policies to develop the analytical framework, (2) searching for and selecting primary data, (3) assessing the quality of evidence using the Mixed-Method Appraisal Tool, (4) extracting the data using the analytical framework and (5) synthesising the data in the form of context-mechanism-outcomes configurations. The output will be a middle-range theory specifying how user fee exemption policies work, for what populations and under what circumstances. Ethics and dissemination The two main target audiences are researchers who are looking for examples to implement a realist review, and policy-makers and international stakeholders looking for lessons learnt on user fee exemption. For the latter, a knowledge-sharing strategy involving local scientific and policy networks will be implemented. The study has been approved by the ethics committee of the CHUM Research Centre (CR-CHUM). It received funding from the Canadian Institutes of Health Research. The funders will not have any role in study design; collection, management, analysis, and interpretation of data; writing of the report and the decision to submit the report for publication, including who will have ultimate authority over each of these activities.

Front-end electronics for PWO-based PHOS calorimeter of ALICE

NASA Astrophysics Data System (ADS)

Muller, Hans; Budnikov, Dmitry; Ippolitov, Mikhail; Li, Qingxia; Manko, Vladislav; Pimenta, Rui; Rohrich, Dieter; Sibiryak, Iouri; Skaali, Bernhard; Vinogradov, Alexandre

2006-11-01

The electromagnetic Photon Spectrometer (PHOS) of ALICE consists of five modules with 56×64 PWO crystals, operated at -25 °C. Glued to each crystal are APD diodes which amplify a lightyield of 4.4 photoelectrons/MeV, followed by charge-sensitive pre-amplifiers with a charge conversion gain of ca. 1 V/pC. We describe our new 32-channel shaper/digitizer and readout electronics for gain-programmable photodiodes. These Front-End Electronics (FEE) cards are installed below the crystals in an isolated warm volume in geometrical correspondence to 2×16 crystal rows per card. With a total detector capacitance of 100 pF and a noise level of 3 MeV, the FEEs cover a 14 bit dynamic range from 5 MeV to 80 GeV. The low noise level is achieved by operating the APDs and preamplifiers at low temperature and by applying a relatively long shaping time of 1 μs. The offline timing resolution, obtained via a Gamma-2 fit is less than 2 ns. The second-order, dual-gain shapers produce semi-Gaussian output for 10 bit ADCs with embedded multi-event buffers. A Readout Control Unit (RCU) masters data readout with address-mapped access to the event-buffers and controls registers via a custom bus which interconnects up to 14 FEE cards. Programmable bias voltage controllers on the FEE cards allow for very precise gain adjustment of each individual APD. Being co-designed with the TRU trigger cards, each FEE card generates eight fast signal sums (2×2 crystals) as input to the TRU. FPGA-based algorithms generate level-0 and level-1 trigger decisions at 40 MHz and allow PHOS also to operate in self-triggered mode. Inside each PHOS module there are 112 FEE and 8 TRU cards which dissipate ca. 1 kW heat which is extracted via a water cooling system.

Tracking implementation and (un)intended consequences: a process evaluation of an innovative peripheral health facility financing mechanism in Kenya

PubMed Central

Waweru, Evelyn; Goodman, Catherine; Kedenge, Sarah; Tsofa, Benjamin; Molyneux, Sassy

2016-01-01

In many African countries, user fees have failed to achieve intended access and quality of care improvements. Subsequent user fee reduction or elimination policies have often been poorly planned, without alternative sources of income for facilities. We describe early implementation of an innovative national health financing intervention in Kenya; the health sector services fund (HSSF). In HSSF, central funds are credited directly into a facility’s bank account quarterly, and facility funds are managed by health facility management committees (HFMCs) including community representatives. HSSF is therefore a finance mechanism with potential to increase access to funds for peripheral facilities, support user fee reduction and improve equity in access. We conducted a process evaluation of HSSF implementation based on a theory of change underpinning the intervention. Methods included interviews at national, district and facility levels, facility record reviews, a structured exit survey and a document review. We found impressive achievements: HSSF funds were reaching facilities; funds were being overseen and used in a way that strengthened transparency and community involvement; and health workers’ motivation and patient satisfaction improved. Challenges or unintended outcomes included: complex and centralized accounting requirements undermining efficiency; interactions between HSSF and user fees leading to difficulties in accessing crucial user fee funds; and some relationship problems between key players. Although user fees charged had not increased, national reduction policies were still not being adhered to. Finance mechanisms can have a strong positive impact on peripheral facilities, and HFMCs can play a valuable role in managing facilities. Although fiduciary oversight is essential, mechanisms should allow for local decision-making and ensure that unmanageable paperwork is avoided. There are also limits to what can be achieved with relatively small funds in contexts of enormous need. Process evaluations tracking (un)intended consequences of interventions can contribute to regional financing and decentralization debates. PMID:25920355

Tracking implementation and (un)intended consequences: a process evaluation of an innovative peripheral health facility financing mechanism in Kenya.

PubMed

Waweru, Evelyn; Goodman, Catherine; Kedenge, Sarah; Tsofa, Benjamin; Molyneux, Sassy

2016-03-01

In many African countries, user fees have failed to achieve intended access and quality of care improvements. Subsequent user fee reduction or elimination policies have often been poorly planned, without alternative sources of income for facilities. We describe early implementation of an innovative national health financing intervention in Kenya; the health sector services fund (HSSF). In HSSF, central funds are credited directly into a facility's bank account quarterly, and facility funds are managed by health facility management committees (HFMCs) including community representatives. HSSF is therefore a finance mechanism with potential to increase access to funds for peripheral facilities, support user fee reduction and improve equity in access. We conducted a process evaluation of HSSF implementation based on a theory of change underpinning the intervention. Methods included interviews at national, district and facility levels, facility record reviews, a structured exit survey and a document review. We found impressive achievements: HSSF funds were reaching facilities; funds were being overseen and used in a way that strengthened transparency and community involvement; and health workers' motivation and patient satisfaction improved. Challenges or unintended outcomes included: complex and centralized accounting requirements undermining efficiency; interactions between HSSF and user fees leading to difficulties in accessing crucial user fee funds; and some relationship problems between key players. Although user fees charged had not increased, national reduction policies were still not being adhered to. Finance mechanisms can have a strong positive impact on peripheral facilities, and HFMCs can play a valuable role in managing facilities. Although fiduciary oversight is essential, mechanisms should allow for local decision-making and ensure that unmanageable paperwork is avoided. There are also limits to what can be achieved with relatively small funds in contexts of enormous need. Process evaluations tracking (un)intended consequences of interventions can contribute to regional financing and decentralization debates. © The Author 2015. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.

Tuition Fees and Student Financial Assistance: 2010 Global Year

ERIC Educational Resources Information Center

Marcucci, Pamela; Usher, Alex

2011-01-01

Since the start of the global financial crisis a little over two years ago, many concerns have been raised on how it might affect funding to higher education and whether or not it might hasten moves toward greater cost sharing. While, globally, some steps have been taken in this direction, in most countries, hard decisions have yet to be taken on…

Access: Net Prices, Affordability, and Equity at a Highly Selective College. Discussion Paper.

ERIC Educational Resources Information Center

Hill, Catherine B.; Winston, Gordon C.

All of the financial aid decisions at Williams College (Williamstown, Massachusetts) for the past 14 years--nearly 14,000 of them--were reviewed to see how much students actually paid for tuition, room, board, and fees to go to that highly selective and expensive school, their net prices. Williams practices need-blind admission with full…

78 FR 67216 - Norfolk Southern Railway Company-Abandonment Exemption-in Lake County, Ind.

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-08

... Junction Avenue in the City of Schererville, Ind.) and milepost MQ 283.10 (near the line's crossing of E... 14, 2014, or 10 days after service of a decision granting the petition for exemption, whichever occurs sooner. Each OFA must be accompanied by a $1,600 filing fee. See 49 CFR 1002.2(f)(25). All...

30 CFR 250.296 - When and how must I submit a CID or a revision to a CID?

Code of Federal Regulations, 2011 CFR

2011-07-01

..., AND ENFORCEMENT, DEPARTMENT OF THE INTERIOR OFFSHORE OIL AND GAS AND SULPHUR OPERATIONS IN THE OUTER... accompanied by payment of the service fee listed in § 250.125. (b) If you decide not to develop a reservoir... after making your decision not to develop the reservoir and before the reservoir is bypassed. The...

[FEES for neurogenic dysphagia: training curriculum of the German Society of Neurology and the German Stroke Society].

PubMed

Dziewas, R; Glahn, J; Helfer, C; Ickenstein, G; Keller, J; Lapa, S; Ledl, C; Lindner-Pfleghar, B; Nabavi, D; Prosiegel, M; Riecker, A; Stanschus, S; Warnecke, T; Busse, O

2014-08-01

Neurogenic dysphagia is one of the most frequent and prognostically relevant neurological deficits in a variety of disorders, such as stroke, parkinsonism and advanced neuromuscular diseases. Flexible endoscopic evaluation of swallowing (FEES) is now probably the most frequently used tool for objective dysphagia assessment in Germany. It allows evaluation of the efficacy and safety of swallowing, determination of appropriate feeding strategies and assessment of the efficacy of different swallowing manoeuvres. The literature furthermore indicates that FEES is a safe and well-tolerated procedure. In spite of the huge demand for qualified dysphagia diagnostics in neurology, a systematic FEES education has yet not been established. The structured training curriculum presented in this article aims to close this gap and intends to enforce a robust and qualified FEES service. As management of neurogenic dysphagia is not confined to neurologists, this educational program is applicable to other clinicians and speech language therapists with expertise in dysphagia as well.

Nursing sans frontières: a three year case study of multi-state registration to support nursing practice using information technology.

PubMed

Clark, Robyn A; Yallop, Julie; Wickett, Di; Krum, Henry; Tonkin, Andrew; Stewart, Simon

2006-01-01

To highlight the registration issues for nurses who wish to practice nationally, particularly those practicing within the telehealth sector. As part of a national clinical research study, applications were made to every state and territory for mutual recognition of nursing registration and fee waiver for telenursing cross border practice for a period of three years. These processes are described using a case study approach. The aim of this case study was to achieve registration in every state and territory of Australia without paying multiple fees by using mutual recognition provisions and the cross-border fee waiver policy of the nurse regulatory authorities in order to practice telenursing. Mutual recognition and fee waiver for cross-border practice was granted unconditionally in two states: Victoria (Vic) and Tasmania (Tas), and one territory: the Northern Territory (NT). The remainder of the Australian states and territories would only grant temporary registration for the period of the project or not at all, due to policy restrictions or nurse regulatory authority (NRA) Board decisions. As a consequence of gaining fee waiver the annual cost of registration was a maximum of dollars 145 per annum as opposed to the potential dollars 959 for initial registration and dollars 625 for annual renewal. Having eight individual nurses Acts and NRAs for a population of 265,000 nurses would clearly indicate a case for over regulation in this country. The structure of regulation of nursing in Australia is a barrier to the changing and evolving role of nurses in the 21st century and a significant factor when considering workforce planning.

26 CFR 1.6011-4 - Requirement of statement disclosing participation in certain transactions by taxpayers.

Code of Federal Regulations, 2010 CFR

2010-04-01

... disclosure protects the confidentiality of that advisor's tax strategies. A transaction is treated as... paragraph (b)(3), in determining the minimum fee, all fees for a tax strategy or for services for advice... taxpayer's tax return reflects tax consequences or a tax strategy described in the published guidance that...

12 CFR 622.106 - Service of subpoena and payment of witness fees.

Code of Federal Regulations, 2010 CFR

2010-01-01

... courts of the United States. The fees and mileage need not be tendered at the time a subpoena is served. (b) Motions to quash. Any person to whom a subpoena is directed may, prior to the time specified... Board, determines in his, her, or its discretion, to be just, reasonable, and proper. ...

Competing definitions: a public policy analysis of the federal recreational fee demonstration program

Treesearch

Thomas A. E. More

2003-01-01

Problem definition theory specifies that however controls the definition of a problem is in a unique position to control debate over the issue, influence others, and determine the problem's place on the agenda. This paper uses a rhetorical analysis and a questionnaire survey of congressional aides to examine the federal Recreational Fee Demonstration Program....

"No Fee" Schools in South Africa. Policy Brief Number 7

ERIC Educational Resources Information Center

Motala, Shireen; Sayeed, Yusuf

2009-01-01

40% of schools in South Africa, namely the poorest two-fifths as determined by poverty indicators, were declared to be no fee schools as of 2007. These schools receive larger state allocations per learner than other schools, as well as a higher allocation for non-personnel, non-capital expenditure. In other schools parents may continue to apply…

77 FR 13663 - Order Making Fiscal Year 2012 Mid-Year Adjustments to Transaction Fee Rates

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-07

... the Exchange Act establish a new method for annually adjusting the fee rates applicable under Sections... 31(j)(2) specifies the method for determining the mid-year adjustment for fiscal 2012. Specifically... the month ($4,797,592,302,406). Repeat the method to generate forecasts for subsequent months. \\14...

Understanding Time-driven Activity-based Costing.

PubMed

Sharan, Alok D; Schroeder, Gregory D; West, Michael E; Vaccaro, Alexander R

2016-03-01

Transitioning to a value-based health care system will require providers to increasingly scrutinize their outcomes and costs. Although there has been a great deal of effort to understand outcomes, cost accounting in health care has been a greater challenge. Currently the cost accounting methods used by hospitals and providers are based off a fee-for-service system. As resources become increasingly scarce and the health care system attempts to understand which services provide the greatest value, it will be critically important to understand the true costs of delivering a service. An understanding of the true costs of a particular service will help providers make smarter decisions on how to allocate and utilize resources as well as determine which activities are nonvalue added. Achieving value will require providers to have a greater focus on accurate outcome data as well as better methods of cost accounting.

Managing for desired experiences and site preferences: the case of fee-fishing anglers.

PubMed

Schuett, Michael A; Pierskalla, Chad D

2007-02-01

Fee-fishing involves paying a fee for the privilege of fishing a body of water where fish populations are enhanced by stocking fish. Past literature on this activity has focused more on the operation of the enterprise and management of the fish than the people and site characteristics. The objectives of the study were to profile anglers and describe their site/management preferences. This study utilized an on-site interview and mail-back questionnaire at fee-fishing establishments in West Virginia (n = 212). Factor analysis of desired recreation experiences yielded five factors: Experience nature & adventure, Stress release & relaxation, Trophy fishing, Escape, and Family time. Cluster analysis showed that these anglers can be segmented into two distinct clusters, differing by sociodemographic characteristics, fishing behavior, and site/management preferences. The findings from this study provide baseline data to aid public resource managers and fee-fishing business owners in determining how to provide satisfying outdoor experiences and deliver desired services on-site. Future research will be needed from additional fee-fishing sites to obtain more detail about this outdoor recreation cohort and be able to generalize to a larger population of participants.

Managing for Desired Experiences and Site Preferences: The Case of Fee-Fishing Anglers

NASA Astrophysics Data System (ADS)

Schuett, Michael A.; Pierskalla, Chad D.

2007-02-01

Fee-fishing involves paying a fee for the privilege of fishing a body of water where fish populations are enhanced by stocking fish. Past literature on this activity has focused more on the operation of the enterprise and management of the fish than the people and site characteristics. The objectives of the study were to profile anglers and describe their site/management preferences. This study utilized an on-site interview and mail-back questionnaire at fee-fishing establishments in West Virginia ( n = 212). Factor analysis of desired recreation experiences yielded five factors: Experience nature & adventure, Stress release & relaxation, Trophy fishing, Escape, and Family time. Cluster analysis showed that these anglers can be segmented into two distinct clusters, differing by sociodemographic characteristics, fishing behavior, and site/management preferences. The findings from this study provide baseline data to aid public resource managers and fee-fishing business owners in determining how to provide satisfying outdoor experiences and deliver desired services on-site. Future research will be needed from additional fee-fishing sites to obtain more detail about this outdoor recreation cohort and be able to generalize to a larger population of participants.

Flexible endoscopic evaluation of swallowing (FEES) for neurogenic dysphagia: training curriculum of the German Society of Neurology and the German stroke society.

PubMed

Dziewas, Rainer; Glahn, Jörg; Helfer, Christine; Ickenstein, Guntram; Keller, Jochen; Ledl, Christian; Lindner-Pfleghar, Beate; G Nabavi, Darius; Prosiegel, Mario; Riecker, Axel; Lapa, Sriramya; Stanschus, Sönke; Warnecke, Tobias; Busse, Otto

2016-02-25

Neurogenic dysphagia is one of the most frequent and prognostically relevant neurological deficits in a variety of disorders, such as stroke, parkinsonism and advanced neuromuscular diseases. Flexible endoscopic evaluation of swallowing (FEES) is now probably the most frequently used tool for objective dysphagia assessment in Germany. It allows evaluation of the efficacy and safety of swallowing, determination of appropriate feeding strategies and assessment of the efficacy of different swallowing manoeuvres. The literature furthermore indicates that FEES is a safe and well-tolerated procedure. In spite of the huge demand for qualified dysphagia diagnostics in neurology, a systematic FEES education has not yet been established. The structured training curriculum presented in this article aims to close this gap and intends to enforce a robust and qualified FEES service. As management of neurogenic dysphagia is not confined to neurologists, this educational programme is applicable to other clinicians and speech-language therapists with expertise in dysphagia as well. The systematic education in carrying out FEES across a variety of different professions proposed by this curriculum will help to spread this instrumental approach and to improve dysphagia management.

The commercialization of migration.

PubMed

Abrera-mangahas, M A

1989-01-01

International migration is not new to the Philippines. In the recent outflow of contract workers to the Middle East, there is a shift from individual and family initiated migrations to the more organized, highly commercial variety. While profit-taking intermediaries have played some role in the past, the increase in the number and influence of these intermediaries has altered the story of migration decision-making. In 1975, the signing of the bilateral labor agreement between the governments of Iran and the Philippines signalled the rising demand for Filipino contract workers. From 1970 to 1975, the number of Asian migrant workers in the Gulf countries rose from about 120,000 to 370,000. These figures rose dramatically to 3.3 million in 1985. The growing share of organized and commercialized migration has altered migration decision making. Primarily, intermediaries are able to broaden access to foreign job and high wage opportunities. Commercialization effectively raises the transaction costs for contract migration. Studies on recruitment costs and fees show that self-solicited foreign employment costs less than employment obtained through recruitment agents and intermediaries. The difference in the 2 prices is due, not only to overhead costs of intermediation, but more importantly to the rent exacted by agents from having job information and placement rights. In the Philippines in October 1987 the average placement fee was P8000, greatly exceeding the mandated maximum fee level of P5000. This average is understated because the computation includes the 17% who do not pay any fees. The widespread and popular view of recruitment intermediaries is negative, dominated by images of abuses and victims. Private intermediaries and the government bureaucracy need each other. Intermediaries need government; their consistent demand for incentives and protection is indicative. On the other hand, government expands its supervision of control of overseas employment via the intermediaries. For both the community at large and the government, more can be gained in endeavors assisting workers and their families to make choices based on the widest available information. The most valuable program is that of providing correct information on recruitment charges and costs, on work and living conditions at the job site, on family and social consequences.

75 FR 66360 - Transportation and Energy Products and Services Trade Mission; Doha, Qatar, and Abu Dhabi and...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-28

... mission will allow U.S. executives to connect with key decision makers in the U.A.E. and Qatar, and form... the need to increase the use of non-fossil fuel based energy resources such as solar and nuclear. This... payment to the Department of Commerce in the form of a participation fee is required. The participation...

78 FR 42998 - CSX Transportation, Inc.-Abandonment Exemption-in Washington County, MD

Federal Register 2010, 2011, 2012, 2013, 2014

2013-07-18

... assistance (OFA) under 49 CFR 1152.27(b)(2) will be due no later than 10 days after service of a decision.... 1002.2(f)(25). All interested persons should be aware that, following abandonment of rail service and... filing fee. See 49 CFR 1002.2(f)(27). All filings in response to this notice must refer to Docket No. AB...

31 CFR 1.26 - Procedures for notification and access to records pertaining to individuals-format and fees for...

Code of Federal Regulations, 2010 CFR

2010-07-01

... shall consult with the appropriate agency prior to making a decision to disclose or not to disclose the... made in writing and signed by the person making the request, who must be the individual about whom the... notification and access to records and accountings of disclosures”. (2) A request for access to records shall...

75 FR 71012 - Description of Office, Procedures, and Public Information

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-22

... examples of ``special services'' for which additional fees may be charged. In 12 CFR 1101.4(b)(5)(ii)(H... providing a right to administratively appeal the denial of a request for a waiver or reduction of fees. In... request; (2) The reasons for the determination; (3) If the response is a denial of an initial request or...

43 CFR 2523.1 - Collection of purchase money and fees; issuance of final certificate.

Code of Federal Regulations, 2014 CFR

2014-10-01

...) DESERT-LAND ENTRIES Payments § 2523.1 Collection of purchase money and fees; issuance of final... paid for all lands entered under the desert land law. (b) If the entryman is dead and proof is made by... determining, if possible, whether or not, prior to the passage of the Act of March 28, 1908, any desert-land...

43 CFR 2523.1 - Collection of purchase money and fees; issuance of final certificate.

Code of Federal Regulations, 2012 CFR

2012-10-01

...) DESERT-LAND ENTRIES Payments § 2523.1 Collection of purchase money and fees; issuance of final... paid for all lands entered under the desert land law. (b) If the entryman is dead and proof is made by... determining, if possible, whether or not, prior to the passage of the Act of March 28, 1908, any desert-land...

43 CFR 2523.1 - Collection of purchase money and fees; issuance of final certificate.

Code of Federal Regulations, 2013 CFR

2013-10-01

...) DESERT-LAND ENTRIES Payments § 2523.1 Collection of purchase money and fees; issuance of final... paid for all lands entered under the desert land law. (b) If the entryman is dead and proof is made by... determining, if possible, whether or not, prior to the passage of the Act of March 28, 1908, any desert-land...

43 CFR 2523.1 - Collection of purchase money and fees; issuance of final certificate.

Code of Federal Regulations, 2011 CFR

2011-10-01

...) DESERT-LAND ENTRIES Payments § 2523.1 Collection of purchase money and fees; issuance of final... paid for all lands entered under the desert land law. (b) If the entryman is dead and proof is made by... determining, if possible, whether or not, prior to the passage of the Act of March 28, 1908, any desert-land...

20 CFR 10.711 - How much of any settlement or judgment must be paid to the United States?

Code of Federal Regulations, 2010 CFR

2010-04-01

... paid, but not more than the maximum amount of attorney's fees considered by OWCP or SOL to be... SOL (Subtotal B); (4) Subtract one fifth of Subtotal B from Subtotal B (Subtotal C); (5) Compare... considered by OWCP or SOL to be reasonable, to determine the Government's allowance for attorney's fees, and...

Performance of the Low-Jitter High-Gain/Bandwidth Front-End Electronics of the HADES tRPC Wall

NASA Astrophysics Data System (ADS)

Belver, Daniel; Cabanelas, P.; Castro, E.; Garzon, J. A.; Gil, A.; Gonzalez-Diaz, D.; Koenig, W.; Traxler, M.

2010-10-01

A front-end electronics (FEE) chain for accurate time measurements has been developed for the new Resistive Plate Chamber (RPC)-based Time-of-Flight (TOF) wall of the High Acceptance Di-Electron Spectrometer (HADES). The wall covers an area of around 8 m2, divided in 6 sectors. In total, 1122 4-gap timing RPC cells are read-out by 2244 time and charge sensitive channels. The FEE chain consists of 2 custom-made boards: a 4-channel DaughterBOard (DBO) and a 32-channel MotherBOard (MBO). The DBO uses a fast 2 GHz amplifier feeding a dual high-speed discriminator. The time and charge information are encoded, respectively, in the leading edge and the width of an LVDS signal. Each MBO houses up to 8 DBOs providing them regulated voltage supply, threshold values via DACs, test signals and, additionally, routing out a signal proportional to the channel multiplicity needed for a 1st level trigger decision. The MBO delivers LVDS signals to a multi-purpose Trigger Readout Board (TRB) for data acquisition. The FEE allows achieving a system resolution around 75 ps fulfilling comfortably the requirements of the HADES upgrade .

Willingness to pay for physician services at a primary contact in Ukraine: results of a contingent valuation study

PubMed Central

2013-01-01

Background The existence of quasi-formal and informal payments in the Ukrainian health care system jeopardizes equity and creates barriers to access to proper care. Patient payment policies that better match patient preferences are necessary. We analyze the potential and feasibility of official patient charges for public health care services in Ukraine by studying the patterns of fee acceptability, ability and willingness to pay (WTP) for public health care among population groups. Methods We use contingent valuation data collected from 303 respondents representative of the adult Ukrainian population. Three decision points were separated: objection to pay, inability to pay, and level of positive non-zero WTP. These decisions were studied for relations with quality profiles of the services, and socio-demographic characteristics of the respondents and their households. Results The likelihood to object to pay is mostly determined by the quality characteristics of the services. Objection to pay is not related to corresponding behavior in real life. The likelihood of being unable to pay is associated with older age, lower income, and a larger share of household members with no income. The level of positive WTP is positively related to income (+7% per 1000 UAH increase in income) and is lower for people who visited a doctor but did not pay (−22%). Conclusions Rather substantial WTP levels (between 0.9% and 1.9% of household income) for one visit to physician indicate a potential for official patient charges in Ukraine. User fees may cover a substantial share of personnel cost in the out-patient sector. The patterns of inability to pay support well designed exemption criteria based on age, income, and other aspects of economic status. The WTP patterns highlight the necessity for payments that are proportional to income. Other methodological and policy implications are discussed. PMID:23758839

Variation in outpatient consultant physician fees in Australia by specialty and state and territory.

PubMed

Freed, Gary L; Allen, Amy R

2017-03-06

To determine the mean, median and 10th and 90th percentile levels of fees and out-of-pocket costs to the patient for an initial consultation with a consultant physician; to determine any differences in fees and bulk-billing rates between specialties and between states and territories. Analysis of 2015 Medicare claims data for an initial outpatient appointment with a consultant physician (Item 110) in 11 medical specialties representative of common adult non-surgical medical care (cardiology, endocrinology, gastroenterology, geriatric medicine, haematology, immunology/allergy, medical oncology, nephrology, neurology, respiratory medicine and rheumatology). Mean, median, 10th and 90th percentile levels for consultant physician fees and out-of-pocket costs, by medical specialty and state or territory; bulk-billing rate, by medical specialty and state/territory. Bulk-billing rates varied between specialties, with only haematology and medical oncology bulk-billing more than half of initial consultations. Bulk-billing rates also varied between states and territories, with rates in the Northern Territory (76%) nearly double those elsewhere. Most private consultations require a significant out-of-pocket payment by the patient, and these payments varied more than fivefold in some specialties. Without data on quality of care in private outpatient services, the rationale for the marked variations in fees within specialties is unknown. As insurers are prohibited from providing cover for the costs of outpatient care, the impact of out-of-pocket payments on access to private specialist care is unknown.

Pricing strategy for aesthetic surgery: economic analysis of a resident clinic's change in fees.

PubMed

Krieger, L M; Shaw, W W

1999-02-01

The laws of microeconomics explain how prices affect consumer purchasing decisions and thus overall revenues and profits. These principles can easily be applied to the behavior aesthetic plastic surgery patients. The UCLA Division of Plastic Surgery resident aesthetics clinic recently offered a radical price change for its services. The effects of this change on demand for services and revenue were tracked. Economic analysis was applied to see if this price change resulted in the maximization of total revenues, or if additional price changes could further optimize them. Economic analysis of pricing involves several steps. The first step is to assess demand. The number of procedures performed by a given practice at different price levels can be plotted to create a demand curve. From this curve, price sensitivities of consumers can be calculated (price elasticity of demand). This information can then be used to determine the pricing level that creates demand for the exact number of procedures that yield optimal revenues. In economic parlance, revenues are maximized by pricing services such that elasticity is equal to 1 (the point of unit elasticity). At the UCLA resident clinic, average total fees per procedure were reduced by 40 percent. This resulted in a 250-percent increase in procedures performed for representative 4-month periods before and after the price change. Net revenues increased by 52 percent. Economic analysis showed that the price elasticity of demand before the price change was 6.2. After the price change it was 1. We conclude that the magnitude of the price change resulted in a fee schedule that yielded the highest possible revenues from the resident clinic. These results show that changes in price do affect total revenue and that the nature of these effects can be understood, predicted, and maximized using the tools of microeconomics.

A fuzzy multi-objective model for capacity allocation and pricing policy of provider in data communication service with different QoS levels

NASA Astrophysics Data System (ADS)

Pan, Wei; Wang, Xianjia; Zhong, Yong-guang; Yu, Lean; Jie, Cao; Ran, Lun; Qiao, Han; Wang, Shouyang; Xu, Xianhao

2012-06-01

Data communication service has an important influence on e-commerce. The key challenge for the users is, ultimately, to select a suitable provider. However, in this article, we do not focus on this aspect but the viewpoint and decision-making of providers for order allocation and pricing policy when orders exceed service capacity. It is a multiple criteria decision-making problem such as profit and cancellation ratio. Meanwhile, we know realistic situations in which much of the input information is uncertain. Thus, it becomes very complex in a real-life environment. In this situation, fuzzy sets theory is the best tool for solving this problem. Our fuzzy model is formulated in such a way as to simultaneously consider the imprecision of information, price sensitive demand, stochastic variables, cancellation fee and the general membership function. For solving the problem, a new fuzzy programming is developed. Finally, a numerical example is presented to illustrate the proposed method. The results show that it is effective for determining the suitable order set and pricing policy of provider in data communication service with different quality of service (QoS) levels.

Bribery in health care in Uganda.

PubMed

Hunt, Jennifer

2010-09-01

I examine the role of household permanent income in determining who bribes and how much they bribe in health care in Uganda. I find that rich patients are more likely than other patients to bribe in public health care: doubling household expenditure increases the bribery probability by 1.2 percentage points compared to a bribery rate of 17%. The income elasticity of the bribe amount is about 0.37. Bribes in the Ugandan public sector appear to be fees-for-service extorted from the richer patients amongst those exempted by government policy from paying the official fees. Bribes in the private sector appear to be flat-rate fees paid by patients who do not pay official fees. I do not find evidence that the public health care sector is able to price discriminate less effectively than public institutions with less competition from the private sector. Copyright 2010 Elsevier B.V. All rights reserved.

A Documentation System to Save Time and Ensure Proper Application of the Fiberoptic Endoscopic Evaluation of Swallowing (FEES®)

PubMed Central

Hey, Christiane; Pluschinski, Petra; Stanschus, Soenke; Euler, Harald A.; Sader, Robert A.; Langmore, Susan; Neumann, Katrin

2011-01-01

A properly performed fiberoptic endoscopic evaluation of swallowing (FEES®) is comprehensive and time-consuming. Editing times of FEES protocols and attempts for efficiency maximization are unknown. Here, the protocol editing times of completed FEES examinations were determined. The present study reports the time savings and quality gains of a newly developed documentation system tailored to the FEES standard of Langmore. Four independent examiners analyzed twelve videos of FEES procedures, six without and six with the documentation system. Effectiveness of the documentation system was evaluated according to the times for total evaluation, interpretation, documentation, report writing, and for report completeness. The documentation system reduced editing times and increased report completeness with large effect sizes. Averaged total evaluation time decreased from 42 to 27 min, report completeness increased from 55 to 80%. The use of the documentation system facilitates and improves the assessment of the swallowing process. PMID:20938202

Fee-for-service will remain a feature of major payment reforms, requiring more changes in Medicare physician payment.

PubMed

Ginsburg, Paul B

2012-09-01

Many health policy analysts envision provider payment reforms currently under development as replacements for the traditional fee-for-service payment system. Reforms include per episode bundled payment and elements of capitation, such as global payments or accountable care organizations. But even if these approaches succeed and are widely adopted, the core method of payment to many physicians for the services they provide is likely to remain fee-for-service. It is therefore critical to address the current shortcomings in the Medicare physician fee schedule, because it will affect physician incentives and will continue to play an important role in determining the payment amounts under payment reform. This article reviews how the current payment system developed and is applied, and it highlights areas that require careful review and modification to ensure the success of broader payment reform.

Local Flood Proofing Programs

DTIC Science & Technology

2005-02-01

Carolina, funded its flood audits and other flood protection projects with stormwater utility income. Impact fees: Impact fees are contributions...determining appropriate projects . Local Flood Proofing Programs – 68 – February 2005 Bolingbrook’s Flood Audit Bolingbrook, Illinois, has used different...GRANT NUMBER 5c. PROGRAM ELEMENT NUMBER 6. AUTHOR(S) 5d. PROJECT NUMBER 5e. TASK NUMBER 5f. WORK UNIT NUMBER 7. PERFORMING ORGANIZATION NAME(S) AND

49 CFR 594.7 - Fee for filing petitions for a determination whether a vehicle is eligible for importation.

Code of Federal Regulations, 2010 CFR

2010-10-01

... originally manufactured for importation into and sale in the United States and of the same model year as the model for which petition is made, and is capable of being readily modified to conform to all applicable... standards, shall pay a fee based upon the direct and indirect costs of processing and acting upon such...

77 FR 44656 - Notice of Annual Factors for Determining Public Housing Agency Administrative Fees for the...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-30

... administrative fees rates by area, which the Office of Housing Voucher Programs (OHVP) will utilize to compensate... the higher of the FY 1993 Fair Market Rent (FMR) for a two-bedroom unit in a PHA's market area or the... is also subject to a $428 minimum and a $811 maximum. (The average FMR in 1993 was $555). FMR areas...

30 CFR 206.361 - How will MMS determine whether my royalty or direct use fee payments are correct?

Code of Federal Regulations, 2010 CFR

2010-07-01

... electricity or the sale of a geothermal resource, in conducting reviews and audits MMS will examine whether... royalties or direct use fees that you report are subject to monitoring, review, and audit. The MMS may review and audit your data, and MMS will direct you to use a different measure of royalty value, gross...

75 FR 65048 - CSX Transportation, Inc.-Abandonment Exemption-in Chesterfield and Darlington Counties, SC

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-21

... assistance (OFA) under 49 CFR 1152.27(b)(2) will be due no later than 10 days after service of a decision granting the petition for exemption. Each OFA must be accompanied by a $1,500 filing fee. See 49 CFR 1002.2... will be due no later than November 10, 2010. Each trail use request must be accompanied by a $250...

Budget model can aid group practice planning.

PubMed

Bender, A D

1991-12-01

A medical practice can enhance its planning by developing a budgetary model to test effects of planning assumptions on its profitability and cash requirements. A model focusing on patient visits, payment mix, patient mix, and fee and payment schedules can help assess effects of proposed decisions. A planning model is not a substitute for planning but should complement a plan that includes mission, goals, values, strategic issues, and different outcomes.

41 CFR 301-74.26 - What is the traveler required to do if he/she is unable to attend an event for which they were...

Code of Federal Regulations, 2010 CFR

2010-07-01

... was caused either by an agency decision or for reasons beyond the employee's control that are acceptable to the agency, e.g., unforeseen illness or emergency. If no refund is made, and the traveler's... event for which a discounted registration fee was paid and reimbursed in advance of the event, the...

41 CFR 301-74.26 - What is the traveler required to do if he/she is unable to attend an event for which they were...

Code of Federal Regulations, 2012 CFR

2012-07-01

... was caused either by an agency decision or for reasons beyond the employee's control that are acceptable to the agency, e.g., unforeseen illness or emergency. If no refund is made, and the traveler's... event for which a discounted registration fee was paid and reimbursed in advance of the event, the...

41 CFR 301-74.26 - What is the traveler required to do if he/she is unable to attend an event for which they were...

Code of Federal Regulations, 2013 CFR

2013-07-01

... was caused either by an agency decision or for reasons beyond the employee's control that are acceptable to the agency, e.g., unforeseen illness or emergency. If no refund is made, and the traveler's... event for which a discounted registration fee was paid and reimbursed in advance of the event, the...

41 CFR 301-74.26 - What is the traveler required to do if he/she is unable to attend an event for which they were...

Code of Federal Regulations, 2011 CFR

2011-07-01

... was caused either by an agency decision or for reasons beyond the employee's control that are acceptable to the agency, e.g., unforeseen illness or emergency. If no refund is made, and the traveler's... event for which a discounted registration fee was paid and reimbursed in advance of the event, the...

Hospital's activity-based financing system and manager-physician [corrected] interaction.

PubMed

Crainich, David; Leleu, Hervé; Mauleon, Ana

2011-10-01

This paper examines the consequences of the introduction of an activity-based reimbursement system on the behavior of physicians and hospital's managers. We consider a private for-profit sector where both hospitals and physicians are initially paid on a fee-for-service basis. We show that the benefit of the introduction of an activity-based system depends on the type of interaction between managers and physicians (simultaneous or sequential decision-making games). It is shown that, under the activity-based system, a sequential interaction with physician leader could be beneficial for both agents in the private sector. We further model an endogenous timing game à la Hamilton and Slutsky (Games Econ Behav 2: 29-46, 1990) in which the type of interaction is determined endogenously. We show that, under the activity-based system, the sequential interaction with physician leader is the unique subgame perfect equilibrium.

How decision for seeking maternal care is made--a qualitative study in two rural medical districts of Burkina Faso.

PubMed

Somé, Donmozoun Télesphore; Sombié, Issiaka; Meda, Nicolas

2013-02-07

Delay in decision-making to use skilled care during pregnancy and childbirth is an important factor for maternal death in many developing countries. This paper examines how decisions for maternal care are made in two rural communities in Burkina Faso. Focus group discussions (FGDs) and individual interviews (IDIs)) were used to collect information with 30 women in Ouargaye and Diapaga medical districts. All interviews were tape recorded and analyzed using QSR Nvivo 2.0. Decision-making for use of obstetric care in the family follows the logic of the family's management. Husbands, brothers-in-law and parents-in-law make the decision about whether to use a health facility for antenatal care or for delivery. In general, decision-makers are those who can pay, including the woman herself. Payment of care is the responsibility of men, according to women interviewed, because of their social role and status. To increase use of health facilities in Ouargaye and Diapaga, the empowerment of women could be helpful as well as exemption of fees or cost sharing for care.

Cost-effectiveness of trastuzumab in metastatic breast cancer: mainly a matter of price in the EU?

PubMed

Garattini, Livio; van de Vooren, Katelijne; Curto, Alessandro

2015-02-01

Trastuzumab (TR), a monoclonal antibody approved by EMA in 2000 and one of the first examples of "targeted therapy", is indicated to treat human epidermal growth factor receptor 2 (HER2) positive breast cancer. TR, whose patent will expire in 2015 in Europe, has been judged positively for reimbursement by most public authorities in the EU. Here we critically review the existing evidence on TR in metastatic breast cancer (MBC), in line with the multidisciplinary health technology assessment (HTA) approach, to assess whether the existing evidence supports TR positive reimbursement decisions taken in MBC by EU health authorities. We did a literature search for the main HTA topics (efficacy, quality of life and ethics) on the PubMed international database (2000-2013). Then, we did a specific literature search to select the full economic evaluations (FEEs) conducted in EU countries focused on TR as first-line innovative therapy in MBC. We retrieved scant evidence in the literature to support TR reimbursement in MBC. We found only two clinical trials and their results were unclear because of the large proportion of patients who crossed over. Moreover, the quality of methods was poor in all four European FEEs selected. This example of HTA exercise on a mature monoclonal antibody in a specific indication casts doubts on how often the reimbursement decisions taken by EU health authorities in emotional pathologies like cancer are rational. These decisions should at least be reconsidered periodically on the basis of the latest evidence. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Industry Funding Among Leadership in Medical Oncology and Radiation Oncology in 2015.

PubMed

Yoo, Stella K; Ahmed, Awad A; Ileto, Jan; Zaorsky, Nicholas G; Deville, Curtiland; Holliday, Emma B; Wilson, Lynn D; Jagsi, Reshma; Thomas, Charles R

2017-10-01

To quantify and determine the relationship between oncology departmental/division heads and private industry vis-à-vis potential financial conflict of interests (FCOIs) as publicly reported by the Centers for Medicare and Medicaid Services Open Payments database. We extracted the names of the chairs/chiefs in medical oncology (MO) and chairs of radiation oncology (RO) for 81 different institutions with both RO and MO training programs as reported by the Association of American Medical Colleges. For each leader, the amount of consulting fees and research payments received in 2015 was determined. Logistic modeling was used to assess associations between the 2 endpoints of receiving a consulting fee and receiving a research payment with various institution-specific and practitioner-specific variables included as covariates: specialty, sex, National Cancer Institute designation, PhD status, and geographic region. The majority of leaders in MO were reported to have received consulting fees or research payments (69.5%) compared with a minority of RO chairs (27.2%). Among those receiving payments, the average (range) consulting fee was $13,413 ($200-$70,423) for MO leaders and $6463 ($837-$16,205) for RO chairs; the average research payment for MO leaders receiving payments was $240,446 ($156-$1,234,762) and $295,089 ($160-$1,219,564) for RO chairs. On multivariable regression when the endpoint was receipt of a research payment, those receiving a consulting fee (odds ratio [OR]: 5.34; 95% confidence interval [CI]: 2.22-13.65) and MO leaders (OR: 5.54; 95% CI: 2.62-12.18) were more likely to receive research payments. Examination of the receipt of consulting fees as the endpoint showed that those receiving a research payment (OR: 5.41; 95% CI: 2.23-13.99) and MO leaders (OR: 3.06; 95% CI: 1.21-8.13) were more likely to receive a consulting fee. Leaders in academic oncology receive consulting or research payments from industry. Relationships between oncology leaders and industry can be beneficial, but guidance is needed to develop consistent institutional policies to manage FCOIs. Copyright © 2017 Elsevier Inc. All rights reserved.

Payment of Advanced Placement Exam Fees by Virginia Public School Divisions and Its Impact on Advanced Placement Enrollment and Scores

ERIC Educational Resources Information Center

Cirillo, Mary Grupe

2010-01-01

The purpose of this study was to determine the impact of Virginia school divisions' policy of paying the fee for students to take Advanced Placement exams on Advanced Placement course enrollment, the number of Advanced Placement exams taken by students, the average scores earned and the percent of students earning qualifying scores of 3, 4, or 5…

Estimating Surgical Procedure Times Using Anesthesia Billing Data and Operating Room Records.

PubMed

Burgette, Lane F; Mulcahy, Andrew W; Mehrotra, Ateev; Ruder, Teague; Wynn, Barbara O

2017-02-01

The median time required to perform a surgical procedure is important in determining payment under Medicare's physician fee schedule. Prior studies have demonstrated that the current methodology of using physician surveys to determine surgical times results in overstated times. To measure surgical times more accurately, we developed and validated a methodology using available data from anesthesia billing data and operating room (OR) records. We estimated surgical times using Medicare 2011 anesthesia claims and New York Statewide Planning and Research Cooperative System 2011 OR times. Estimated times were validated using data from the National Surgical Quality Improvement Program. We compared our time estimates to those used by Medicare in the fee schedule. We estimate surgical times via piecewise linear median regression models. Using 3.0 million observations of anesthesia and OR times, we estimated surgical time for 921 procedures. Correlation between these time estimates and directly measured surgical time from the validation database was 0.98. Our estimates of surgical time were shorter than the Medicare fee schedule estimates for 78 percent of procedures. Anesthesia and OR times can be used to measure surgical time and thereby improve the payment for surgical procedures in the Medicare fee schedule. © Health Research and Educational Trust.

The sudden removal of user fees: the perspective of a frontline manager in Burundi.

PubMed

Nimpagaritse, Manassé; Bertone, Maria Paola

2011-11-01

In May 2006, the President of Burundi announced the removal of user fees in all health centres and hospitals for children under 5 and women giving birth. As other studies also point out, the policy was adopted extremely suddenly, without much reflection on its ultimate aims and on the operational dimension of its implementation. From the perspective of a frontline manager, this paper provides a descriptive case study of the abolition of user fees in the Muramvya District and a first-hand account of the effects of the sudden reform in the management of a district and a district hospital. The analysis highlights the challenges that the district and hospital teams faced. The main issues were: the reduction of financial flows, which prevented the possibility of investments and caused frequent drugs stock-outs; the reduced quality of the services and the disruption of the referral system; the motivation of the health staff who saw the administrative workload increase (not necessarily because of increased utilization) and faced 'ethical dilemmas' caused by the imprecise targeting of the reform. Undoubtedly, the removal of user fees for certain groups was an equitable and necessary measure in an extremely poor country such as Burundi. However, the suddenness of the decision and the lack of preparation had critical and long-lasting consequences for the entire health system. This analysis, performed from the frontline perspective, clarifies the importance of a rigorous planning of any reform, as well as of involving peripheral actors and understanding the complex challenges that they face.

40 CFR 70.9 - Fee determination and certification.

Code of Federal Regulations, 2010 CFR

2010-07-01

... determine which sources are subject to the program; (v) Emissions and ambient monitoring; (vi) Modeling... direct and indirect support to sources under the Small Business Stationary Source Technical and...

Unit Costing of Health Extension Worker Activities in Ethiopia: A Model for Managers at the District and Health Facility Level

PubMed Central

Canavan, Maureen E.; Linnander, Erika; Ahmed, Shirin; Mohammed, Halima; Bradley, Elizabeth H.

2018-01-01

Background: Over the last decade, Ethiopia has made impressive national improvements in health outcomes, including reductions in maternal, neonatal, infant, and child mortality attributed in large part to their Health Extension Program (HEP). As this program continues to evolve and improve, understanding the unit cost of health extension worker (HEW) services is fundamental to planning for future growth and ensuring adequate financial support to deliver effective primary care throughout the country. Methods: We sought to examine and report the data needed to generate a HEW fee schedule that would allow for full cost recovery for HEW services. Using HEW activity data and estimates from national studies and local systems we were able to estimate salary costs and the average time spent by an HEW per patient/community encounter for each type of services associated with specific users. Using this information, we created separate fee schedules for activities in urban and rural settings with two estimates of non-salary multipliers to calculate the total cost for HEW services. Results: In the urban areas, the HEW fees for full cost recovery of the provision of services (including salary, supplies, and overhead costs) ranged from 55.1 birr to 209.1 birr per encounter. The rural HEW fees ranged from 19.6 birr to 219.4 birr. Conclusion: Efforts to support health system strengthening in low-income settings have often neglected to generate adequate, actionable data on the costs of primary care services. In this study, we have combined time-motion and available financial data to generate a fee schedule that allows for full cost recovery of the provision of services through billable health education and service encounters provided by Ethiopian HEWs. This may be useful in other country settings where managers seek to make evidence-informed planning and resource allocation decisions to address high burden of disease within the context of weak administrative data systems and severe financial constraints. PMID:29764103

Is it intelligent to intercalate? A two centre cross-sectional study exploring the value of intercalated degrees, and the possible effects of the recent tuition fee rise in England.

PubMed

Stubbs, Timothy Alan; Lightman, Elewys G; Mathieson, Peter

2013-01-24

To explore the value of intercalated degrees, including student perceptions and academic sequelae. To gauge the likely effect of the recent tuition fee rise and to identify any differences in intercalated degrees between Bristol and Sheffield universities. Cross-sectional study using questionnaires. Bristol and Sheffield Medical Schools, UK. 1484 medical students in their clinical years were e-mailed the questionnaire. 578 students responded: 291 from Bristol and 287 from Sheffield (n=578; mean age=22.41; SD 1.944; 38.9% male; 61.1% female). The response rate from previous intercalators was 52.5% from Bristol and 58.7% from Sheffield, while for non-intercalators it was 27.7% and 34.6%, respectively. (1) Student preconceptions, opinions, results and academic sequelae from intercalated degrees at both centres. (2) Students' attitudes concerning the effect of the increase in tuition fees. Those with clinical academic supervisors gained significantly more posters (p=0.0002) and publications (p<0.0001), and also showed a trend to gain more first class honours (p=0.055). Students at Sheffield had a significantly greater proportion of clinical academic supervisors than students at Bristol (p<0.0001). 89.2% said that an intercalated degree was the right decision for them; however, only 27.4% stated they would have intercalated if fees had been £9000 per annum. Students clearly value intercalated degrees, feel they gained a substantial advantage over their peers as well as skills helpful for their future careers. The rise in tuition fees is likely to reduce the number of medical students opting to undertake an intercalated degree, and could result in a further reduction in numbers following an academic path. Sheffield University have more intercalating students supervised by clinical academics. Clinical academics appear more effective as supervisors for medical students undertaking an intercalated degree in terms of results and additional academic sequelae.

Narrow Band Imaging Enhances the Detection Rate of Penetration and Aspiration in FEES.

PubMed

Nienstedt, Julie C; Müller, Frank; Nießen, Almut; Fleischer, Susanne; Koseki, Jana-Christiane; Flügel, Till; Pflug, Christina

2017-06-01

Narrow band imaging (NBI) is widely used in gastrointestinal, laryngeal, and urological endoscopy. Its original purpose was to visualize vessels and epithelial irregularities. Based on our observation that adding NBI to common white light (WL) improves the contrast of the test bolus in fiberoptic endoscopic evaluation of swallowing (FEES), we now investigated the potential value of NBI in swallowing disorders. 148 FEES images were analyzed from 74 consecutive patients with swallowing disorders, including 74 with and 74 without NBI. All images were evaluated by four dysphagia specialists. Findings were classified according to Rosenbek's penetration-aspiration scale modified for evaluating these FEES images. Intra- and inter-rater reliability was determined as well as observer confidence. A better visualization of the bolus is the main advantage of NBI in FEES. This generally leads to sharper optical contrasts and better detection of small bolus quantities. Accordingly, NBI enhances the detection rate of penetration and aspiration. On average, identification of laryngeal penetration increased from 40 to 73% and of aspiration from 13 to 24% (each p < 0.01) of patients. In contrast to WL alone, the use of NBI also markedly increased the inter- and intra-rater reliability (p < 0.01) and the rating confidence of all experts (p < 0.05). NBI is an easy and cost-effective tool simplifying dysphagia evaluation and shortening FEES evaluation time. It leads to a markedly higher detection rate of pathological findings. The significantly better intra- and inter-rater reliability argues further for a better overall reproducibly of FEES interpretation.

Relationship between swallow-specific quality of life and fiber-optic endoscopic evaluation of swallowing findings in patients with head and neck cancer.

PubMed

Florie, Michelle; Baijens, Laura; Kremer, Bernd; Kross, Kenneth; Lacko, Martin; Verhees, Femke; Winkens, Bjorn

2016-04-01

The purpose of this study was to determine the relationship between swallow-specific quality of life (QOL) using the MD Anderson Dysphagia Inventory (MDADI) and the swallowing function using a standardized fiber-optic endoscopic evaluation of swallowing (FEES) protocol in patients with dysphagia with head and neck cancer. Sixty-three patients with dysphagia and head and neck cancer were enrolled in the study. Patients completed the MDADI questionnaire and underwent a standardized FEES examination. Ordinal FEES variables were measured. Descriptive statistics and 1-way analysis of variance tests were carried out. For all FEES variables, the observer agreement level was sufficient (kappa ≥0.7).These preliminary results show statistically significant mean differences of MDADI subscales between the ordinal scale levels for several FEES variables. The MDADI questionnaire can be used to assess the impact of dysphagia on the patients' health-related QOL. Despite clear trends, it remains unclear if the MDADI questionnaire can be used as an indicator for the severity of oropharyngeal dysphagia. © 2015 Wiley Periodicals, Inc. Head Neck 38: E1848-E1856, 2016. © 2015 Wiley Periodicals, Inc.

76 FR 62497 - Grenada Railway LLC-Abandonment Exemption-in Grenada, Montgomery, Carroll, Holmes, Yazoo and...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-10-07

... assistance (OFA) under 49 CFR 1152.27(b)(2) will be due no later than 10 days after service of a decision granting the petition for exemption. Each OFA must be accompanied by a $1,500 filing fee. See 49 CFR 1002.2.... See 49 CFR 1002.2(f)(27). All filings in response to this notice must refer to Docket No. AB 1087X...

Acme Landfill Expansion. Appendices.

DTIC Science & Technology

1982-01-01

refuse collectors. These areas were determined by using existing franchise boundaries and projected *spheres of influence" for future expansion of...The cost mitigations used in Table 15 include: an incre-se in average net revenue per ton to $30, franchise fees, Interest free loans, a grant for...Tons per day 32 16 Tons per year-/ 7,700 3,800 REVENUES ($30.00 per ton) $231,000 $114,000 FRANCHISE FEES 70,000 70,00u EXPENSES Annualized Capital

43 CFR 3830.20 - Payment of service charges, location fees, initial maintenance fees, annual maintenance fees and...

Code of Federal Regulations, 2012 CFR

2012-10-01

... 43 Public Lands: Interior 2 2012-10-01 2012-10-01 false Payment of service charges, location fees, initial maintenance fees, annual maintenance fees and oil shale fees. 3830.20 Section 3830.20 Public Lands..., initial maintenance fees, annual maintenance fees and oil shale fees. ...

43 CFR 3830.20 - Payment of service charges, location fees, initial maintenance fees, annual maintenance fees and...

Code of Federal Regulations, 2014 CFR

2014-10-01

... 43 Public Lands: Interior 2 2014-10-01 2014-10-01 false Payment of service charges, location fees, initial maintenance fees, annual maintenance fees and oil shale fees. 3830.20 Section 3830.20 Public Lands..., initial maintenance fees, annual maintenance fees and oil shale fees. ...

43 CFR 3830.20 - Payment of service charges, location fees, initial maintenance fees, annual maintenance fees and...

Code of Federal Regulations, 2013 CFR

2013-10-01

... 43 Public Lands: Interior 2 2013-10-01 2013-10-01 false Payment of service charges, location fees, initial maintenance fees, annual maintenance fees and oil shale fees. 3830.20 Section 3830.20 Public Lands..., initial maintenance fees, annual maintenance fees and oil shale fees. ...

43 CFR 3830.20 - Payment of service charges, location fees, initial maintenance fees, annual maintenance fees and...

Code of Federal Regulations, 2011 CFR

2011-10-01

... 43 Public Lands: Interior 2 2011-10-01 2011-10-01 false Payment of service charges, location fees, initial maintenance fees, annual maintenance fees and oil shale fees. 3830.20 Section 3830.20 Public Lands..., initial maintenance fees, annual maintenance fees and oil shale fees. ...

Impact of providing fee data on laboratory test ordering: a controlled clinical trial.

PubMed

Feldman, Leonard S; Shihab, Hasan M; Thiemann, David; Yeh, Hsin-Chieh; Ardolino, Margaret; Mandell, Steven; Brotman, Daniel J

2013-05-27

Inpatient care providers often order laboratory tests without any appreciation for the costs of the tests. To determine whether we could decrease the number of laboratory tests ordered by presenting providers with test fees at the time of order entry in a tertiary care hospital, without adding extra steps to the ordering process. Controlled clinical trial. Tertiary care hospital. All providers, including physicians and nonphysicians, who ordered laboratory tests through the computerized provider order entry system at The Johns Hopkins Hospital. We randomly assigned 61 diagnostic laboratory tests to an "active" arm (fee displayed) or to a control arm (fee not displayed). During a 6-month baseline period (November 10, 2008, through May 9, 2009), we did not display any fee data. During a 6-month intervention period 1 year later (November 10, 2009, through May 9, 2010), we displayed fees, based on the Medicare allowable fee, for active tests only. We examined changes in the total number of orders placed, the frequency of ordered tests (per patient-day), and total charges associated with the orders according to the time period (baseline vs intervention period) and by study group (active test vs control). For the active arm tests, rates of test ordering were reduced from 3.72 tests per patient-day in the baseline period to 3.40 tests per patient-day in the intervention period (8.59% decrease; 95% CI, -8.99% to -8.19%). For control arm tests, ordering increased from 1.15 to 1.22 tests per patient-day from the baseline period to the intervention period (5.64% increase; 95% CI, 4.90% to 6.39%) (P < .001 for difference over time between active and control tests). Presenting fee data to providers at the time of order entry resulted in a modest decrease in test ordering. Adoption of this intervention may reduce the number of inappropriately ordered diagnostic tests.

US HealthLink: a national information resource for health care professionals.

PubMed

Yasnoff, W A

1992-06-01

US HealthLink is a new, comprehensive online medical information system designed specifically for health care professionals. Available to individuals for a fixed fee, it includes literature, news, diagnostic decision support, drug interactions, electronic mail, and bulletin boards. It also provides user-specific current awareness via clipping service, and fax delivery of both clipping and electronic mail information. US HealthLink can now be utilized to access a wide variety of medical information sources inexpensively.

User fees and maternity services in Ethiopia.

PubMed

Pearson, Luwei; Gandhi, Meena; Admasu, Keseteberhan; Keyes, Emily B

2011-12-01

To examine user fees for maternity services and how they relate to provision, quality, and use of maternity services in Ethiopia. The national assessment of emergency obstetric and newborn care (EmONC) examined user fees for maternity services in 751 health facilities that provided childbirth services in 2008. Overall, only about 6.6% of women gave birth in health facilities. Among facilities that provided delivery care, 68% charged a fee in cash or kind for normal delivery. Health centers should be providing maternity services free of charge (the healthcare financing proclamation), yet 65% still charge for some aspect of care, including drugs and supplies. The average cost for normal and cesarean delivery was US $7.70 and US $51.80, respectively. Nineteen percent of these facilities required payment in advance for treatment of an obstetric emergency. The health facilities that charged user fees had, on average, more delivery beds, deliveries (normal and cesarean), direct obstetric complications treated, and a higher ratio of skilled birth attendants per 1000 deliveries than those that did not charge. The case fatality rate was 3.8% and 7.1% in hospitals that did and did not charge user fees, respectively. Utilization of maternal health services is extremely low in Ethiopia and, although there is a government decree against charging for maternity service, 65% of health centers do charge for some aspects of maternal care. As health facilities are not reimbursed by the government for the costs of maternity services, this loss of revenue may account for the more and better services offered in facilities that continue to charge user fees. User fees are not the only factor that determines utilization in settings where the coverage of maternity services is extremely low. Additional factors include other out-of-pocket payments such as cost of transport and food and lodging for accompanying relatives. It is important to keep quality of care in mind when user fees are under discussion. Copyright © 2011 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

Understanding variation in primary prostate cancer treatment within the Veterans Health Administration.

PubMed

Nambudiri, Vinod E; Landrum, Mary Beth; Lamont, Elizabeth B; McNeil, Barbara J; Bozeman, Samuel R; Freedland, Stephen J; Keating, Nancy L

2012-03-01

To examine the variation in prostate cancer treatment in the Veterans Health Administration (VHA)--a national, integrated delivery system. We also compared the care for older men in the VHA with that in fee-for-service Medicare. We used data from the Veterans Affairs Central Cancer Registry linked with administrative data and Surveillance, Epidemiology, and End Results-Medicare data to identify men with local or regional prostate cancer diagnosed during 2001 to 2004. We used multinomial logistic and hierarchical regression models to examine the patient, tumor, and facility characteristics associated with treatment in the VHA and, among older patients, used propensity score methods to compare primary therapy between the VHA and fee-for-service Medicare. The rates of radical prostatectomy and radiotherapy varied substantially across VHA facilities. Among the VHA patients, older age, black race/ethnicity, and greater comorbidity were associated with receiving neither radical prostatectomy nor radiotherapy. Facilities with more black patients with prostate cancer had lower rates of radical prostatectomy, and those with less availability of external beam radiotherapy had lower radiotherapy rates. The adjusted rates of radiotherapy (39.7% vs 52.0%) and radical prostatectomy (12.1% vs 15.8%) were lower and the rates of receiving neither treatment greater (48.2% vs 32.2%) in the VHA versus fee-for-service Medicare (P < .001). In the VHA, the treatment rates varied substantially across facilities, and black men received less aggressive prostate cancer treatment than white men, suggesting factors other than patient preferences influence the treatment decisions. Also, primary prostate cancer therapy for older men is less aggressive in the VHA than in fee-for-service Medicare. Copyright © 2012 Elsevier Inc. All rights reserved.

Companies and the customers who hate them.

PubMed

McGovern, Gail; Moon, Youngme

2007-06-01

Why do companies bind customers with contracts, bleed them with fees, and baffle them with fine print? Because bewildered customers, who often make bad purchasing decisions, can be highly profitable. Most firms that profit from customers' confusion are on a slippery slope. Over time, their customer-centric strategies for delivering value have evolved into company-centric strategies for extracting it. Not surprisingly, when a rival comes along with a friendlier alternative, customers defect. Adversarial value-extracting strategies are common in such industries as cell phone service, retail banking, and health clubs. Overly complex product and pricing options, for example, may have been designed to serve various segments. But in fact they take advantage of how difficult it is for customers to predict their needs (such as how many cell phone minutes they'll use each month) and make it hard for them to choose the right product. Similarly, penalties and fees, which may have been instituted to offset the costs of undesirable customer behavior, like bouncing checks, turn out to be very profitable. As a result, companies have no incentive to help customers avoid them. Tactics like these generate bad publicity and fuel customer defections, creating opportunities for competitors. Virgin Mobile USA, for example, has lured millions of angry cell phone customers away from the incumbents by offering a straightforward plan with no hidden fees, no time-of-day restrictions, and no contracts. ING Direct, now the fourth-largest thrift bank in the United States, offers accounts with no fees, no tiered interest rates, and no minimums. In industries where squeezing value from customers is commonplace, companies that dismantle these harmful practices and design a transparent, value-creating offer can head off customer retaliation and spur rapid growth.

Use of impact fees to incentivize low-impact development and promote compact growth.

PubMed

Lu, Zhongming; Noonan, Douglas; Crittenden, John; Jeong, Hyunju; Wang, Dali

2013-10-01

Low-impact development (LID) is an innovative stormwater management strategy that restores the predevelopment hydrology to prevent increased stormwater runoff from land development. Integrating LID into residential subdivisions and increasing population density by building more compact living spaces (e.g., apartment homes) can result in a more sustainable city by reducing stormwater runoff, saving infrastructural cost, increasing the number of affordable homes, and supporting public transportation. We develop an agent-based model (ABM) that describes the interactions between several decision-makers (i.e., local government, a developer, and homebuyers) and fiscal drivers (e.g., property taxes, impact fees). The model simulates the development of nine square miles of greenfield land. A more sustainable development (MSD) scenario introduces an impact fee that developers must pay if they choose not to use LID to build houses or apartment homes. Model simulations show homeowners selecting apartment homes 60% or 35% of the time after 30 years of development in MSD or business as usual (BAU) scenarios, respectively. The increased adoption of apartment homes results from the lower cost of using LID and improved quality of life for apartment homes relative to single-family homes. The MSD scenario generates more tax revenue and water savings than does BAU. A time-dependent global sensitivity analysis quantifies the importance of socioeconomic variables on the adoption rate of apartment homes. The top influential factors are the annual pay rates (or capital recovery factor) for single-family houses and apartment homes. The ABM can be used by city managers and policymakers for scenario exploration in accordance with local conditions to evaluate the effectiveness of impact fees and other policies in promoting LID and compact growth.

Reliability of the penetration aspiration scale with flexible endoscopic evaluation of swallowing.

PubMed

Butler, Susan G; Markley, Lisa; Sanders, Brian; Stuart, Andrew

2015-06-01

The Penetration Aspiration Scale (PAS), although designed for videofluoroscopy, has been utilized with flexible endoscopic evaluation of swallowing (FEES) in both research and clinical practice. The purpose of this investigation was to determine inter- and intrarater reliability of the PAS with FEES as a function of clinician FEES experience and retest interval. Three groups of 3 clinicians (N=9) with varying FEES experience (beginning, intermediate, and advanced) assigned PAS scores to 35 swallows. Initial ratings were repeated following short-term (ie, 1 day) and long-term (ie, 1 week) retest intervals. Intraclass correlation coefficients were calculated to assess interrater reliability on the first rating for each group. The coefficients were .91, .82, and .89 for the beginning, intermediate, and advanced clinicians, respectively. Overall interrater reliability across all 9 clinicians, irrespective of experience, was .85. Intraclass correlation coefficients were also calculated to assess intrarater reliability. The intrarater reliability for short- and long-term ratings was .90, .94, and .96 and .96, .97, and .94 for the beginning, intermediate, and advanced clinicians, respectively. Overall intrarater reliability across all 9 clinicians and all 3 ratings was .94. Excellent inter- and intrarater reliability was evidenced with the application of the PAS for FEES regardless of clinician experience and retest interval. © The Author(s) 2015.

A point of view: why point-of-care places are not free marketplaces.

PubMed

Rambur, B; Mooney, M M

1998-01-01

Current wisdom holds that health care is a business and "as such must abide by market principles." Most nurses are not well enough versed in economic theories to credibly critique health care delivery decisions based on economic theories. The relationship of market principles to health care realities is described in basic terms to encourage nurses to "optimize patient care and influence health care policy." Physicians, who control all access points to the health care system, have enjoyed a 40-year market dominance that is "rapidly being replaced by insurance companies and for-profit investors." Providers' decisions to treat or not to treat are strongly influenced by whether the patient is in a fee-for-service or capitated payment environment.

37 CFR 1.311 - Notice of allowance.

Code of Federal Regulations, 2010 CFR

2010-07-01

... fee, in which case the issue fee and publication fee (§ 1.211(e)) must both be paid within three... notice of allowance will operate as a request to charge the correct issue fee or any publication fee due... incorrect issue fee or publication fee; or (2) A fee transmittal form (or letter) for payment of issue fee...

University-level nutrition training in West Africa: cost and financing issues.

PubMed

Sodjinou, Roger; Bosu, William; Fanou, Nadia; Zagre, Noel; Tchibindat, Félicité; Baker, Shawn; Delisle, Helene

2015-01-01

There is a serious shortage of skilled nutrition professionals in West Africa. Investing in nutrition training is one of the strategies for strengthening the human resource base in nutrition. However, little is known about how nutrition training in the region is financed and the levels of tuition fees charged. The purpose of this study was to provide a comprehensive assessment about the levels of tuition fees charged for nutrition training in the West Africa region and to determine to what extent this is of reach to the average student. The data for this study were obtained from 74 nutrition degree programs operating in nine West African countries in 2013 through semi-structured interviews during on-site visits or through self-administered questionnaires. They included the age of the programs, school ownership, tuition fees, financial assistance, and main sources of funding. Tuition fees (in 2013 US$) were expressed per program to enable uniformity and comparability. Simple descriptive and bivariate analyses were performed. Results from 74 nutrition training programs in nine countries showed a wide variation in tuition fees within and between countries. The tuition fees for bachelor's, master's, and doctoral programs, respectively, ranged from 372 to 4,325 (mean: 2,353); 162 to 7,678 (mean: 2,232); and 369 to 5,600 (mean: 2,208). The tuition fees were significantly higher (p<0.05) in private institutions than in public institutions (mean: US$3,079 vs. US$2,029 for bachelor's programs; US$5,118 vs. US$1,820 for master's programs; and US$3,076 vs. US$1,815 for doctoral programs). The difference in the tuition fees between Francophone and Anglophone countries was not statistically significant (mean: US$2,570 vs. US$2,216 for bachelor's programs; US$2,417 vs. US$2,147 for master's programs; US$3,285 vs. US$2,055 for doctoral programs). In most countries, the tuition fees appeared to be out of reach of the average student. Recent master's programs appeared to charge higher fees than older ones. We found a significant negative correlation between tuition fees and the age of the program, after controlling for school ownership (r=-0.33, p<0.001). Our findings underscore the urgent need for national governments in the region to establish benchmarks and regulate nutrition training costs. In a region where the average annual gross national income (GNI) per capita is barely 890$, the rising cost of tuition fees is likely to hinder access of students from poor background to nutrition training. Governments should institute financing mechanisms such as scholarships, public-private partnerships, credit facilities, and donor funding to facilitate access to tertiary-level nutrition training in the region.

Mental health and selection of preferred providers. Experience in three employee groups.

PubMed

Wells, K B; Marquis, M S; Hosek, S D

1991-09-01

While Preferred Provider Organizations (PPOs) are designed to contain the costs of health care, they may not be able to do so if sicker individuals opt not to use PPO providers. This study examined how level of mental health status and prior use of mental health services affected the decision to use or not use PPO providers for mental health care for employees enrolled in fee-for-service plans with a PPO option. Data were obtained from an employee survey and claims data on three large employee groups. It was not possible to examine effects of sickliness on the intent to select PPO providers for mental health care directly because about one half of employees could not identify who they would visit for mental health care or even how they would select a provider for such care. The intent to use PPO or non-PPO providers for general medical care, however, was not significantly associated with mental health status when other factors were controlled. Furthermore, among persons who used mental health services after implementation of the PPO option, those who had previously visited providers who were to become part of the PPO panel tended to stay with PPO providers, while those who previously visited providers who were not to enter the PPO panel subsequently selected away from PPO providers for mental health care. This pattern of results suggests that established individual patient-provider relationships, rather than sickliness, determined the selection of PPO versus non-PPO providers for mental health care for employees enrolled in these optional PPO fee-for-service plans.

Rethinking Residue: Determining the Perceptual Continuum of Residue on FEES to Enable Better Measurement.

PubMed

Pisegna, Jessica M; Kaneoka, Asako; Leonard, Rebecca; Langmore, Susan E

2018-02-01

The goal of this work was to better understand perceptual judgments of pharyngeal residue on flexible endoscopic evaluation of swallowing (FEES) and the influence of a visual analog scale (VAS) versus an ordinal scale on clinician ratings. The intent was to determine if perceptual judgments of residue were more accurately described by equal or unequal intervals. Thirty-three speech language pathologists rated pharyngeal residue from 75 FEES videos representing a wide range of residue severities for thin liquid, applesauce, and cracker boluses. Clinicians rated their impression of the overall residue amount in each video on a VAS and, in a different session, on a five-point ordinal scale. Residue ratings were made in two separate sessions separated by several weeks. Statistical correlations of the two rating methods were carried out and best-fit models were determined for each bolus type. A total of 2475 VAS ratings and 2473 ordinal ratings were collected. Residue ratings from both methods (VAS and ordinal) were strongly correlated for all bolus types. The best fit for the data was a quadratic model representing unequal intervals, which significantly improved the r 2 values for each bolus type (cracker r 2  = 0.98, applesauce r 2  = 0.99, thin liquid r 2  = 0.98, all p < 0.0001). Perceptual ratings of pharyngeal residue demonstrated a statistical relationship consistent with unequal intervals. The present findings support the use of a VAS to rate residue on FEES, allowing for greater precision as compared to traditional ordinal rating scales. Perceptual judgments of pharyngeal residue reflected unequal intervals, an important concept that should be considered in future rating scales.

17 CFR 40.6 - Self-certification of rules.

Code of Federal Regulations, 2014 CFR

2014-04-01

... or fee changes, other than fees or fee changes associated with market making or trading incentive...) Fees. Fees or fee changes, other than fees or fee changes associated with market making or trading... amendment of a designated contract market that materially changes a term or condition of a contract for...

17 CFR 40.6 - Self-certification of rules.

Code of Federal Regulations, 2013 CFR

2013-04-01

... or fee changes, other than fees or fee changes associated with market making or trading incentive...) Fees. Fees or fee changes, other than fees or fee changes associated with market making or trading... amendment of a designated contract market that materially changes a term or condition of a contract for...

17 CFR 40.6 - Self-certification of rules.

Code of Federal Regulations, 2012 CFR

2012-04-01

... or fee changes, other than fees or fee changes associated with market making or trading incentive...) Fees. Fees or fee changes, other than fees or fee changes associated with market making or trading... amendment of a designated contract market that materially changes a term or condition of a contract for...

19 CFR 111.96 - Fees.

Code of Federal Regulations, 2014 CFR

2014-04-01

... Monetary Penalty and Payment of Fees § 111.96 Fees. (a) License fee; examination fee; fingerprint fee. Each... submits an application for a license must also pay a fingerprint check and processing fee; the port... fingerprint checks and the Customs fingerprint processing fee, the total of which must be paid to Customs...

19 CFR 111.96 - Fees.

Code of Federal Regulations, 2013 CFR

2013-04-01

... Monetary Penalty and Payment of Fees § 111.96 Fees. (a) License fee; examination fee; fingerprint fee. Each... submits an application for a license must also pay a fingerprint check and processing fee; the port... fingerprint checks and the Customs fingerprint processing fee, the total of which must be paid to Customs...

19 CFR 111.96 - Fees.

Code of Federal Regulations, 2011 CFR

2011-04-01

... Monetary Penalty and Payment of Fees § 111.96 Fees. (a) License fee; examination fee; fingerprint fee. Each... submits an application for a license must also pay a fingerprint check and processing fee; the port... fingerprint checks and the Customs fingerprint processing fee, the total of which must be paid to Customs...

19 CFR 111.96 - Fees.

Code of Federal Regulations, 2010 CFR

2010-04-01

... Monetary Penalty and Payment of Fees § 111.96 Fees. (a) License fee; examination fee; fingerprint fee. Each... submits an application for a license must also pay a fingerprint check and processing fee; the port... fingerprint checks and the Customs fingerprint processing fee, the total of which must be paid to Customs...

19 CFR 111.96 - Fees.

Code of Federal Regulations, 2012 CFR

2012-04-01

... Monetary Penalty and Payment of Fees § 111.96 Fees. (a) License fee; examination fee; fingerprint fee. Each... submits an application for a license must also pay a fingerprint check and processing fee; the port... fingerprint checks and the Customs fingerprint processing fee, the total of which must be paid to Customs...

School attributes, household characteristics, and demand for schooling: A case study of rural Peru

NASA Astrophysics Data System (ADS)

Ilon, Lynn; Moock, Peter

1991-12-01

Educational expansion, long a goal of many LDCs, has become a difficult policy to pursue. Growing populations, shrinking national incomes and higher marginal costs of schooling as schooling reaches more rural dwellers have caused policy makers to take a hard look at factors which influence educational demand and expansion. This paper examines the case of Peru where rural areas have yet to attain the nearly universal enrollment of urban areas. The study examines 2500 rural households to explore reasons why children do not attend school, drop out of school, and begin school at later ages. The study finds that the monetary costs of schools (fees and other costs) have a substantial influence on parental decisions regarding school attendance and continuation. Sensitivity analysis reveals that mother's education has a bearing on their children's educational participation, particularly in low-income households. Sensitivity analysis also reveals that school attendance of low income and female children are most strongly affected by simulated changes in school fees.

The effects of competition on medical service provision.

PubMed

Brosig-Koch, Jeannette; Hehenkamp, Burkhard; Kokot, Johanna

2017-12-01

We explore how competition between physicians affects medical service provision. Previous research has shown that, without competition, physicians deviate from patient-optimal treatment under payment systems like capitation and fee-for-service. Although competition might reduce these distortions, physicians usually interact with each other repeatedly over time and only a fraction of patients switches providers at all. Both patterns might prevent competition to work in the desired direction. To analyze the behavioral effects of competition, we develop a theoretical benchmark that is then tested in a controlled laboratory experiment. Experimental conditions vary physician payment and patient characteristics. Real patients benefit from provision decisions made in the experiment. Our results reveal that, in line with the theoretical prediction, introducing competition can reduce overprovision and underprovision, respectively. The observed effects depend on patient characteristics and the payment system, though. Tacit collusion is observed and particularly pronounced with fee-for-service payment, but it appears to be less frequent than in related experimental research on price competition. Copyright © 2017 John Wiley & Sons, Ltd.

Peer Review and Publication of Research Protocols and Proposals: A Role for Open Access Journals

PubMed Central

2004-01-01

Peer-review and publication of research protocols offer several advantages to all parties involved. Among these are the following opportunities for authors: external expert opinion on the methods, demonstration to funding agencies of prior expert review of the protocol, proof of priority of ideas and methods, and solicitation of potential collaborators. We think that review and publication of protocols is an important role for Open Access journals. Because of their electronic form, openness for readers, and author-pays business model, they are better suited than traditional journals to ensure the sustainability and quality of protocol reviews and publications. In this editorial, we describe the workflow for investigators in eHealth research, from protocol submission to a funding agency, to protocol review and (optionally) publication at JMIR, to registration of trials at the International eHealth Study Registry (IESR), and to publication of the report. One innovation at JMIR is that protocol peer reviewers will be paid a honorarium, which will be drawn partly from a new submission fee for protocol reviews. Separating the article processing fee into a submission and a publishing fee will allow authors to opt for “peer-review only” (without subsequent publication) at reduced costs, if they wish to await a funding decision or for other reasons decide not to make the protocol public. PMID:15471763

Peer-review and publication of research protocols and proposals: a role for open access journals.

PubMed

Eysenbach, Gunther

2004-09-30

Peer-review and publication of research protocols offer several advantages to all parties involved. Among these are the following opportunities for authors: external expert opinion on the methods, demonstration to funding agencies of prior expert review of the protocol, proof of priority of ideas and methods, and solicitation of potential collaborators. We think that review and publication of protocols is an important role for Open Access journals. Because of their electronic form, openness for readers, and author-pays business model, they are better suited than traditional journals to ensure the sustainability and quality of protocol reviews and publications. In this editorial, we describe the workflow for investigators in eHealth research, from protocol submission to a funding agency, to protocol review and (optionally) publication at JMIR, to registration of trials at the International eHealth Study Registry (IESR), and to publication of the report. One innovation at JMIR is that protocol peer reviewers will be paid a honorarium, which will be drawn partly from a new submission fee for protocol reviews. Separating the article processing fee into a submission and a publishing fee will allow authors to opt for "peer-review only" (without subsequent publication) at reduced costs, if they wish to await a funding decision or for other reasons decide not to make the protocol public.

Decision Dissonance: Evaluating an Approach to Measuring the Quality of Surgical Decision Making

PubMed Central

Fowler, Floyd J.; Gallagher, Patricia M.; Drake, Keith M.; Sepucha, Karen R.

2013-01-01

Background Good decision making has been increasingly cited as a core component of good medical care, and shared decision making is one means of achieving high decision quality. If it is to be a standard, good measures and protocols are needed for assessing the quality of decisions. Consistency with patient goals and concerns is one defining characteristic of a good decision. A new method for evaluating decision quality for major surgical decisions was examined, and a methodology for collecting the needed data was developed. Methods For a national probability sample of fee-for-service Medicare beneficiaries who had a coronary artery bypass graft (CABG), a lumpectomy or a mastectomy for breast cancer, or surgery for prostate cancer during the last half of 2008, a mail survey of selected patients was carried out about one year after the procedures. Patients’ goals and concerns, knowledge, key aspects of interactions with clinicians, and feelings about the decisions were assessed. A Decision Dissonance Score was created that measured the extent to which patient ratings of goals ran counter to the treatment received. The construct and predictive validity of the Decision Dissonance Score was then assessed. Results When data were averaged across all four procedures, patients with more knowledge and those who reported more involvement reported significantly lower Decision Dissonance Scores. Patients with lower Decision Dissonance Scores also reported more confidence in their decisions and feeling more positively about how the treatment turned out, and they were more likely to say that they would make the same decision again. Conclusions Surveying discharged surgery patients is a feasible way to evaluate decision making, and Decision Dissonance appears to be a promising approach to validly measuring decision quality. PMID:23516764

Decision dissonance: evaluating an approach to measuring the quality of surgical decision making.

PubMed

Fowler, Floyd J; Gallagher, Patricia M; Drake, Keith M; Sepucha, Karen R

2013-03-01

Good decision making has been increasingly cited as a core component of good medical care, and shared decision making is one means of achieving high decision quality. If it is to be a standard, good measures and protocols are needed for assessing the quality of decisions. Consistency with patient goals and concerns is one defining characteristic of a good decision. A new method for evaluating decision quality for major surgical decisions was examined, and a methodology for collecting the needed data was developed. For a national probability sample of fee-for-service Medicare beneficiaries who had a coronary artery bypass graft (CABG), a lumpectomy or a mastectomy for breast cancer, or surgery for prostate cancer during the last half of 2008, a mail-survey of selected patients was carried out about one year after the procedures. Patients' goals and concerns, knowledge, key aspects of interactions with clinicians, and feelings about the decisions were assessed. A decision dissonance score was created that measured the extent to which patient ratings of goals ran counter to the treatment received. The construct and predictive validity of the decision dissonance score was then assessed. When data were averaged across all four procedures, patients with more knowledge and those who reported more involvement reported significantly lower Decision Dissonance Scores. Patients with lower Decision Dissonance Scores also reported more confidence in their decisions and feeling more positively about how the treatment turned out, and they were more likely to say that they would make the same decision again. Surveying discharged surgery patients is a feasible way to evaluate decision making, and Decision Dissonance appears to be a promising approach to validly measuring decision quality.

Quality of care and the demand for health services in Bamako, Mali: the specific roles of structural, process, and outcome components.

PubMed

Mariko, Mamadou

2003-03-01

The public finance and foreign exchange crisis of the 1980s aggravated the unfavourable economic trends in many developing countries and resulted in budget cuts in the health sector. Policymakers, following the suggestions of World Bank experts, introduced user fees. Economic analysis of the demand for health care in these countries focused on the impact of price and income on health service utilisation. But the lesson to date from experiences in cost recovery is that without visible and fairly immediate improvements in the quality of care, the implementation of user fees will cause service utilisation to drop. For this reason, the role of quality of health care has been recently a subject of investigation in a number of health care demand studies. In spite of using the data from both households and facilities, recent studies are quite limited because they measure quality only by structural attributes (availability of drugs, equipment, number and qualifications of staff, and so on). Structural attributes of quality are necessary but not sufficient conditions for demand. A unique feature of this study is that it also considers the processes followed by practitioners and the outcome of care, to determine simultaneously the respective influence of price and quality on decision making. A nested multinomial logit was used to examine the choice between six alternatives (self-treatment, modern treatment at home, public hospital, public dispensary, for-profit facility and non-profit facility). The estimations are based on data from a statistically representative sample of 1104 patients from 1191 households and the data from a stratified random sample of 42 out of 84 facilities identified. The results indicate that omitting the process quality variables from the demand model produces a bias not only in the estimated coefficient of the "price" variable but also in coefficients of some structural attributes of the quality. The simulations suggest that price has a minor effect on utilisation of health services, and that health authorities can simultaneously double user fees and increase utilisation by emphasising improvement of both the structural and process quality of care in public health facilities.

A Polychoric Correlation to Identify the Principle Component in Classifying Single Tuition Fee Capabilities on the Students Socio-Economic Database

NASA Astrophysics Data System (ADS)

Yustanti, W.; Anistyasari, Y.

2018-01-01

The government has issued the regulation number 55 of 2013 about the enactment of a single tuition fee based on the socio-economic conditions of each student. All public universities are required to implement this policy. Therefore, each university needs to create a formulation that can be used to categorize a student into which cost group. The results of the data collection found that the parameters used to determine the classification of tuition fees between one universities with another are different. In this research, taken a sampling of student data at one public university which is using 43 predictor variables and 8 categories of single tuition. The sample data used are socioeconomic data of students of 2016 and 2017 classes received through public university entrance selections. The results of this study reveal that from 43 variables, there are 16 variables which are the most significant in influencing single tuition category with goodness-of-fit index is 0.866. This value means that the proposed model can indicate student’s ability to pay the tuition fee.

75 FR 21022 - Announcement of Funding Awards for the Housing Choice Voucher Family Self-Sufficiency...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-22

...In accordance with Section 102(a)(4)(C) of the Department of Housing and Urban Development Reform Act of 1989, this announcement notifies the public of funding decisions made by the Department for funding under Notice PIH 2009-40 (HA) for the Housing Choice Voucher Family Self-Sufficiency (HCV/FSS) Administrative Fee funding. This announcement contains the consolidated names and addresses of those award recipients selected for funding based on the funding priority categories established in the NOFA.

The myth of managed care. Moving beyond managing costs to really managing care.

PubMed

Houck, S

1997-01-01

Today's managed care manages costs, not care. Care is lopsided with costly physician and provider control of the information, decision-making and treatment processes that are built on outdated fee-for-service incentives. Fast moving providers who exploit opportunities to redesign care, shifting more responsibility and control to non-physician providers and to patients will gain a major competitive advantage. These providers are much more likely to stand out from their peers, enabling them to attract patients and contracts.

The anti-trust suit against the AMA, 1939-1943: background for today's health planning.

PubMed

Puder, K L; Pumphrey, R E

1978-01-01

Today, prepaid group medical schemes form a significant component of many legislative health care proposals. Although the concept is over 60 years old, its legality was not established until 1943 by a United States Supreme Court decision that convicted the American Medical Association and the District of Columbia Medical Society for restraint of trade. The history of that suit highlights the antagonisms that exist between prepaid group medical care and the more traditional fee-for-service system.

24 CFR 320.17 - Fees.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 24 Housing and Urban Development 2 2010-04-01 2010-04-01 false Fees. 320.17 Section 320.17 Housing... SECURITIES Pass-Through Type Securities § 320.17 Fees. The Association may impose application fees, guaranty fees, securities transfer fees and other fees. ...

49 CFR 1572.405 - Procedures for collection by TSA.

Code of Federal Regulations, 2013 CFR

2013-10-01

... Collection Fee, Threat Assessment Fee, and FBI Fee. (a) Imposition of fees. (1) An individual who applies to... Collection Fee, Threat Assessment Fee, and FBI Fee, in a form and manner approved by TSA, when the individual... accordance with the provisions of 31 U.S.C. 9701 and other applicable Federal law. (3) The FBI Fee required...

49 CFR 1572.405 - Procedures for collection by TSA.

Code of Federal Regulations, 2014 CFR

2014-10-01

... Collection Fee, Threat Assessment Fee, and FBI Fee. (a) Imposition of fees. (1) An individual who applies to... Collection Fee, Threat Assessment Fee, and FBI Fee, in a form and manner approved by TSA, when the individual... accordance with the provisions of 31 U.S.C. 9701 and other applicable Federal law. (3) The FBI Fee required...

48 CFR 2452.216-70 - Estimated cost, base fee and award fee.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 48 Federal Acquisition Regulations System 6 2013-10-01 2013-10-01 false Estimated cost, base fee... Provisions and Clauses 2452.216-70 Estimated cost, base fee and award fee. As prescribed in 2416.406(e)(1), insert the following clause in all cost-plus-award-fee contracts: Estimated Cost, Base Fee and Award Fee...

48 CFR 2452.216-70 - Estimated cost, base fee and award fee.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 48 Federal Acquisition Regulations System 6 2012-10-01 2012-10-01 false Estimated cost, base fee... Provisions and Clauses 2452.216-70 Estimated cost, base fee and award fee. As prescribed in 2416.406(e)(1), insert the following clause in all cost-plus-award-fee contracts: Estimated Cost, Base Fee and Award Fee...

48 CFR 452.216-71 - Base Fee and Award Fee Proposal.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 48 Federal Acquisition Regulations System 4 2011-10-01 2011-10-01 false Base Fee and Award Fee... Base Fee and Award Fee Proposal. As prescribed in 416.470, insert the following provision: Base Fee and Award Proposal (FEB 1988) For the purpose of this solicitation, offerors shall propose a base fee of...

48 CFR 1552.216-75 - Base fee and award fee proposal.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 48 Federal Acquisition Regulations System 6 2013-10-01 2013-10-01 false Base fee and award fee... 1552.216-75 Base fee and award fee proposal. As prescribed in 1516.405(b), insert the following clause: Base Fee and Award Fee Proposal (FEB 1999) For the purpose of this solicitation, offerors shall propose...

48 CFR 1552.216-75 - Base fee and award fee proposal.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 48 Federal Acquisition Regulations System 6 2012-10-01 2012-10-01 false Base fee and award fee... 1552.216-75 Base fee and award fee proposal. As prescribed in 1516.405(b), insert the following clause: Base Fee and Award Fee Proposal (FEB 1999) For the purpose of this solicitation, offerors shall propose...

48 CFR 1552.216-75 - Base fee and award fee proposal.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 6 2010-10-01 2010-10-01 true Base fee and award fee... 1552.216-75 Base fee and award fee proposal. As prescribed in 1516.405(b), insert the following clause: Base Fee and Award Fee Proposal (FEB 1999) For the purpose of this solicitation, offerors shall propose...

48 CFR 452.216-71 - Base Fee and Award Fee Proposal.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 4 2010-10-01 2010-10-01 false Base Fee and Award Fee... Base Fee and Award Fee Proposal. As prescribed in 416.470, insert the following provision: Base Fee and Award Proposal (FEB 1988) For the purpose of this solicitation, offerors shall propose a base fee of...

76 FR 28661 - Interim Final Determination To Defer Sanctions, Sacramento Metro 1-Hour Ozone Nonattainment Area...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-18

... Determination To Defer Sanctions, Sacramento Metro 1-Hour Ozone Nonattainment Area, California AGENCY... Act (CAA) Section 185 fee program (Termination Determination) for the Sacramento Metro 1- hour Ozone nonattainment area (Sacramento Metro Area) to satisfy anti- backsliding requirements for the 1-hour Ozone...

28 CFR 505.2 - Annual determination of average cost of incarceration.

Code of Federal Regulations, 2010 CFR

2010-07-01

... MANAGEMENT AND ADMINISTRATION COST OF INCARCERATION FEE § 505.2 Annual determination of average cost of... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Annual determination of average cost of... average cost of incarceration. This calculation is reviewed annually and the revised figure is published...

Health fee exemptions: controversies and misunderstandings around a research programme. Researchers and the public debate

PubMed Central

2015-01-01

Our research programme on fee exemption policies in Burkina Faso, Mali and Niger involved sensitive topics with strong ideological and political connotations for the decision-makers, for health-workers, and for users. Thus we were confronted with reluctance, criticism, pressures and accusations. Our frank description of the shortcomings of these policies, based on rigorous research, and never polemical or accusatory, surprises political leaders and health managers, who are accustomed to official data, censored evaluations and discourse of justification. This reflexive paper aims to react to some misunderstandings that arose regularly: "By focusing on the problems, you will discourage the aid donors". "By focusing on the problems, you are playing into the hands of the opponents of fee exemption". "You should focus on what works and not on what doesn't work". "The comments and behaviour you report are not representative". "What you say is not new, we already knew about it". Double discourse prevails in aid-dependent countries. The official discourse is mostly sterilized and far removed from reality. It protects the routine of the local bureaucracies. But the private 'speak' is quite different, and everyone knows the everyday ruses, tricks and arrangements within the health system. Anthropologists collect the private speak and transmit it to the public sphere through their analyses in order to provide a serious account of a reality, and creating the conditions for an expert debate and a public debate. The national conference on fee exemption held in Niamey in 2012 was a success in this perspective: healthcare personnel spoke for the first time in a public setting about the numerous problems associated with the fee exemption policy, and they largely confirmed and even supplemented the results of our research. It is difficult to see how the healthcare system can be improved and better quality of service provided without starting from a rigorous diagnosis of these usually concealed realities. Such diagnosis gives arguments to reformers within the health system to make change happen. PMID:26559243

Provider-Induced Demand in the Treatment of Carotid Artery Stenosis: Variation in Treatment Decisions Between Private Sector Fee-for-Service vs Salary-Based Military Physicians.

PubMed

Nguyen, Louis L; Smith, Ann D; Scully, Rebecca E; Jiang, Wei; Learn, Peter A; Lipsitz, Stuart R; Weissman, Joel S; Helmchen, Lorens A; Koehlmoos, Tracey; Hoburg, Andrew; Kimsey, Linda G

2017-06-01

Although many factors influence the management of carotid artery stenosis, it is not well understood whether a preference toward procedural management exists when procedural volume and physician compensation are linked in the fee-for-service environment. To explore evidence for provider-induced demand in the management of carotid artery stenosis. The Department of Defense Military Health System Data Repository was queried for individuals diagnosed with carotid artery stenosis between October 1, 2006, and September 30, 2010. A hierarchical multivariable model evaluated the association of the treatment system (fee-for-service physicians in the private sector vs salary-based military physicians) with the odds of procedural intervention (carotid endarterectomy or carotid artery stenting) compared with medical management. Subanalysis was performed by symptom status at the time of presentation. The association of treatment system and of management strategy with clinical outcomes, including stroke and death, was also evaluated. Data analysis was conducted from August 15, 2015, to August 2, 2016. The odds of procedural intervention based on treatment system was the primary outcome used to indicate the presence and effect of provider-induced demand. Of 10 579 individuals with a diagnosis of carotid artery stenosis (4615 women and 5964 men; mean [SD] age, 65.6 [11.4] years), 1307 (12.4%) underwent at least 1 procedure. After adjusting for demographic and clinical factors, the odds of undergoing procedural management were significantly higher for patients in the fee-for-service system compared with those in the salary-based setting (odds ratio, 1.629; 95% CI, 1.285-2.063; P < .001). This finding remained true when patients were stratified by symptom status at presentation (symptomatic: odds ratio, 2.074; 95% CI, 1.302-3.303; P = .002; and asymptomatic: odds ratio, 1.534; 95% CI, 1.186-1.984; P = .001). Individuals treated in a fee-for-service system were significantly more likely to undergo procedural management for carotid stenosis compared with those in the salary-based setting. These findings remained consistent for individuals with and without symptomatic disease.

Is it intelligent to intercalate? A two centre cross-sectional study exploring the value of intercalated degrees, and the possible effects of the recent tuition fee rise in England

PubMed Central

Stubbs, Timothy Alan; Lightman, Elewys G; Mathieson, Peter

2013-01-01

Aims and objectives To explore the value of intercalated degrees, including student perceptions and academic sequelae. To gauge the likely effect of the recent tuition fee rise and to identify any differences in intercalated degrees between Bristol and Sheffield universities. Design Cross-sectional study using questionnaires. Setting Bristol and Sheffield Medical Schools, UK. Participants 1484 medical students in their clinical years were e-mailed the questionnaire. 578 students responded: 291 from Bristol and 287 from Sheffield (n=578; mean age=22.41; SD 1.944; 38.9% male; 61.1% female). The response rate from previous intercalators was 52.5% from Bristol and 58.7% from Sheffield, while for non-intercalators it was 27.7% and 34.6%, respectively. Main outcome measures (1) Student preconceptions, opinions, results and academic sequelae from intercalated degrees at both centres. (2) Students’ attitudes concerning the effect of the increase in tuition fees. Results Those with clinical academic supervisors gained significantly more posters (p=0.0002) and publications (p<0.0001), and also showed a trend to gain more first class honours (p=0.055). Students at Sheffield had a significantly greater proportion of clinical academic supervisors than students at Bristol (p<0.0001). 89.2% said that an intercalated degree was the right decision for them; however, only 27.4% stated they would have intercalated if fees had been £9000 per annum. Conclusions Students clearly value intercalated degrees, feel they gained a substantial advantage over their peers as well as skills helpful for their future careers. The rise in tuition fees is likely to reduce the number of medical students opting to undertake an intercalated degree, and could result in a further reduction in numbers following an academic path. Sheffield University have more intercalating students supervised by clinical academics. Clinical academics appear more effective as supervisors for medical students undertaking an intercalated degree in terms of results and additional academic sequelae. PMID:23355672

78 FR 54942 - Self-Regulatory Organizations; Topaz Exchange, LLC; Notice of Filing and Immediate Effectiveness...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-06

... trades in NDX options. See Amex Fee Schedule, Royalty Fees; Arca Fees and Charges, Royalty Fees; BOX Fee... Change To Amend the Schedule of Fees August 30, 2013. Pursuant to Section 19(b)(1) of the Securities... the Proposed Rule Change Topaz is proposing to amend its Schedule of Fees to establish a surcharge fee...

78 FR 47457 - Self-Regulatory Organizations: Miami International Securities Exchange LLC; Notice of Filing and...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-05

... Transaction Fees. The Exchange notes that the fee waiver has no effect on other fees and dues that may apply to Market Makers including marketing fees, Options Regulatory Fees, market data, and membership... transaction fee waiver. \\11\\ The Exchange notes that the fee waiver has no effect on other fees and dues that...

7 CFR 3550.153 - Fees.

Code of Federal Regulations, 2010 CFR

2010-01-01

... DIRECT SINGLE FAMILY HOUSING LOANS AND GRANTS Regular Servicing § 3550.153 Fees. RHS may assess reasonable fees including a tax service fee, fees for late payments, and fees for checks returned for...

7 CFR 3565.302 - Allowable fees.

Code of Federal Regulations, 2010 CFR

2010-01-01

.... (2) Application fee. A fee submitted in conjunction with the application for a loan guarantee. (3) Inspection fee. A fee for inspection of the property in conjunction with a loan guarantee. (4) Transfer fee...

How do Medicare Physician Fees Compare With Private Payers?

PubMed Central

Miller, Mark E.; Zuckerman, Stephen; Gates, Michael

1993-01-01

Under the new fee schedule, Medicare physician fees are 76 percent of private fees. Consistent with the intent of payment reform, Medicare physician fees more closely approximate private fees for visits (93 percent) than for surgery (51 percent) and in rural areas as compared with large metropolitan areas. Variation in private fees across the country is considerably greater than it is for Medicare fees. Consequently, Medicare fees are most generous in areas that compare least favorably with the private market because private fees in these areas are well above average. These results shed light on the impact of the fee schedule and on the implications of using Medicare payment methods as part of a broad-based health reform. PMID:10130578

Employee responses to health insurance premium increases.

PubMed

Goldman, Dana P; Leibowitz, Arleen A; Robalino, David A

2004-01-01

To determine the sensitivity of employees' health insurance decisions--including the decision to not choose health maintenance organization or fee-for-service coverage--during periods of rapidly escalating healthcare costs. A retrospective cohort study of employee plan choices at a single large firm with a "cafeteria-style" benefits plan wherein employees paid all the additional cost of purchasing more generous insurance. We modeled the probability that an employee would drop coverage or switch plans in response to employee premium increases using data from a single large US company with employees across 47 states during the 3-year period of 1989 through 1991, a time of large premium increases within and across plans. Premium increases induced substantial plan switching. Single employees were more likely to respond to premium increases by dropping coverage, whereas families tended to switch to another plan. Premium increases of 10% induced 7% of single employees to drop or severely cut back on coverage; 13% to switch to another plan; and 80% to remain in their existing plan. Similar figures for those with family coverage were 11%, 12%, and 77%, respectively. Simulation results that control for known covariates show similar increases. When faced with a dramatic increase in premiums--on the order of 20%--nearly one fifth of the single employees dropped coverage compared with 10% of those with family coverage. Employee coverage decisions are sensitive to rapidly increasing premiums, and single employees may be likely to drop coverage. This finding suggests that sustained premium increases could induce substantial increases in the number of uninsured individuals.

48 CFR 215.404-74 - Fee requirements for cost-plus-award-fee contracts.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 3 2010-10-01 2010-10-01 false Fee requirements for cost... NEGOTIATION Contract Pricing 215.404-74 Fee requirements for cost-plus-award-fee contracts. In developing a fee objective for cost-plus-award-fee contracts, the contracting officer shall— (a) Follow the...

10 CFR 9.85 - Fees.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 10 Energy 1 2010-01-01 2010-01-01 false Fees. 9.85 Section 9.85 Energy NUCLEAR REGULATORY COMMISSION PUBLIC RECORDS Privacy Act Regulations Fees § 9.85 Fees. Fees shall not be charged for search or... available for review, although fees may be charged for additional copies. Fees established under 31 U.S.C...

Fiberoptic Endoscopic Evaluation of Swallowing: A Multidisciplinary Alternative for Assessment of Infants With Dysphagia in the Neonatal Intensive Care Unit.

PubMed

Reynolds, Jenny; Carroll, Sandra; Sturdivant, Chrysty

2016-02-01

The standard procedure to assess an infant in the neonatal intensive care unit (NICU) who is suspected of aspirating on oral feedings is a videofluoroscopic swallowing study (VFSS). The VFSS has been used for more than 30 years to assess dysphagia and is considered the gold standard. However, there are challenges to the VFSS, including radiation exposure, transport to radiology, usage of barium, limited positioning options, and cost. An alternative approach is fiberoptic endoscopic evaluation of swallowing (FEES), which uses a flexible endoscope passed transnasally into the pharynx to assess anatomy, movement/sensation of structures, swallow function, and response to therapeutic interventions. Fiberoptic endoscopic evaluation of swallowing has been established as a valid tool for evaluating dysphagia and utilized as an alternative or supplement to the VFSS in both adults and children. This article provides an overview of the current challenges in the NICU with assessing aspiration and introduces a multidisciplinary FEES program for bottle and breastfeeding. A review of the literature of dysphagia, VFSS, and FEES in the adult, pediatric, infant, and neonatal populations was performed. Clinical competency standards were researched and then implemented through an internal process of validation. Finally, a best practice protocol was designed as it relates to FEES in the NICU. Fiberoptic endoscopic evaluation of swallowing is a safe alternative to the VFSS. It can be utilized at the infant's bedside in a NICU for the diagnosis and treatment of swallowing disorders by allowing the clinician the ability to replicate a more accurate feeding experience, therefore, determining a safe feeding plan. Competency and training are essential to establishing a multidisciplinary FEES program in the NICU. Further research is needed to compare the efficacy and validity of FEES versus VFSS for infants in the NICU. Furthermore, evaluating the efficacy of FEES during breastfeeding is warranted.

Health worker perspectives on user fee removal in Zambia

PubMed Central

2012-01-01

Background User fees for primary care services were removed in rural districts in Zambia in 2006. Experience from other countries has suggested that health workers play a key role in determining the success of a fee removal policy, but also find the implementation of such a policy challenging. The policy was introduced against a backdrop of a major shortage in qualified health staff. Methods As part of a larger study on the experience and effect of user fee removal in Zambia, a number of case studies at the facility level were conducted. As part of these, quantitative and qualitative data were collected to evaluate health workers’ satisfaction and experiences in charging and non-charging facilities. Results Our findings show that health-care workers have mixed feelings about the policy change and its consequences. We found some evidence that personnel motivation was higher in non-charging facilities compared to facilities still charging. Yet it is unclear whether this effect was due to differences in the user fee policy or to the fact that a lot of staff interviewed in non-charging facilities were working in mission facilities, where we found a significantly higher motivation. Health workers expressed satisfaction with an apparent increase in the number of patients visiting the facilities and the removal of a deterring factor for many needy patients, but also complained about an increased workload. Furthermore, working conditions were said to have worsened, which staff felt was linked to the absence of additional resources to deal with the increased demand or replace the loss of revenue generated by fees. Conclusion These findings highlight the need to pay attention to supply-side measures when removing demand-side barriers such as user fees and in particular to be concerned about the burden that increased demand can place on already over-stretched health workers. PMID:23110690

Fee-for-service cancer rehabilitation programs improve health-related quality of life.

PubMed

Kirkham, A A; Neil-Sztramko, S E; Morgan, J; Hodson, S; Weller, S; McRae, T; Campbell, K L

2016-08-01

Rigorously applied exercise interventions undertaken in a research setting result in improved health-related quality of life (hrqol) in cancer survivors, but research to demonstrate effective translation of that research to practice is needed. The objective of the present study was to determine the effect of fee-for-service cancer rehabilitation programs in the community on hrqol and on self-reported physical activity and its correlates. After enrolment and 17 ± 4 weeks later, new clients (n = 48) to two fee-for-service cancer rehabilitation programs completed the 36-Item Short Form Health Survey (rand-36: rand Corporation, Santa Monica, CA, U.S.A.), the Godin Leisure-Time Exercise Questionnaire, and questions about physical activity correlates. Normal fee-for-service operations were maintained, including a fitness assessment and individualized exercise programs supervised in a group or one-on-one setting, with no minimum attendance required. Fees were associated with the assessment and with each exercise session. Of the 48 participants, 36 (75%) completed both questionnaires. Improvements in the physical functioning, role physical, pain, and energy/fatigue scales on the rand-36 exceeded minimally important differences and were of a magnitude similar to improvements reported in structured, rigorously applied, and free research interventions. Self-reported levels of vigorous-intensity (p = 0.021), but not moderate-intensity (p = 0.831) physical activity increased. The number of perceived barriers to exercise (p = 0.035) and the prevalence of fatigue as a barrier (p = 0.003) decreased. Exercise self-efficacy improved only in participants who attended 11 or more sessions (p = 0.002). Exercise enjoyment did not change (p = 0.629). Enrolment in fee-for-service cancer rehabilitation programs results in meaningful improvements in hrqol comparable to those reported by research interventions, among other benefits. The fee-for-service model could be an effective model for delivery of exercise to more cancer survivors.

High prevalence of HIV and syphilis and associated factors among low-fee female sex workers in mainland China: a cross-sectional study.

PubMed

Zhou, Chu; Rou, Keming; Dong, Willa M; Wang, Yu; Dong, Wei; Zhou, Yuejiao; Chen, Xi; Jia, Manhong; Liu, Wei; Zheng, Jun; Ma, Yanling; Li, Youfang; Wu, Zunyou

2014-04-26

The prevalence of HIV and syphilis among middle and high-fee female sex workers (FSWs) has been widely reported but little is known among low-fee FSWs. This study aims to determine the prevalence and associated factors of HIV and syphilis among low-fee FSWs in China. A cross-sectional study design was used. A convenience sample of low-fee FSWs was recruited from venues by outreach workers in 12 cities. Structured questionnaire interviews and blood sampling for HIV and syphilis were carried out. Univariate and multivariate logistic regression were used for assessing potential associated factors. This study enrolled 781 low-fee FSWs. There were 37 (4.7%) HIV positive participants and 117 (15.0%) participants were infected with syphilis. Final multivariate analysis identified five factors associated with HIV infection: older age (OR:2.6, 95% CI:1.1-6.1), local household registration (OR:3.3, 95% CI:1.5-6.9), employed in Yunnan province (OR:2.7, 95% CI:1.1-6.7), soliciting in self-rented rooms and "market day" buildings (OR:3.9, 95% CI:1.5-10.0), injection drug use in the past 6 months (OR:13.5, 95% CI:4.5-40.1); and four factors associated with syphilis infection: older age (OR:1.8, 95% CI:1.2-2.9), employed in Yunnan province (OR:2.1, 95% CI:1.2-3.6), soliciting in self-rented rooms and "market day" buildings (OR:2.3, 95% CI:1.4-3.7) , and no consistent condom use with clients in the past 30 days (OR:1.6, 95% CI:1.0-2.6). A high prevalence of HIV and syphilis were found among low-fee FSWs. Those soliciting in self-rented rooms and "market day" buildings with the lowest income, and injection drug users (IDUs) in this population should take priority in further intervention strategies.

Variation in costs of cone beam CT examinations among healthcare systems.

PubMed

Christell, H; Birch, S; Hedesiu, M; Horner, K; Ivanauskaité, D; Nackaerts, O; Rohlin, M; Lindh, C

2012-10-01

To analyse the costs of cone beam CT (CBCT) in different healthcare systems for patients with different clinical conditions. Costs were calculated for CBCT performed in Cluj (Romania), Leuven (Belgium), Malmö (Sweden) and Vilnius (Lithuania) on patients with (i) a maxillary canine with eruption disturbance, (ii) an area with tooth loss prior to implant treatment or (iii) a lower wisdom tooth planned for removal. The costs were calculated using an approach based on the identification, measurement and valuation of all resources used in the delivery of the service that combined direct costs (capital equipment, accommodation, labour) with indirect costs (patients' and accompanying persons' time, "out of pocket" costs for examination fee and visits). The estimates for direct and indirect costs varied among the healthcare systems, being highest in Malmö and lowest in Leuven. Variation in direct costs was mainly owing to different capital costs for the CBCT equipment arising from differences in purchase prices (range €148 000-227 000). Variation in indirect costs were mainly owing to examination fees (range €0-102.02). Cost analysis provides an important input for economic evaluations of diagnostic methods in different healthcare systems and for planning of service delivery. Additionally, it enables decision-makers to separate variations in costs between systems into those due to external influences and those due to policy decisions. A cost evaluation of a dental radiographic method cannot be generalized from one healthcare system to another, but must take into account these specific circumstances.

USFWS demonstration fees

USGS Publications Warehouse

Taylor, Jonathan; Vaske, Jerry; Donnelly, Maureen; Shelby, Lori

2002-01-01

This study examined National Wildlife Refuge (NWR) visitors' reactions to changes in fees implemented as part of the fee demonstration program. Visitors' evaluations of the fees paid were examined in addition to their beliefs about fees and the fee demonstration program, and the impact of fees paid on their intention to return. All results were analyzed relative to socio-demographic characteristics.

13 CFR 120.972 - Third Party Lender participation fee and CDC fee.

Code of Federal Regulations, 2012 CFR

2012-01-01

... fee and CDC fee. 120.972 Section 120.972 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION... and CDC fee. (a) Participation fee. For loans approved by SBA after September 30, 1996, SBA must... when the Third Party Lender occupies a senior credit position to SBA in the Project. (b) CDC fee. For...

13 CFR 120.972 - Third Party Lender participation fee and CDC fee.

Code of Federal Regulations, 2011 CFR

2011-01-01

... fee and CDC fee. 120.972 Section 120.972 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION... and CDC fee. (a) Participation fee. For loans approved by SBA after September 30, 1996, SBA must... when the Third Party Lender occupies a senior credit position to SBA in the Project. (b) CDC fee. For...

13 CFR 120.972 - Third Party Lender participation fee and CDC fee.

Code of Federal Regulations, 2014 CFR

2014-01-01

... fee and CDC fee. 120.972 Section 120.972 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION... and CDC fee. (a) Participation fee. For loans approved by SBA after September 30, 1996, SBA must... when the Third Party Lender occupies a senior credit position to SBA in the Project. (b) CDC fee. For...

13 CFR 120.972 - Third Party Lender participation fee and CDC fee.

Code of Federal Regulations, 2013 CFR

2013-01-01

... fee and CDC fee. 120.972 Section 120.972 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION... and CDC fee. (a) Participation fee. For loans approved by SBA after September 30, 1996, SBA must... when the Third Party Lender occupies a senior credit position to SBA in the Project. (b) CDC fee. For...

42 CFR § 512.710 - Determination of CR incentive payments.

Code of Federal Regulations, 2010 CFR

2017-10-01

... SERVICES (CONTINUED) HEALTH CARE INFRASTRUCTURE AND MODEL PROGRAMS EPISODE PAYMENT MODEL CR Incentive Payment Model for EPM and Medicare Fee-for-Service Participants § 512.710 Determination of CR incentive... 42 Public Health 5 2017-10-01 2017-10-01 false Determination of CR incentive payments. § 512.710...

Do client fees help or hurt?

PubMed

Barnett, B

1998-01-01

This article discusses the impact of client fees for family planning (FP) services on cost recovery and level of user services in developing countries. The UN Population Fund reports that developing country governments currently pay 75% of the costs of FP programs. Donors contribute 15%, and clients pay 10%. Current pressures are on FP services to broaden and improve their scope, while user demand is increasing. Program managers should consider the program's need for funds and the clients' willingness to pay. Clients are willing to pay about 1% of their income for contraception. A study of sterilization acceptance in Mexico finds that the average monthly case load declined by 10% after the 1st price increase from $43 to $55 and declined by 58% after the 2nd price increase to $60. Fewer low-income clients requested sterilization. A CEMOPLAF study in Ecuador finds that in three price increase situations the number of clients seeking services declined, but the economic mix of clients remained about the same. The decline was 20% in the group with a 20% price increase and 26% in the 40% increase group. In setting fees, the first need is to determine unit costs. The Futures Group International recommends considering political, regulatory, and institutional constraints for charging fees; priorities for revenue use; protection for poor clients; and monitoring of money collection and expenditure. Management Sciences for Health emphasizes consideration of the reasons for collection of fees, client affordability, and client perception of quality issues. Sliding scales can be used to protect poor clients. Charging fees for laboratory services can subsidize poor clients. A Bangladesh program operated a restaurant and catering service in order to subsidize FP services. Colombia's PROFAMILIA sells medical and surgical services and a social marketing program in order to expand clinics.

Reliability of Untrained and Experienced Raters on FEES: Rating Overall Residue is a Simple Task.

PubMed

Pisegna, Jessica M; Borders, James C; Kaneoka, Asako; Coster, Wendy J; Leonard, Rebecca; Langmore, Susan E

2018-03-07

The purpose of this study was to investigate the reliability of residue ratings on Fiberoptic Endoscopic Evaluation of Swallowing (FEES). We also examined rating differences based on experience to determine if years of experience influenced residue ratings. A group of 44 raters watched 81 FEES videos representing a wide range of residue severities for thin liquid, applesauce, and cracker boluses. Raters were untrained on the rating scales and simply rated their overall impression of residue amount on a visual analog scale (VAS) and a five-point ordinal scale in a randomized fashion across two sessions. Intra-class correlation coefficients, kappa coefficients, and ANOVAs were used to analyze agreement and differences in ratings. Residue ratings on both the VAS and ordinal scales had acceptable inter- and intra-rater reliability. Inter-rater agreement was acceptable (ICC > 0.7) for all comparisons. Intra-rater agreement was excellent on the VAS scale (r c  = 0.9) and good on the ordinal scale (k = 0.78). There was no significant difference between expert ratings and other raters based on years of experience for cracker ratings (p = 0.2119) and applesauce ratings (p = 0.2899), but there was a significant difference between clinicians on thin liquid ratings (p = 0.0005). Without any specific training, raters demonstrated high reliability when rating the overall amount of residue on FEES. Years of experience with FEES did not influence residue ratings, suggesting that expert ratings of overall residue amount are not unique or specialized. Rating the overall amount of residue on FEES appears to be a simple visual-perceptual task for puree and cracker boluses.

The effect of user fee exemption on the utilization of maternal health care at mission health facilities in Malawi

PubMed Central

Manthalu, Gerald; Yi, Deokhee; Farrar, Shelley; Nkhoma, Dominic

2016-01-01

The Government of Malawi has signed contracts called service level agreements (SLAs) with mission health facilities in order to exempt their catchment populations from paying user fees. Government in turn reimburses the facilities for the services that they provide. SLAs started in 2006 with 28 out of 165 mission health facilities and increased to 74 in 2015. Most SLAs cover only maternal, neonatal and in some cases child health services due to limited resources. This study evaluated the effect of user fee exemption on the utilization of maternal health services. The difference-in-differences approach was combined with propensity score matching to evaluate the causal effect of user fee exemption. The gradual uptake of the policy provided a natural experiment with treated and control health facilities. A second control group, patients seeking non-maternal health care at CHAM health facilities with SLAs, was used to check the robustness of the results obtained using the primary control group. Health facility level panel data for 142 mission health facilities from 2003 to 2010 were used. User fee exemption led to a 15% (P <  0.01) increase in the mean proportion of women who made at least one antenatal care (ANC) visit during pregnancy, a 12% (P < 0.05) increase in average ANC visits and an 11% (P < 0.05) increase in the mean proportion of pregnant women who delivered at the facilities. No effects were found for the proportion of pregnant women who made the first ANC visit in the first trimester and the proportion of women who made postpartum care visits. We conclude that user fee exemption is an important policy for increasing maternal health care utilization. For certain maternal services, however, other determinants may be more important. PMID:27175033

28 CFR 505.5 - Waiver of fee by Warden.

Code of Federal Regulations, 2010 CFR

2010-07-01

... ADMINISTRATION COST OF INCARCERATION FEE § 505.5 Waiver of fee by Warden. The Warden may reduce or waive the fee... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Waiver of fee by Warden. 505.5 Section... installment schedule, is not likely to become able to pay all or part of the fee, or (b) Imposition of a fee...

7 CFR 1493.70 - Guarantee rates and fees.

Code of Federal Regulations, 2010 CFR

2010-01-01

... OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS CCC EXPORT CREDIT GUARANTEE PROGRAMS CCC Export Credit Guarantee Program (GSM-102) and CCC Intermediate Export Credit Guarantee Program (GSM-103... risk that CCC assumes, as determined by CCC, and any other factors which CCC determines appropriate for...

7 CFR 1493.70 - Guarantee rates and fees.

Code of Federal Regulations, 2011 CFR

2011-01-01

... OF AGRICULTURE LOANS, PURCHASES, AND OTHER OPERATIONS CCC EXPORT CREDIT GUARANTEE PROGRAMS CCC Export Credit Guarantee Program (GSM-102) and CCC Intermediate Export Credit Guarantee Program (GSM-103... risk that CCC assumes, as determined by CCC, and any other factors which CCC determines appropriate for...

Assessing the Financial Benefits of Faster Development Times: The Case of Single-source Versus Multi-vendor Outsourced Biopharmaceutical Manufacturing.

PubMed

DiMasi, Joseph A; Smith, Zachary; Getz, Kenneth A

2018-05-10

The extent to which new drug developers can benefit financially from shorter development times has implications for development efficiency and innovation incentives. We provided a real-world example of such gains by using recent estimates of drug development costs and returns. Time and fee data were obtained on 5 single-source manufacturing projects. Time and fees were modeled for these projects as if the drug substance and drug product processes had been contracted separately from 2 vendors. The multi-vendor model was taken as the base case, and financial impacts from single-source contracting were determined relative to the base case. The mean and median after-tax financial benefits of shorter development times from single-source contracting were $44.7 million and $34.9 million, respectively (2016 dollars). The after-tax increases in sponsor fees from single-source contracting were small in comparison (mean and median of $0.65 million and $0.25 million). For the data we examined, single-source contracting yielded substantial financial benefits over multi-source contracting, even after accounting for somewhat higher sponsor fees. Copyright © 2018 Elsevier HS Journals, Inc. All rights reserved.

Stranded cost securitization: Analytical considerations

DOE Office of Scientific and Technical Information (OSTI.GOV)

Abbott, S.

1997-10-01

Securitization is a promising financing approach by which utilities may recover their stranded costs while lowering their cost of capital, permitting them to offer rate reductions to customers. However, there are important issues to analyze before determining that securitization will be an attractive option for bondholders. To facilitate the transition to a competitive electric market, numerous state legislatures have passed or are considering legislation that, while mandating competition, allows utilities to recover their stranded costs through the imposition of a competitive transition fee. To accommodate securitization of revenues from the fees, statutes typically designate as a property right the futuremore » revenues from these fees and the utility may sell, assign, or transfer the rights to a financing vehicle. Securities may be issued by a trust or other special purpose vehicle supported by future revenues from these fees. Because of the unique characteristics of the highly regulated utility industry and the {open_quotes}asset{close_quotes} that is securitized, the credit analysis of stranded cost securities differs from that of most other assets. For example, underwriting and servicing issues, which are key items of interest in other segments of the ABS market, are less of a concern in a stranded cost context.« less

The Effect of the Removal of User Fees for Delivery at Public Health Facilities on Institutional Delivery in Urban Kenya.

PubMed

Calhoun, Lisa M; Speizer, Ilene S; Guilkey, David; Bukusi, Elizabeth

2018-03-01

Objectives In 2013, Kenya removed delivery fees at public health facilities in an effort to promote equity in access to health services and address high maternal mortality. This study determines the effect of the policy to remove user fees on institutional delivery in a population-based sample of women from urban Kenya. Methods Longitudinal data were collected from a representative sample of 8500 women from five cities in Kenya in 2010 with a follow-up interview in 2014 (response rate 58.9%). Respondents were asked about their most recent birth since 2008 at baseline and 2012 at endline, including the delivery location. Multinomial logistic regression is used, controlling for the temporal time trend and background characteristics, to determine if births which occurred after the national policy change were more likely to occur at a public facility than at home or a private facility. Results Multivariate findings show that women were significantly more likely to deliver at a public facility as compared to a private facility after the policy. Among the poor, the results show that poor women were significantly more likely to deliver in a public facility compared to home or a private facility after policy change. Conclusions for Practice These findings show Kenya's progress towards achieving universal access to delivery services and meeting its national development targets. The removal of delivery fees in the public sector is leading to increased use of facilities for delivery among the urban poor; this is an important first step in reducing maternal death.

Determinants of Medicare plan choices: are beneficiaries more influenced by premiums or benefits?

PubMed

Jacobs, Paul D; Buntin, Melinda B

2015-07-01

To evaluate the sensitivity of Medicare beneficiaries to premiums and benefits when selecting healthcare plans after the introduction of Part D. We matched respondents in the 2008 Medicare Current Beneficiary Survey to the Medicare Advantage (MA) plans available to them using the Bid Pricing Tool and previously unavailable data on beneficiaries' plan choices. We estimated a 2-stage nested logit model of Medicare plan choice decision making, including the decision to choose traditional fee-for-service (FFS) Medicare or an MA plan, and for those choosing MA, which specific plan they chose. Beneficiaries living in areas with higher average monthly rebates available from MA plans were more likely to choose MA rather than FFS. When choosing MA plans, beneficiaries are roughly 2 to 3 times more responsive to dollars spent to reduce cost sharing than reductions in their premium. We calculated an elasticity of plan choice with respect to the monthly MA premium of -0.20. Beneficiaries with lower incomes are more sensitive to plan premiums and cost sharing than higher-income beneficiaries. MA plans appear to have a limited incentive to aggressively price their products, and seem to compete primarily over reduced beneficiary cost sharing. Given the limitations of the current plan choice environment, policies designed to encourage the selection of lower-cost plans may require increasing premium differences between plans and providing the tools to enable beneficiaries to easily assess those differences.

Neurosurgical Practice in Transition: A Review.

PubMed

Kim, Dong H; Dagi, T Forcht; Bean, James R

2017-04-01

Neurosurgery is experiencing a period of acute change driven by 2 forces: (1) the perception that the healthcare system in the United States is wasteful and that patients are receiving low "value" care, (2) the belief that quality and long-term outcomes can be measured accurately. We believe 3 important shifts will emerge as a result of these forces. First, payment models will change. They will become anchored to a concept of population health, with capitation payments on a per-patient basis going to provider entities that undertake financial risk. Second, fee-for-service payments will be tied increasingly to administrative and clinical quality measures. Finally, out-of-pocket costs for patients will increase and affect both treatment decisions and willingness to participate in restrictive health care networks. In this review, we describe these changes and discuss possible consequences. We note the changing demographics of neurosurgical practices. Overall, independent private practices, managed by the neurosurgeons, will decline. The proportion of fee-for-service cases will decrease while cases reimbursed through capitation will increase. Physician integration with provider organizations, whether via full employment, a "lease," or some other arrangement, will also increase. We note the increasing importance of quality measures, and how they are likely to affect neurosurgical practices and reimbursement. We describe the advantages and disadvantages of fee-for-service and population health; describe opportunities and risks arising from these transitions; and outline strategies to thrive in a changing environment. Copyright © 2016 by the Congress of Neurological Surgeons.