45 CFR 2540.220 - Under what circumstances and subject to what conditions are participants in Corporation-assisted...

Code of Federal Regulations, 2011 CFR

2011-10-01

... coverage. (1) If a State, local or private program provides for health insurance for the full-time... program provides health insurance coverage for the full-time participant, the sponsor must also continue... Selection and Treatment of Participants § 2540.220 Under what circumstances and subject to what conditions...

45 CFR 2540.220 - Under what circumstances and subject to what conditions are participants in Corporation-assisted...

Code of Federal Regulations, 2010 CFR

2010-10-01

... coverage. (1) If a State, local or private program provides for health insurance for the full-time... program provides health insurance coverage for the full-time participant, the sponsor must also continue... Selection and Treatment of Participants § 2540.220 Under what circumstances and subject to what conditions...

A new role for primary care teams in the United States after “Obamacare:” Track and improve health insurance coverage rates

PubMed Central

DeVoe, Jennifer; Angier, Heather; Hoopes, Megan; Gold, Rachel

2017-01-01

Maintaining continuous health insurance coverage is important. With recent expansions in access to coverage in the United States after “Obamacare,” primary care teams have a new role in helping to track and improve coverage rates and to provide outreach to patients. We describe efforts to longitudinally track health insurance rates using data from the electronic health record (EHR) of a primary care network and to use these data to support practice-based insurance outreach and assistance. Although we highlight a few examples from one network, we believe there is great potential for doing this type of work in a broad range of family medicine and community health clinics that provide continuity of care. By partnering with researchers through practice-based research networks and other similar collaboratives, primary care practices can greatly expand the use of EHR data and EHR-based tools targeting improvements in health insurance and quality health care. PMID:28966926

The erosion of employment-based insurance: more working families left uninsured.

PubMed

Gould, Elise

2008-01-01

The number of Americans without health insurance rose from 38.4 million in 2000 to 47.0 million in 2006, primarily due to the precipitous decline in employer-provided health coverage for workers and their families. Nearly 3.9 million fewer Americans under 65 had employer-provided coverage in 2006 than in 2000. The downward trend in the rate of employer-provided insurance continued for the sixth year in a row, falling from 68.3 to 62.9 percent. Individuals among the bottom 20 percent of household income were the least likely to have employer coverage. Jobholders experienced a significant decline in health insurance coverage, from 74.8 percent of workers in 2000 to 70.8 percent in 2006. No category of workers was insulated from loss of coverage. Children experienced declines in employer-provided health insurance coverage (through their parents) in each of the past five years, the rate falling from 65.9 percent of children in 2000 to 59.7 percent in 2006. Public health insurance (Medicaid and the State Children's Health Insurance Program) is no longer offsetting these losses. The decline in employer-provided coverage was felt throughout the country. Between the 2000-2001 and 2005-2006 periods, 38 states experienced significant losses in employment-based coverage for the under-65 population. No state experienced a significant increase in the coverage rate.

5 CFR 831.202 - Continuation of coverage for food service employees of the House of Representatives.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Continuation of coverage for food service... PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT Coverage § 831.202 Continuation of coverage for food service employees of the House of Representatives. (a) Congressional...

Insurance coverage and financial burden for families of children with special health care needs.

PubMed

Chen, Alex Y; Newacheck, Paul W

2006-01-01

To examine the role of insurance coverage in protecting families of children with special health care needs (CSHCN) from the financial burden associated with care. Data from the 2001 National Survey of Children with Special Health Care Needs were analyzed. We built 2 multivariate regression models by using "work loss/cut back" and "experiencing financial problems" as the dependent variables, and insurance status as the primary independent variable of interest while adjusting for income, race/ethnicity, functional limitation/severity, and other sociodemographic predictors. Approximately 29.9% of CSHCN live in families where their condition led parents to report cutting back on work or stopping work completely. Families of 20.9% of CSHCN reported experiencing financial difficulties due to the child's condition. Insurance coverage significantly reduced the likelihood of financial problems for families at every income level. The proportion of families experiencing financial problems was reduced from 35.7% to 23.0% for the poor and 44.9% to 24.5% for low-income families with continuous insurance coverage (P < .01 for both comparisons). Similarly, the proportion of parents having to cut back or stop work was reduced from 42.8% to 35.9% for the poor (P < .05) and 43.5% to 33.9% for low-income families (P < .01). Continuous health insurance coverage provides protection from financial burden and hardship for families of CSHCN in all income groups. This evidence is supportive of policies designed to promote universal coverage for CSHCN. However, many poor and low-income families continue to experience work loss and financial problems despite insurance coverage. Hence, health insurance should not be viewed as a solution in itself, but instead as one element of a comprehensive strategy to provide financial safety for families with CSHCN.

5 CFR 890.502 - Withholdings, contributions, LWOP, premiums, and direct premium payment.

Code of Federal Regulations, 2014 CFR

2014-01-01

... MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM... employee provides documentation that he or she has other coverage for the child(ren).) The employee may...

5 CFR 890.502 - Withholdings, contributions, LWOP, premiums, and direct premium payment.

Code of Federal Regulations, 2013 CFR

2013-01-01

... MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM... employee provides documentation that he or she has other coverage for the child(ren).) The employee may...

5 CFR 890.502 - Withholdings, contributions, LWOP, premiums, and direct premium payment.

Code of Federal Regulations, 2012 CFR

2012-01-01

... MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM... employee provides documentation that he or she has other coverage for the child(ren).) The employee may...

5 CFR 890.502 - Withholdings, contributions, LWOP, premiums, and direct premium payment.

Code of Federal Regulations, 2011 CFR

2011-01-01

... MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM... employee provides documentation that he or she has other coverage for the child(ren).) The employee may...

26 CFR 54.4980B-5 - COBRA continuation coverage.

Code of Federal Regulations, 2010 CFR

2010-04-01

... (for example, because of a divorce), the family deductible may be computed separately for each... the year. The plan provides that upon the divorce of a covered employee, coverage will end immediately... family had accumulated $420 of covered expenses before the divorce, as follows: $70 by each parent, $200...

Sources of health insurance and characteristics of the uninsured: analysis of the March 2009 Current Population Survey.

PubMed

Fronstin, Paul

2009-09-01

This Issue Brief provides historical data through 2008 on the number and percentage of nonelderly individuals with and without health insurance. Based on EBRI estimates from the U.S. Census Bureau's March 2009 Current Population Survey (CPS), it reflects 2008 data. It also discusses trends in coverage for the 1994-2008 period and highlights characteristics that typically indicate whether an individual is insured. HEALTH COVERAGE RATE CONTINUES TO DECREASE: The percentage of the nonelderly population (under age 65) with health insurance coverage decreased to 82.6 percent in 2008. Increases in health insurance coverage have been recorded in only four years since 1994, when 36.5 million nonelderly individuals were uninsured; in 2008, the uninsured population was 45.7 million. EMPLOYMENT-BASED COVERAGE REMAINS DOMINANT SOURCE OF HEALTH COVERAGE, BUT CONTINUES TO SLOWLY ERODE: Employment-based health benefits remain the most common form of health coverage in the United States. In 2008, 61.1 percent of the nonelderly population had employment-based health benefits, down from 68.4 percent in 2000. Between 1994 and 2000, the percentage of the nonelderly population with employment-based coverage expanded. PUBLIC PROGRAM COVERAGE IS GROWING: Public program health coverage expanded as a percentage of the population in 2008, accounting for 19.4 percent of the nonelderly population. Enrollment in Medicaid and the State Children's Health Insurance Program increased, reaching a combined 39.2 million in 2008, and covering 14.9 percent of the nonelderly population, significantly above the 10.5 percent level of 1999. INDIVIDUAL COVERAGE STABLE: Individually purchased health coverage was unchanged in 2008 and has basically hovered in the 6-7 percent range since 1994. MOST/LEAST LIKELY TO HAVE HEALTH INSURANCE: Full-time, full-year workers, public-sector workers, workers employed in manufacturing, managerial and professional workers, and individuals living in high-income families are most likely to have employment-based health benefits. Poor families are most likely to be covered by public coverage programs such as Medicaid or S-CHIP. RETHINKING THE VALUE OF OFFERING HEALTH INSURANCE: Research illustrates the advantages to consumers of having health insurance and the benefits to employers of offering it. In general, the availability of health insurance allows consumers to avoid unnecessary pain and suffering and improves the quality of life, and employers report that offering benefits has a positive impact on worker recruitment, retention, health status, and productivity. Employers may believe in the business case for providing health benefits today, but in the future they may rethink the value that offering coverage provides, especially if health costs continue to escalate sharply or if health reform changes the value proposition.

20 CFR 404.1217 - Continuation of coverage.

Code of Federal Regulations, 2011 CFR

2011-04-01

... employees continues as follows: (a) Absolute coverage group. Generally, the services of an employee covered as a part of an absolute coverage group (see § 404.1205) continue to be covered indefinitely. A position covered as a part of an absolute coverage group continues to be covered even if the position later...

20 CFR 404.1217 - Continuation of coverage.

Code of Federal Regulations, 2010 CFR

2010-04-01

... employees continues as follows: (a) Absolute coverage group. Generally, the services of an employee covered as a part of an absolute coverage group (see § 404.1205) continue to be covered indefinitely. A position covered as a part of an absolute coverage group continues to be covered even if the position later...

From medical invention to clinical practice: the reimbursement challenge facing new device procedures and technology--part 2: coverage.

PubMed

Raab, G Gregory; Parr, David H

2006-10-01

This paper, the second of 3 that discuss the reimbursement challenges facing new medical device technology in various issues of this journal, explains the key aspects of coverage that affect the adoption of medical devices. The process Medicare uses to make coverage determinations has become more timely and open over the past several years, but it still lacks the predictability that product innovators prefer. The continued uncertainty surrounding evidence requirements undermines the predictability needed for optimal product planning and innovation. Recent steps taken by the Centers for Medicare and Medicaid Services to provide coverage in return for evidence development should provide patients with access to promising new technologies and procedures while generating important evidence concerning their effectiveness.

Sources of health insurance and characteristics of the uninsured: analysis of the March 2007 Current Population Survey.

PubMed

Fronstin, Paul

2007-10-01

This Issue Brief provides historic data through 2006 on the number and percentage of nonelderly individuals with and without health insurance. Based on EBRI estimates from the U.S. Census Bureau's March 2007 Current Population Survey (CPS), it reflects 2006 data. It also discusses trends in coverage for the 1994-2006 period and highlights characteristics that typically indicate whether an individual is insured. HEALTH COVERAGE CONTINUES DECLINE: The percentage of the nonelderly population (under age 65) with health insurance coverage continued to decline, reaching to a post-1994 low of 82.1 percent in 2006. Declines in health insurance coverage have been recorded in all but four years since 1994, when 36.5 million nonelderly individuals were uninsured; in 2006, the uninsured population was 46.5 million. EMPLOYMENT-BASED COVERAGE REMAINS DOMINANT SOURCE OF HEALTH COVERAGE: Employment-based health benefits remain by far the most common form of health coverage in the United States, consistently covering 60-70 percent of nonelderly individuals. In 2006, 62.2 percent of the nonelderly population had employment-based health benefits, as compared with 64.4 percent in 1994. Between 1994 and 2000, the percentage of the nonelderly population with employment-based coverage expanded. Since 2000, the percentage has declined. PUBLIC PROGRAM COVERAGE IS STABLE: Public-sector health coverage was slightly lower as a percentage of the population in 2006, accounting for 17.5 percent of the nonelderly population. The decline was due to a drop in the percentage of the population covered by the Tricare/CHAMPVA program. Enrollment in Medicaid and the State Children's Health Insurance Program increased, reaching 34.9 million in 2006, and covering 13.4 percent of the nonelderly population, which is significantly above the 10.5 percent level of 1999, but not far above the 12.7 percent level of 1994. INDIVIDUAL COVERAGE STABLE: Individually purchased health coverage was unchanged in 2006 and has basically hovered in the high 6 and low 7 percent range since 1994. PRIVATE- VS. PUBLIC-COVERAGE TRENDS REVERSING: Health insurance coverage generally has not sustained unbroken trends since 1994. There were crosscurrents: Employment-based coverage expanded significantly in the 1994-2000 period to exceed the growth in public programs. Subsequently, the dynamic reversed, as public programs expanded while employment-based coverage declined. It appears that 2005 might be the beginning of a new trend, where the erosion in employment-based coverage is not being offset by expansions in public programs. This may be due to the fact that, while unemployment is relatively low, the cost of providing health benefits continues to increase faster than inflation.

Massachusetts health reform: employer coverage from employees' perspective.

PubMed

Long, Sharon K; Stockley, Karen

2009-01-01

The national health reform debate continues to draw on Massachusetts' 2006 reform initiative, with a focus on sustaining employer-sponsored insurance. This study provides an update on employers' responses under health reform in fall 2008, using data from surveys of working-age adults. Results show that concerns about employers' dropping coverage or scaling back benefits under health reform have not been realized. Access to employer coverage has increased, as has the scope and quality of their coverage as assessed by workers. However, premiums and out-of-pocket costs have become more of an issue for employees in small firms.

5 CFR 831.203 - Continuation of coverage for employees of the Metropolitan Washington Airports Authority.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Continuation of coverage for employees of the Metropolitan Washington Airports Authority. 831.203 Section 831.203 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT Coverage...

5 CFR 831.203 - Continuation of coverage for employees of the Metropolitan Washington Airports Authority.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false Continuation of coverage for employees of the Metropolitan Washington Airports Authority. 831.203 Section 831.203 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT Coverage...

26 CFR 54.4980B-5 - COBRA continuation coverage.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 26 Internal Revenue 17 2013-04-01 2013-04-01 false COBRA continuation coverage. 54.4980B-5 Section 54.4980B-5 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) MISCELLANEOUS EXCISE TAXES (CONTINUED) PENSION EXCISE TAXES § 54.4980B-5 COBRA continuation coverage. The following questions-and-answers address the...

26 CFR 54.4980B-5 - COBRA continuation coverage.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 26 Internal Revenue 17 2012-04-01 2012-04-01 false COBRA continuation coverage. 54.4980B-5 Section 54.4980B-5 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) MISCELLANEOUS EXCISE TAXES (CONTINUED) PENSION EXCISE TAXES § 54.4980B-5 COBRA continuation coverage. The following questions-and-answers address the...

26 CFR 54.4980B-5 - COBRA continuation coverage.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 26 Internal Revenue 17 2011-04-01 2011-04-01 false COBRA continuation coverage. 54.4980B-5 Section 54.4980B-5 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) MISCELLANEOUS EXCISE TAXES (CONTINUED) PENSION EXCISE TAXES § 54.4980B-5 COBRA continuation coverage. The following questions-and-answers address the...

26 CFR 54.4980B-5 - COBRA continuation coverage.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 26 Internal Revenue 17 2014-04-01 2014-04-01 false COBRA continuation coverage. 54.4980B-5 Section 54.4980B-5 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) MISCELLANEOUS EXCISE TAXES (CONTINUED) PENSION EXCISE TAXES § 54.4980B-5 COBRA continuation coverage. The following questions-and-answers address the...

5 CFR 831.206 - Continuation of coverage for former Federal employees of the Civilian Marksmanship Program.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false Continuation of coverage for former Federal employees of the Civilian Marksmanship Program. 831.206 Section 831.206 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT Coverage...

42 CFR 423.566 - Coverage determinations.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 42 Public Health 3 2014-10-01 2014-10-01 false Coverage determinations. 423.566 Section 423.566... (CONTINUED) MEDICARE PROGRAM (CONTINUED) VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT Grievances, Coverage Determinations, Redeterminations, and Reconsiderations § 423.566 Coverage determinations. (a) Responsibilities of...

The gap between coverage and care-what can Canadian paediatricians do about access to health services for refugee claimant children?

PubMed

Rink, N; Muttalib, F; Morantz, G; Chase, L; Cleveland, J; Rousseau, C; Li, P

2017-11-01

In June 2012, the government of Canada severely restricted the scope of the Interim Federal Health Program that had hitherto provided coverage for the health care needs of refugee claimants. The Quebec government decided to supplement coverage via the provincial health program. Despite this, we hypothesized that refugee claimant children in Montreal would continue to experience significant difficulties in accessing basic health care. (1) Report the narrative experiences of refugee claimant families who were denied health care services in Montreal following June 2012, (2) describe the predominant barriers to accessing health care services and understanding their impact using thematic analysis and (3) derive concrete recommendations for child health care providers to improve access to care for refugee claimant children. Eleven parents recruited from two sites in Montreal participated in semi-structured interviews designed to elicit a narrative account of their experiences seeking health care. Interviews were recorded, transcribed, coded using NVivo software and subjected to thematic analysis. Thematic analysis of the data revealed five themes concerning barriers to health care access: lack of continuous health coverage, health care administrators/providers' lack of understanding of Interim Federal Health Program coverage, refusal of services or fees charged, refugee claimants' lack of understanding about health care rights and services and language barriers, and four themes concerning the impact of denial of care episodes: potential for adverse health outcomes, psychological distress, financial burden and social stigma. We propose eight action points for advocacy by Canadian paediatricians to improve access to health care for refugee claimant children in their communities and institutions.

I get height with a little help from my friends: herd protection from sanitation on child growth in rural Ecuador

PubMed Central

Fuller, James A; Villamor, Eduardo; Cevallos, William; Trostle, James; Eisenberg, Joseph NS

2016-01-01

Abstract Background: Infectious disease interventions, such as vaccines and bed nets, have the potential to provide herd protection to non-recipients. Similarly, improved sanitation in one household may provide community-wide benefits if it reduces contamination in the shared environment. Sanitation at the household level is an important predictor of child growth, but less is known about the effect of sanitation coverage in the community. Methods: From 2008 to 2013, we took repeated anthropometric measurements on 1314 children under 5 years of age in 24 rural Ecuadorian villages. Using mixed effects regression, we estimated the association between sanitation coverage in surrounding households and child growth. Results: Sanitation coverage in the surrounding households was strongly associated with child height, as those with 100% coverage in their surroundings had a 67% lower prevalence of stunting [prevalence ratio (PR) 0.32, 95% CI 0.15-0.69] compared with those with 0% coverage. Children from households with improved sanitation had a lower prevalence of stunting (PR 0.86, 95% CI 0.64-1.15). When analysing height as a continuous outcome, the protective effect of sanitation coverage is manifested primarily among girls during the second year of life, the time at which growth faltering is most likely to occur. Conclusions: Our study highlights that a household’s sanitation practices can provide herd protection to the overall community. Studies which fail to account for the positive externalities that sanitation provides will underestimate the overall protective effect. Future studies could seek to identify a threshold of sanitation coverage, similar to a herd immunity threshold, to provide coverage and compliance targets. PMID:26936912

Sources of health insurance and characteristics of the uninsured: analysis of the March 2011 current population survey.

PubMed

Fronstin, Paul

2011-09-01

LATEST CENSUS DATA: This Issue Brief provides historical data through 2010 on the number and percentage of nonelderly individuals with and without health insurance. Based on EBRI estimates from the U.S. Census Bureau's March 2011 Current Population Survey (CPS), it reflects 2010 data. It also discusses trends in coverage for the 1994-2010 period and highlights characteristics that typically indicate whether an individual is insured. HEALTH COVERAGE RATE CONTINUES TO DECREASE, UNINSURED INCREASE: The percentage of the nonelderly population (under age 65) with health insurance coverage decreased to 81.5 percent in 2010. Increases in health insurance coverage have been recorded in only three years since 1994, when 36.5 million nonelderly individuals were uninsured. The percentage of nonelderly individuals without health insurance coverage was 18.5 percent in 2010, up from 18.3 percent in 2009, and its highest level during the 1994-2010 period. EMPLOYMENT-BASED COVERAGE REMAINS DOMINANT SOURCE OF HEALTH COVERAGE, BUT CONTINUES TO ERODE: Employment-based health benefits remain the most common form of health coverage in the United States. In 2010, 58.7 percent of the nonelderly population had employment-based health benefits, down from 69.3 percent in 2000. SHIFTING COMPOSITION OF EMPLOYMENT-BASED COVERAGE: Between 2007 and 2010, the percentage of individuals under age 65 with employment-based coverage in their own name has dropped. In 2007, 54.2 percent had coverage in their own name. By 2010, it was down to 51.5 percent. Dependent coverage during this time period fell slightly from 17.5 percent to 17.1 percent, and increased slightly from 16.8 percent to 17.1 percent between 2009 and 2010. PUBLIC PROGRAM COVERAGE IS GROWING: Public program health coverage expanded as a percentage of the population in 2010, accounting for 21.6 percent of the nonelderly population. Enrollment in Medicaid and the State Children's Health Insurance Program increased, reaching a combined 45 million in 2010, and covering 16.9 percent of the nonelderly population, significantly above the 10.2 percent level of 1999. INDIVIDUAL COVERAGE STABLE: Individually purchased health coverage was unchanged in 2010 and has basically hovered in the 6-7 percent range since 1994. WHAT TO EXPECT IN 2011: 2010 is the most recent year for data on sources of health coverage. Unemployment in 2011 has been about 9 percent since the beginning of the year. While down from the 2010 average of 9.6 percent, it remains high and there is a continued threat of a double-dip recession increasing it even further. As a result, the nation is likely to see continued erosion of employment-based health benefits when the data for 2011 are released in 2012. Fewer working individuals translates into fewer individuals with access to health benefits in the work place, especially after COBRA subsidies have been exhausted.

Continuing Care Retirement Communities: An Analysis of Financial Viability and Health Care Coverage.

ERIC Educational Resources Information Center

Ruchlin, Hirsch S.

1988-01-01

Calculated financial ratios for 109 Continuing Care Retirement Communities (CCRCs). Noted problems with regard to asset productivity, profitability, and equity levels. Found that a risk-spreading charge structure for financing health care needs appeared to exist among CCRCs providing a full-care contract. (Author/ABL)

Expected antenna utilization and overload

NASA Technical Reports Server (NTRS)

Posner, Edward C.

1991-01-01

The trade-offs between the number of antennas at Deep Space Network (DSN) Deep-Space Communications Complex and the fraction of continuous coverage provided to a set of hypothetical spacecraft, assuming random placement of the space craft passes during the day. The trade-offs are fairly robust with respect to the randomness assumption. A sample result is that a three-antenna complex provides an average of 82.6 percent utilization of facilities and coverage of nine spacecraft that each have 8-hour passes, whereas perfect phasing of the passes would yield 100 percent utilization and coverage. One key point is that sometimes fewer than three spacecraft are visible, so an antenna is idle, while at other times, there aren't enough antennas, and some spacecraft do without service. This point of view may be useful in helping to size the network or to develop a normalization for a figure of merit of DSN coverage.

76 FR 53156 - Submission for Review: Request To Change Federal Employees Health Benefits (FEHB) Enrollment for...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-25

... Benefits (FEHB) Enrollment for Spouse Equity/Temporary Continuation of Coverage (TCC) Enrollees/Direct Pay.../Temporary Continuation of Coverage (TCC) Enrollees/ Direct Pay Annuitants. As required by the Paperwork... Equity/Temporary Continuation of Coverage (TCC) Enrollees/Direct Pay Annuitants is used by former spouses...

20 CFR 1002.171 - How does the continuation of health plan benefits apply to a multiemployer plan that provides...

Code of Federal Regulations, 2010 CFR

2010-04-01

... 20 Employees' Benefits 3 2010-04-01 2010-04-01 false How does the continuation of health plan... system? 1002.171 Section 1002.171 Employees' Benefits OFFICE OF THE ASSISTANT SECRETARY FOR VETERANS... Service in the Uniformed Services Health Plan Coverage § 1002.171 How does the continuation of health plan...

5 CFR 831.205 - CSRS coverage determinations to be approved by OPM.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false CSRS coverage determinations to be approved by OPM. 831.205 Section 831.205 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT Coverage § 831.205 CSRS coverage determinations to be...

5 CFR 831.205 - CSRS coverage determinations to be approved by OPM.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false CSRS coverage determinations to be approved by OPM. 831.205 Section 831.205 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT Coverage § 831.205 CSRS coverage determinations to be...

Ultra high frequency follow-on communications satellite system

NASA Astrophysics Data System (ADS)

Hassien, Michael J.

1992-03-01

The existing constellation of UHF communications satellites (LEASAT and FLTSAT) provide key command and control links for mobile forces of the DoD and other government agencies. The UHF Follow-On satellite program will provide for a new generation of communications satellites to replace the existing ones as they reach the end of their life cycle beginning in 1992. Continued coverage is required for both peacetime and crisis environments, and must be maintained indefinitely. An eight-satellite UFO constellation (two per coverage area) will replenish the existing FLTSATCOM constellation.

Providing for consideration of the bill (H.R. 3350) to authorize health insurance issuers to continue to offer for sale current individual health insurance coverage in satisfaction of the minimum essential health insurance coverage requirement, and for other purposes.

THOMAS, 113th Congress

Rep. Burgess, Michael C. [R-TX-26

2013-11-14

House - 11/15/2013 On agreeing to the resolution Agreed to by recorded vote: 228 - 189 (Roll no. 584). (All Actions) Tracker: This bill has the status Agreed to in HouseHere are the steps for Status of Legislation:

42 CFR 422.68 - Effective dates of coverage and change of coverage.

Code of Federal Regulations, 2010 CFR

2010-10-01

... HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM MEDICARE ADVANTAGE PROGRAM Eligibility, Election, and... continuity of health benefits coverage. (e) Special election period for individual age 65. For an election of...

7 CFR 1806.6 - Failure of borrower to provide insurance.

Code of Federal Regulations, 2012 CFR

2012-01-01

... Section 1806.6 Agriculture Regulations of the Department of Agriculture (Continued) RURAL HOUSING SERVICE... insurance. When a borrower fails to provide and maintain property insurance which meets the requirements set forth in § 1806.2 of this subpart, every effort will be made to have the borrower provide coverage...

7 CFR 1806.6 - Failure of borrower to provide insurance.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Section 1806.6 Agriculture Regulations of the Department of Agriculture (Continued) RURAL HOUSING SERVICE... insurance. When a borrower fails to provide and maintain property insurance which meets the requirements set forth in § 1806.2 of this subpart, every effort will be made to have the borrower provide coverage...

7 CFR 1806.6 - Failure of borrower to provide insurance.

Code of Federal Regulations, 2011 CFR

2011-01-01

... Section 1806.6 Agriculture Regulations of the Department of Agriculture (Continued) RURAL HOUSING SERVICE... insurance. When a borrower fails to provide and maintain property insurance which meets the requirements set forth in § 1806.2 of this subpart, every effort will be made to have the borrower provide coverage...

7 CFR 1806.6 - Failure of borrower to provide insurance.

Code of Federal Regulations, 2014 CFR

2014-01-01

... Section 1806.6 Agriculture Regulations of the Department of Agriculture (Continued) RURAL HOUSING SERVICE... insurance. When a borrower fails to provide and maintain property insurance which meets the requirements set forth in § 1806.2 of this subpart, every effort will be made to have the borrower provide coverage...

7 CFR 1806.6 - Failure of borrower to provide insurance.

Code of Federal Regulations, 2013 CFR

2013-01-01

... Section 1806.6 Agriculture Regulations of the Department of Agriculture (Continued) RURAL HOUSING SERVICE... insurance. When a borrower fails to provide and maintain property insurance which meets the requirements set forth in § 1806.2 of this subpart, every effort will be made to have the borrower provide coverage...

5 CFR 839.213 - May I make a retirement coverage election if I withdrew all or part of my TSP account after I was...

Code of Federal Regulations, 2010 CFR

2010-01-01

... Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) CORRECTION OF RETIREMENT COVERAGE ERRORS UNDER THE FEDERAL ERRONEOUS RETIREMENT COVERAGE CORRECTIONS ACT... if your qualifying retirement coverage error was previously corrected to FERS, and you later received...

Change in Health Insurance Coverage After Liver Transplantation Can Be Associated with Worse Outcomes.

PubMed

Akateh, Clifford; Tumin, Dmitry; Beal, Eliza W; Mumtaz, Khalid; Tobias, Joseph D; Hayes, Don; Black, Sylvester M

2018-06-01

Health insurance coverage changes for many patients after liver transplantation, but the implications of this change on long-term outcomes are unclear. To assess post-transplant patient and graft survival according to change in insurance coverage within 1 year of transplantation. We queried the United Network for Organ Sharing for patients between ages 18-64 years undergoing liver transplantation in 2002-2016. Patients surviving > 1 year were categorized by insurance coverage at transplantation and the 1-year transplant anniversary. Multivariable Cox regression characterized the association between coverage pattern and long-term patient or graft survival. Among 34,487 patients in the analysis, insurance coverage patterns included continuous private coverage (58%), continuous public coverage (29%), private to public transition (8%) and public to private transition (4%). In multivariable analysis of patient survival, continuous public insurance (HR 1.29, CI 1.22, 1.37, p < 0.001), private to public transition (HR 1.17, CI 1.07, 1.28, p < 0.001), and public to private transition (HR 1.14, CI 1.00, 1.29, p = 0.044), were associated with greater mortality hazard, compared to continuous private coverage. After disaggregating public coverage by source, mortality hazard was highest for patients transitioning from private insurance to Medicaid (HR vs. continuous private coverage = 1.32; 95% CI 1.14, 1.52; p < 0.001). Similar differences by insurance category were found for death-censored graft failure. Post-transplant transition to public insurance coverage is associated with higher risk of adverse outcomes when compared to retaining private coverage.

Proposals to Subsidize Health Insurance for the Unemployed

DTIC Science & Technology

1998-01-01

firms with 20 or more employees to continue offering health coverage to workers who separate from the firm. However, firms may charge former employees ...employment-based health plans must make continuation coverage available to former employees and covered family members. Sepated workers may continue COBRA... workers in firms of 20 or more employees who participate in an existing employer-sponsored health plan are eligible to continue coverage under COBRA

Evaluation of NASA satellite- and assimilation model-derived long-term daily temperature date over the continental US

USDA-ARS?s Scientific Manuscript database

Agricultural research increasingly is expected to provide precise, quantitative information with an explicit geographic coverage. Limited availability of continuous daily meteorological records often constrains efforts to provide such information through integrated use of simulation models, spatial ...

5 CFR 930.103 - Coverage.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false Coverage. 930.103 Section 930.103 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) PROGRAMS FOR SPECIFIC POSITIONS AND EXAMINATIONS (MISCELLANEOUS) Motor Vehicle Operators § 930.103 Coverage...

5 CFR 930.103 - Coverage.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Coverage. 930.103 Section 930.103 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) PROGRAMS FOR SPECIFIC POSITIONS AND EXAMINATIONS (MISCELLANEOUS) Motor Vehicle Operators § 930.103 Coverage...

5 CFR 930.103 - Coverage.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 5 Administrative Personnel 2 2013-01-01 2013-01-01 false Coverage. 930.103 Section 930.103 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) PROGRAMS FOR SPECIFIC POSITIONS AND EXAMINATIONS (MISCELLANEOUS) Motor Vehicle Operators § 930.103 Coverage...

5 CFR 930.103 - Coverage.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 5 Administrative Personnel 2 2014-01-01 2014-01-01 false Coverage. 930.103 Section 930.103 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) PROGRAMS FOR SPECIFIC POSITIONS AND EXAMINATIONS (MISCELLANEOUS) Motor Vehicle Operators § 930.103 Coverage...

5 CFR 930.103 - Coverage.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 5 Administrative Personnel 2 2012-01-01 2012-01-01 false Coverage. 930.103 Section 930.103 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) PROGRAMS FOR SPECIFIC POSITIONS AND EXAMINATIONS (MISCELLANEOUS) Motor Vehicle Operators § 930.103 Coverage...

Three-Dimensional Analysis of Deep Space Network Antenna Coverage

NASA Technical Reports Server (NTRS)

Kegege, Obadiah; Fuentes, Michael; Meyer, Nicholas; Sil, Amy

2012-01-01

There is a need to understand NASA s Deep Space Network (DSN) coverage gaps and any limitations to provide redundant communication coverage for future deep space missions, especially for manned missions to Moon and Mars. The DSN antennas are required to provide continuous communication coverage for deep space flights, interplanetary missions, and deep space scientific observations. The DSN consists of ground antennas located at three sites: Goldstone in USA, Canberra in Australia, and Madrid in Spain. These locations are not separated by the exactly 120 degrees and some DSN antennas are located in the bowl-shaped mountainous terrain to shield against radiofrequency interference resulting in a coverage gap in the southern hemisphere for the current DSN architecture. To analyze the extent of this gap and other coverage limitations, simulations of the DSN architecture were performed. In addition to the physical properties of the DSN assets, the simulation incorporated communication forward link calculations and azimuth/elevation masks that constrain the effects of terrain for each DSN antenna. Analysis of the simulation data was performed to create coverage profiles with the receiver settings at a deep space altitudes ranging from 2 million to 10 million km and a spherical grid resolution of 0.25 degrees with respect to longitude and latitude. With the results of these simulations, two- and three-dimensional representations of the area without communication coverage and area with coverage were developed, showing the size and shape of the communication coverage gap projected in space. Also, the significance of this communication coverage gap is analyzed from the simulation data.

Addressing Medicaid/marketplace churn through multimarket plans: assessing the current state of play.

PubMed

Rosenbaum, Sara

2015-02-01

Both before and after the Affordable Care Act (ACA), the US health insurance system is characterized by fragmentation. Pre-ACA, this fragmentation included major coverage gaps, causing significant periods of coverage interruption, especially for lower-income people. The ACA does not end the problem of churning among sources of public financing, but it does hold the potential for enabling people to move among sources of coverage rather than go without insurance. Several strategies for reducing coverage churn exist, but none is foolproof and all are in their early stages. Thus the ability of issuers to participate across multiple public financing arrangements and to offer stable provider networks becomes crucial to achieving continuity of care. Interviews with nine companies involved in developing or operating multimarket strategies confirm the feasibility of this approach while revealing major challenges, especially the challenge of finding providers willing to treat members regardless of the source of coverage. Strategies for increasing multimarket plans and networks represent one of the great areas of future policy and operational focus. Copyright © 2015 by Duke University Press.

5 CFR 730.103 - Coverage.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 5 Administrative Personnel 2 2014-01-01 2014-01-01 false Coverage. 730.103 Section 730.103 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) NOTIFICATION OF POST-EMPLOYMENT RESTRICTIONS § 730.103 Coverage. (a) The following individuals are subject to...

5 CFR 730.103 - Coverage.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false Coverage. 730.103 Section 730.103 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) NOTIFICATION OF POST-EMPLOYMENT RESTRICTIONS § 730.103 Coverage. (a) The following individuals are subject to...

5 CFR 730.103 - Coverage.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Coverage. 730.103 Section 730.103 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) NOTIFICATION OF POST-EMPLOYMENT RESTRICTIONS § 730.103 Coverage. (a) The following individuals are subject to...

5 CFR 730.103 - Coverage.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 5 Administrative Personnel 2 2012-01-01 2012-01-01 false Coverage. 730.103 Section 730.103 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) NOTIFICATION OF POST-EMPLOYMENT RESTRICTIONS § 730.103 Coverage. (a) The following individuals are subject to...

5 CFR 730.103 - Coverage.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 5 Administrative Personnel 2 2013-01-01 2013-01-01 false Coverage. 730.103 Section 730.103 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) NOTIFICATION OF POST-EMPLOYMENT RESTRICTIONS § 730.103 Coverage. (a) The following individuals are subject to...

2007 costs and coverage of antiretrovirals under Medicare Part D for people with HIV/AIDS living in North Carolina.

PubMed

Sengupta, Sohini

2008-01-01

Effective January 1, 2006 Medicare Part D became a new source of prescription drug coverage for people with HIV/AIDS in the United States. The implementation of Part D has affected access to antiretrovirals for people with HIV/AIDS. In North Carolina, access can be difficult because of the state's struggling safety net programs and the growing HIV-infected populations among Blacks and in poor rural counties. This analysis examines Medicare Part D antiretroviral coverage in 2007 for beneficiaries with HIV/AIDS in North Carolina, particularly those who did not qualify as dual eligibles or for a full low-income subsidy. Data describing program coverage were obtained from the Web site www.medicare.gov and descriptive analyses were performed to assess changes in antiretroviral coverage in Part D prescription drug plans in North Carolina. Most of the 26 antiretrovirals are covered in some way by 76 North Carolina prescription drug plans. There may be variability in coverage however associated with (a) antiretroviral classification within formularies; (b) drug premiums; (c) whether premiums can be waived; (d) annual deductibles; and (e) whether coverage is provided in the "doughnut hole." The data may not reflect actual patterns of drug use and realized access to the drugs. The findings are limited to antiretroviral coverage in North Carolina's Part D offerings but could be generalized to other states with similar prescription drug plan costs and coverage. These concerns continue to pose significant challenges to accessing antiretrovirals for Part D beneficiaries with HIV/AIDS in North Carolina. Variability demonstrated within prescription drug plans will continue, and beneficiaries with HIV/AIDS who do not qualify as dual eligibles or for low-income subsidies will need to evaluate these issues when selecting a prescription drug plan in future enrollment periods.

Analysis on the Change of Grassland Coverage in the Source Region of Three Rivers during 2000-2012

NASA Astrophysics Data System (ADS)

Luo, Chengfeng; Wang, Jiao; Liu, Meilin; Liu, Zhengjun

2014-03-01

The Source Region of Three Rivers (SRTR) has very important ecological functions which form an ecological security barrier for China's Qinghai-Tibet plateau. As the biggest nationally occuring nature reserve region in China, the ecological environment here is very fragile. In SRTR the grassland coverage is an effective detector to reflect the ecological environment condition, because it records the changing process of climatic and environmental sensitively. In recent years SRTR has been suffering pressures from both nature and social pressures. With MODIS data the study monitored the grassland coverage continuously in SRTR from 2000 to 2012. The density-model was adapted to estimate grassland coverage degree firstly. Then the degree of change and the change intensity, change type were used to judge the grassland coverage change trend comprehensively. For grassland coverage there was natural change annual or within the year, and the degree of change was used to judge if there was change or not. The grassland has another important characteristic, annual fluctuation, and it can be differed from sustained changes with change type. For grassland coverage, such continuous change, like improvement or degradation, and to what extent, has more guidance sense on specific production practice. On the base of change type and degree of change, change intensity was used to identify the change trend of the grassland coverage. The analysis results from our study show that steady state and fluctuation are two main change trends for the vegetation coverage in SRTR from 2000 to 2012. The conclusion of this paper can provide references in response to environment change research and in the regional ecological environmental protection project in SRTR.

Funding, coverage, and access under Thailand's universal health insurance program: an update after ten years.

PubMed

Damrongplasit, Kannika; Melnick, Glenn

2015-04-01

In 2001, Thailand implemented a universal coverage program by expanding government-funded health coverage to uninsured citizens and limited their out-of-pocket payments to 30 Baht per encounter and, in 2006, eliminated out-of-pocket payments entirely. Prior research covering the early years of the program showed that the program effectively expanded coverage while a more recent paper of the early effects of the program found that improved access from the program led to a reduction in infant mortality. We expand and update previous analyses of the effects of the 30 Baht program on access and out-of-pocket payments. We analyze national survey and governmental budgeting data through 2011 to examine trends in health care financing, coverage and access, including out-of-pocket payments. By 2011, only 1.64 % of the population remained uninsured in Thailand (down from 2.61 % in 2009). While government funding increased 75 % between 2005 and 2010, budgetary requests by health care providers exceeded approved amounts in many years. The 30 Baht program beneficiaries paid zero out-of-pocket payments for both outpatient and inpatient care. Inpatient and outpatient contact rates across all insurance categories fell slightly over time. Overall, the statistical results suggest that the program is continuing to achieve its goals after 10 years of operation. Insurance coverage is now virtually universal, access has been more or less maintained, government funding has continued to grow, though at rates below requested levels and 30 Baht patients are still guaranteed access to care with limited or no out-of-pocket costs. Important issues going forward are the ability of the government to sustain continued funding increases while minimizing cost sharing.

40 CFR 141.3 - Coverage.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 23 2011-07-01 2011-07-01 false Coverage. 141.3 Section 141.3 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS (CONTINUED) NATIONAL PRIMARY DRINKING WATER REGULATIONS General § 141.3 Coverage. This part shall apply to each public water...

5 CFR 752.601 - Coverage.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 5 Administrative Personnel 2 2013-01-01 2013-01-01 false Coverage. 752.601 Section 752.601 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) ADVERSE... Coverage. (a) Adverse actions covered. This subpart applies to suspensions for more than 14 days and...

40 CFR 141.3 - Coverage.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 24 2013-07-01 2013-07-01 false Coverage. 141.3 Section 141.3 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS (CONTINUED) NATIONAL PRIMARY DRINKING WATER REGULATIONS General § 141.3 Coverage. This part shall apply to each public water...

5 CFR 752.601 - Coverage.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 5 Administrative Personnel 2 2014-01-01 2014-01-01 false Coverage. 752.601 Section 752.601 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) ADVERSE... Coverage. (a) Adverse actions covered. This subpart applies to suspensions for more than 14 days and...

40 CFR 141.3 - Coverage.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 24 2012-07-01 2012-07-01 false Coverage. 141.3 Section 141.3 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS (CONTINUED) NATIONAL PRIMARY DRINKING WATER REGULATIONS General § 141.3 Coverage. This part shall apply to each public water...

5 CFR 752.601 - Coverage.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 5 Administrative Personnel 2 2012-01-01 2012-01-01 false Coverage. 752.601 Section 752.601 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) ADVERSE... Coverage. (a) Adverse actions covered. This subpart applies to suspensions for more than 14 days and...

5 CFR 752.601 - Coverage.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Coverage. 752.601 Section 752.601 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) ADVERSE... Service § 752.601 Coverage. (a) Adverse actions covered. This subpart applies to suspensions for more than...

40 CFR 141.3 - Coverage.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 23 2014-07-01 2014-07-01 false Coverage. 141.3 Section 141.3 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS (CONTINUED) NATIONAL PRIMARY DRINKING WATER REGULATIONS General § 141.3 Coverage. This part shall apply to each public water...

40 CFR 141.3 - Coverage.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 22 2010-07-01 2010-07-01 false Coverage. 141.3 Section 141.3 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY (CONTINUED) WATER PROGRAMS (CONTINUED) NATIONAL PRIMARY DRINKING WATER REGULATIONS General § 141.3 Coverage. This part shall apply to each public water...

5 CFR 752.201 - Coverage.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 5 Administrative Personnel 2 2014-01-01 2014-01-01 false Coverage. 752.201 Section 752.201 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) ADVERSE ACTIONS Regulatory Requirements for Suspension for 14 Days or Less § 752.201 Coverage. (a) Adverse actions...

5 CFR 752.601 - Coverage.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false Coverage. 752.601 Section 752.601 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) ADVERSE... Coverage. (a) Adverse actions covered. This subpart applies to suspensions for more than 14 days and...

5 CFR 752.201 - Coverage.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 5 Administrative Personnel 2 2013-01-01 2013-01-01 false Coverage. 752.201 Section 752.201 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) ADVERSE ACTIONS Regulatory Requirements for Suspension for 14 Days or Less § 752.201 Coverage. (a) Adverse actions...

5 CFR 752.201 - Coverage.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 5 Administrative Personnel 2 2012-01-01 2012-01-01 false Coverage. 752.201 Section 752.201 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) ADVERSE ACTIONS Regulatory Requirements for Suspension for 14 Days or Less § 752.201 Coverage. (a) Adverse actions...

Satellite Remote Sensing of Coral Reefs: By Learning about Coral Reefs, Students Gain an Understanding of Ecosystems and How Cutting-Edge Technology Can Be Used to Study Ecological Change

ERIC Educational Resources Information Center

Palandro, David; Thoms, Kristin; Kusek, Kristen; Muller-Karger, Frank; Greely, Teresa

2005-01-01

Coral reefs are one of the most important ecosystems on the planet, providing sustenance to both marine organisms and humans. Yet they are also one of the most endangered ecosystems as coral reef coverage has declined dramatically in the past three decades. Researchers continually seek better ways to map coral reef coverage and monitor changes…

5 CFR 880.304 - FEGLI coverage.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 5 Administrative Personnel 2 2012-01-01 2012-01-01 false FEGLI coverage. 880.304 Section 880.304 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED... FEGLI coverage. (a) FEGLI premiums will not be collected during periods when an annuitant is a missing...

5 CFR 880.304 - FEGLI coverage.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false FEGLI coverage. 880.304 Section 880.304 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED... FEGLI coverage. (a) FEGLI premiums will not be collected during periods when an annuitant is a missing...

5 CFR 880.304 - FEGLI coverage.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false FEGLI coverage. 880.304 Section 880.304 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED... FEGLI coverage. (a) FEGLI premiums will not be collected during periods when an annuitant is a missing...

12 CFR 618.8040 - Authorized insurance services.

Code of Federal Regulations, 2011 CFR

2011-01-01

... basis, credit or term life and credit disability insurance appropriate to protect the loan commitment in... System bank or association may provide credit or term-life or credit-disability insurance only to persons... institution is the provider. Term-life insurance coverage may continue after the loan has been repaid or the...

An Approach To Using All Location Tagged Numerical Data Sets As Continuous Fields With User-Assigned Continuity As A Basis For User-Driven Data Assimilation

NASA Astrophysics Data System (ADS)

Vernon, F.; Arrott, M.; Orcutt, J. A.; Mueller, C.; Case, J.; De Wardener, G.; Kerfoot, J.; Schofield, O.

2013-12-01

Any approach sophisticated enough to handle a variety of data sources and scale, yet easy enough to promote wide use and mainstream adoption is required to address the following mappings: - From the authored domain of observation to the requested domain of interest; - From the authored spatiotemporal resolution to the requested resolution; and - From the representation of data placed on wide variety of discrete mesh types to the use of that data as a continuos field with a selectable continuity. The Open Geospatial Consortium's (OGC) Reference Model[1] with its direct association with the ISO 19000 series standards provides a comprehensive foundation to represent all data on any type of mesh structure, aka "Discrete Coverages". The Reference Model also provides the specification for the core operations required to utilize any Discrete Coverage. The FEniCS Project[2] provides a comprehensive model for how to represent the Basis Functions on mesh structures as "Degrees of Freedom" to present discrete data as continuous fields with variable continuity. In this talk, we will present the research and development the OOI Cyberinfrastructure Project is pursuing to integrate these approaches into a comprehensive Application Programming Interface (API) to author, acquire and operate on the broad range of data formulation from time series, trajectories and tables through to time variant finite difference grids and finite element meshes.

5 CFR 890.1107 - Length of temporary continuation of coverage.

Code of Federal Regulations, 2013 CFR

2013-01-01

... dependent children, were covered family members of a former employee receiving continued coverage under this... after the former spouse ceased meeting the requirements for coverage as a family member, unless it is...) Whose marriage to the former employee terminates after the former employee's separation but before the...

5 CFR 890.1107 - Length of temporary continuation of coverage.

Code of Federal Regulations, 2010 CFR

2010-01-01

... dependent children, were covered family members of a former employee receiving continued coverage under this... after the former spouse ceased meeting the requirements for coverage as a family member, unless it is...) Whose marriage to the former employee terminates after the former employee's separation but before the...

5 CFR 890.1107 - Length of temporary continuation of coverage.

Code of Federal Regulations, 2012 CFR

2012-01-01

... dependent children, were covered family members of a former employee receiving continued coverage under this... after the former spouse ceased meeting the requirements for coverage as a family member, unless it is...) Whose marriage to the former employee terminates after the former employee's separation but before the...

5 CFR 890.1107 - Length of temporary continuation of coverage.

Code of Federal Regulations, 2011 CFR

2011-01-01

... dependent children, were covered family members of a former employee receiving continued coverage under this... after the former spouse ceased meeting the requirements for coverage as a family member, unless it is...) Whose marriage to the former employee terminates after the former employee's separation but before the...

The Global Challenge in Basic Education: Why Continued Investment in Basic Education Is Important

ERIC Educational Resources Information Center

Mertaugh, Michael T.; Jimenez, Emmanuel Y.; Patrinos, Harry A.

2009-01-01

This paper documents the importance of continued investment in basic education and argues that investments need to be carefully targeted to address the constraints that limit the coverage and quality of education if they are to provide expected benefits. Part I begins with a discussion of the returns to investment in education. Part II then…

Panoramic thermal imaging: challenges and tradeoffs

NASA Astrophysics Data System (ADS)

Aburmad, Shimon

2014-06-01

Over the past decade, we have witnessed a growing demand for electro-optical systems that can provide continuous 3600 coverage. Applications such as perimeter security, autonomous vehicles, and military warning systems are a few of the most common applications for panoramic imaging. There are several different technological approaches for achieving panoramic imaging. Solutions based on rotating elements do not provide continuous coverage as there is a time lag between updates. Continuous panoramic solutions either use "stitched" images from multiple adjacent sensors, or sophisticated optical designs which warp a panoramic view onto a single sensor. When dealing with panoramic imaging in the visible spectrum, high volume production and advancement of semiconductor technology has enabled the use of CMOS/CCD image sensors with a huge number of pixels, small pixel dimensions, and low cost devices. However, in the infrared spectrum, the growth of detector pixel counts, pixel size reduction, and cost reduction is taking place at a slower rate due to the complexity of the technology and limitations caused by the laws of physics. In this work, we will explore the challenges involved in achieving 3600 panoramic thermal imaging, and will analyze aspects such as spatial resolution, FOV, data complexity, FPA utilization, system complexity, coverage and cost of the different solutions. We will provide illustrations, calculations, and tradeoffs between three solutions evaluated by Opgal: A unique 3600 lens design using an LWIR XGA detector, stitching of three adjacent LWIR sensors equipped with a low distortion 1200 lens, and a fisheye lens with a HFOV of 180º and an XGA sensor.

After-hours care and its coordination with primary care in the U.S.

PubMed

O'Malley, Ann S; Samuel, Divya; Bond, Amelia M; Carrier, Emily

2012-11-01

Despite expectations that medical homes provide "24 × 7 coverage" there is little to guide primary care practices in developing sustainable models for accessible and coordinated after-hours care. To identify and describe models of after-hours care in the U.S. that are delivered in primary care sites or coordinated with a patient's usual primary care provider. Qualitative analysis of data from in-depth telephone interviews. Primary care practices in 16 states and the organizations they partner with to provide after-hours coverage. Forty-four primary care physicians, practice managers, nurses and health plan representatives from 28 organizations. Analyses examined after-hours care models, facilitators, barriers and lessons learned. Based on 28 organizations interviewed, five broad models of after-hours care were identified, ranging in the extent to which they provide continuity and patient access. Key themes included: 1) The feasibility of a model varies for many reasons, including patient preferences and needs, the local health care market supply, and financial compensation; 2) A shared electronic health record and systematic notification procedures were extremely helpful in maintaining information continuity between providers; and 3) after-hours care is best implemented as part of a larger practice approach to access and continuity. After-hours care coordinated with a patient's usual primary care provider is facilitated by consideration of patient demand, provider capacity, a shared electronic health record, systematic notification procedures and a broader practice approach to improving primary care access and continuity. Payer support is important to increasing patients' access to after-hours care.

California's “Bridge to Reform”: Identifying Challenges and Defining Strategies for Providers and Policymakers Implementing the Affordable Care Act in Low-Income HIV/AIDS Care and Treatment Settings

PubMed Central

Hazelton, Patrick T.; Steward, Wayne T.; Collins, Shane P.; Gaffney, Stuart; Morin, Stephen F.; Arnold, Emily A.

2014-01-01

Background In preparation for full Affordable Care Act implementation, California has instituted two healthcare initiatives that provide comprehensive coverage for previously uninsured or underinsured individuals. For many people living with HIV, this has required transition either from the HIV-specific coverage of the Ryan White program to the more comprehensive coverage provided by the county-run Low-Income Health Programs or from Medicaid fee-for-service to Medicaid managed care. Patient advocates have expressed concern that these transitions may present implementation challenges that will need to be addressed if ambitious HIV prevention and treatment goals are to be achieved. Methods 30 semi-structured, in-depth interviews were conducted between October, 2012, and February, 2013, with policymakers and providers in 10 urban, suburban, and rural California counties. Interview topics included: continuity of patient care, capacity to handle payer source transitions, and preparations for healthcare reform implementation. Study team members reviewed interview transcripts to produce emergent themes, develop a codebook, build inter-rater reliability, and conduct analyses. Results Respondents supported the goals of the ACA, but reported clinic and policy-level challenges to maintaining patient continuity of care during the payer source transitions. They also identified strategies for addressing these challenges. Areas of focus included: gaps in communication to reach patients and develop partnerships between providers and policymakers, perceived inadequacy in new provider networks for delivering quality HIV care, the potential for clinics to become financially insolvent due to lower reimbursement rates, and increased administrative burdens for clinic staff and patients. Conclusions California's new healthcare initiatives represent ambitious attempts to expand and improve health coverage for low-income individuals. The state's challenges in maintaining quality care and treatment for people living with HIV experiencing these transitions demonstrate the importance of setting effective policies in anticipation of full ACA implementation in 2014. PMID:24599337

California's "Bridge to Reform": identifying challenges and defining strategies for providers and policymakers implementing the Affordable Care Act in low-income HIV/AIDS care and treatment settings.

PubMed

Hazelton, Patrick T; Steward, Wayne T; Collins, Shane P; Gaffney, Stuart; Morin, Stephen F; Arnold, Emily A

2014-01-01

In preparation for full Affordable Care Act implementation, California has instituted two healthcare initiatives that provide comprehensive coverage for previously uninsured or underinsured individuals. For many people living with HIV, this has required transition either from the HIV-specific coverage of the Ryan White program to the more comprehensive coverage provided by the county-run Low-Income Health Programs or from Medicaid fee-for-service to Medicaid managed care. Patient advocates have expressed concern that these transitions may present implementation challenges that will need to be addressed if ambitious HIV prevention and treatment goals are to be achieved. 30 semi-structured, in-depth interviews were conducted between October, 2012, and February, 2013, with policymakers and providers in 10 urban, suburban, and rural California counties. Interview topics included: continuity of patient care, capacity to handle payer source transitions, and preparations for healthcare reform implementation. Study team members reviewed interview transcripts to produce emergent themes, develop a codebook, build inter-rater reliability, and conduct analyses. Respondents supported the goals of the ACA, but reported clinic and policy-level challenges to maintaining patient continuity of care during the payer source transitions. They also identified strategies for addressing these challenges. Areas of focus included: gaps in communication to reach patients and develop partnerships between providers and policymakers, perceived inadequacy in new provider networks for delivering quality HIV care, the potential for clinics to become financially insolvent due to lower reimbursement rates, and increased administrative burdens for clinic staff and patients. California's new healthcare initiatives represent ambitious attempts to expand and improve health coverage for low-income individuals. The state's challenges in maintaining quality care and treatment for people living with HIV experiencing these transitions demonstrate the importance of setting effective policies in anticipation of full ACA implementation in 2014.

Improving Medicare coverage of psychological services for older Americans.

PubMed

Karlin, Bradley E; Humphreys, Keith

2007-10-01

Professional psychology's ability to meet older Americans' psychological needs and to simultaneously thrive as a profession will be closely tied to the federal Medicare program over the coming decades. Despite legislative changes in the 1980s providing professional autonomy to psychologists and expanding coverage for mental health services, Medicare coverage policies, reimbursement mechanisms, and organizational traditions continue to limit older Americans' access to psychological services. This article describes how psychologists can influence Medicare coverage policy. Specifically, the authors examine widely unrecognized policy processes and recent political developments and analyze the recent creation of a new Medicare counseling benefit, applying J. W. Kingdon's (1995) well-known model of policy change. These recent developments offer new opportunities for expanding Medicare coverage of psychological services, particularly in the areas of prevention, screening, and early intervention. The article provides an analysis to guide psychologists in engaging in strategic advocacy and incorporating psychological prevention and early intervention services into Medicare. As Medicare policy entrepreneurs, psychologists can improve the well-being of millions of Americans who rely on the national health insurance program and, in so doing, can help shape the future practice of psychology. Copyright 2007 APA, all rights reserved.

Coverage and control of constellations of elliptical inclined frozen lunar orbits

NASA Technical Reports Server (NTRS)

Ely, Todd A.

2005-01-01

A great deal of scientific interest exists regarding the permanently shadowed craters near the poles of the Moon where there may be frozen volatiles. These regions, particularly the Moon's South Pole, have been proposed for extensive robotic and human exploration. Unfortunately, they are typically not in view of Earth, and would require some form of communication relay to facilitate exploration via robotic and/or human missions. One solution for such a relay is a long-lived constellation of lunar telecommunication orbiters providing focused coverage at the pole of interest. Robust support requires this coverage to be continuous, redundant, and, in order to minimize costs, this constellation should consist of 3 satellites or fewer.

Flexible Graphene Composites for Human Space Flight Applications

NASA Technical Reports Server (NTRS)

Sosa, Edward D.

2013-01-01

Graphene oxide allows for better dispersion stability in aqueous and organic solvents. Stabilizers provide dispersion of pristine graphene. Roll coating provide the best coverage of polyurethane sheets. Graphene and GO coated polyurethane used to fabricate flexible laminate composite. Permeation testing indicates that pristine graphene acts as a better gas barrier material. Continuous graphene films are expected to provide even better gas barrier properties.

Method for lubricating contacting surfaces

DOEpatents

Dugger, Michael T [Tijeras, NM; Ohlhausen, James A [Albuquerque, NM; Asay, David B [Boalsburg, PA; Kim, Seong H [State College, PA

2011-12-06

A method is provided for tribological lubrication of sliding contact surfaces, where two surfaces are in contact and in motion relative to each other, operating in a vapor-phase environment containing at least one alcohol compound at a concentration sufficiently high to provide one monolayer of coverage on at least one of the surfaces, where the alcohol compound continuously reacts at the surface to provide lubrication.

Federal employees health benefits: payment of premiums for periods of leave without pay or insufficient pay. Final rule.

PubMed

2007-02-05

The Office of Personnel Management (OPM) is issuing final regulations to rewrite certain sections of the Federal regulations in plain language. These final regulations require Federal agencies to provide employees entering leave without pay (LWOP) status, or whose pay is insufficient to cover their Federal Employees Health Benefits (FEHB) premium payments, written notice of their opportunity to continue their FEHB coverage. Employees who want to continue their enrollment must sign a form agreeing to pay their premiums directly to their agency on a current basis, or to incur a debt to be withheld from their future salary. The purpose of this final regulation is to rewrite the existing regulations to ensure that employees who are entering LWOP status, or whose pay is insufficient to pay their FEHB premiums, are fully informed when they decide whether or not to continue their FEHB coverage.

Multisatellite systems with linear structure and their application for continuous coverage of the earth

NASA Astrophysics Data System (ADS)

Saulskiy, V. K.

2005-01-01

Multisatellite systems with linear structure (SLS) are defined, and their application for a continuous global or zonal coverage of the Earth’s surface is justified. It is demonstrated that in some cases these systems turned out to be better than usually recommended kinematically regular systems by G.V. Mozhaev, delta systems of J.G. Walker, and polar systems suggested by F.W. Gobets, L. Rider, and W.S. Adams. When a comparison is made using the criterion of a minimum radius of one-satellite coverage circle, the SLS beat the other systems for the majority of satellite numbers from the range 20 63, if the global continuous single coverage of the Earth is required. In the case of a zonal continuous single coverage of the latitude belt ±65°, the SLS are preferable at almost all numbers of satellites from 38 to 100, and further at any values up to 200 excluding 144.

[Factors associated with reported vaccination coverage in early infancy: results of a telephone survey].

PubMed

Nebot, M; Muñoz, E; Figueres, M; Rovira, G; Robert, M; Minguell, D

2001-01-01

Barcelona's Continuing Immunization Plan affords the possibility Of monitoring the immunization coverage of the population by means of the voluntary family postal notification system. Prior studies have revealed that some families fail to provide notification while being correctly vaccinated, which can lead to actual coverage being underestimated. The objectives of this study are to estimate the early childhood immunization coverage of the population and to ascertain the factors associated with failure to provide notification of immunization. A phone survey was conducted on a sample of 500 children regarding whom there was no record of any notification of the first three childhood vaccine doses (diphtheria, tetanus, whooping cough and oral polio), in addition to a sample of 500 children who were on record as having been immunized. To estimate the actual immunization coverage, all children were considered to have been properly immunized when their family members did provide notification. As regards those who failed to reply, it was considered in the worst of cases that these were cases of children who had not be immunized. In the best of cases scenario, a coverage similar to those of the responses was assumed. The response to the questionnaire was higher among those who had previously provided notification of immunization by way of the postal notification system (79.1%) than among those who had failed to provide notification of immunization (67%). The leading factors associated with failure to report immunization status were the size of the families, the use of private health care services and the place of birth of the parents. Solely six (6) cases of those who had failed to report immunization admitted to not having immunized their children, totaling 1.9% of the responses. The immunization coverage of the population in question would total 99.7% in the best of cases and 93.7% in the worst of cases scenario. Immunization coverage of the population in question is quite high. The results underline the importance of promoting immunization notification among health care professionals, especially in the private sector.

Health Plans' Early Response to Federal Parity Legislation for Mental Health and Addiction Services.

PubMed

Horgan, Constance M; Hodgkin, Dominic; Stewart, Maureen T; Quinn, Amity; Merrick, Elizabeth L; Reif, Sharon; Garnick, Deborah W; Creedon, Timothy B

2016-02-01

In 2008, the federal Mental Health Parity and Addiction Equity Act (MHPAEA) passed, prohibiting U.S. health plans from subjecting mental health and substance use disorder (behavioral health) coverage to more restrictive limitations than those applied to general medical care. This require d some health plans to make changes in coverage and management of services. The aim of this study was to examine private health plans' early responses to MHPAEA (after its 2010 implementation), in terms of both intended and unintended effects. Data were from a nationally representative survey of commercial health plans regarding the 2010 benefit year and the preparity 2009 benefit year (weighted N=8,431 products; 89% response rate). Annual limits specific to behavioral health care were virtually eliminated between 2009 and 2010. Prevalence of behavioral health coverage was unchanged, and copayments for both behavioral and general medical services increased slightly. Prior authorization requirements for specialty medical and behavioral health outpatient services continued to decline, and the proportion of products reporting strict continuing review requirements increased slightly. Contrary to expectations, plans did not make significant changes in contracting arrangements for behavioral health services, and 80% reported an increase in size of their behavioral health provider network. The law had the intended effect of eliminating quantitative limitations that applied only to behavioral health care without unintended consequences such as eliminating behavioral health coverage. Plan decisions may also reflect other factors, including anticipation of the 2010 regulations and a continuation of trends away from requiring prior authorization.

5 CFR 890.1106 - Coverage.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 5 Administrative Personnel 2 2012-01-01 2012-01-01 false Coverage. 890.1106 Section 890.1106... EMPLOYEES HEALTH BENEFITS PROGRAM Temporary Continuation of Coverage § 890.1106 Coverage. (a) Type of enrollment. An individual who enrolls under this subpart may elect coverage for self alone or self and family...

5 CFR 890.1106 - Coverage.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 5 Administrative Personnel 2 2014-01-01 2014-01-01 false Coverage. 890.1106 Section 890.1106... EMPLOYEES HEALTH BENEFITS PROGRAM Temporary Continuation of Coverage § 890.1106 Coverage. (a) Type of enrollment. An individual who enrolls under this subpart may elect coverage for self alone or self and family...

5 CFR 890.1106 - Coverage.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false Coverage. 890.1106 Section 890.1106... EMPLOYEES HEALTH BENEFITS PROGRAM Temporary Continuation of Coverage § 890.1106 Coverage. (a) Type of enrollment. An individual who enrolls under this subpart may elect coverage for self alone or self and family...

5 CFR 890.1106 - Coverage.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 5 Administrative Personnel 2 2013-01-01 2013-01-01 false Coverage. 890.1106 Section 890.1106... EMPLOYEES HEALTH BENEFITS PROGRAM Temporary Continuation of Coverage § 890.1106 Coverage. (a) Type of enrollment. An individual who enrolls under this subpart may elect coverage for self alone or self and family...

45 CFR 400.104 - Continued coverage of recipients who receive increased earnings from employment.

Code of Federal Regulations, 2011 CFR

2011-10-01

... assistance until he/she reaches the end of his or her time-eligibility period for refugee medical assistance, in accordance with § 400.100(b). (d) In cases where a refugee is covered by employer-provided health...

Implications of health reform for retiree health benefits.

PubMed

Fronstin, Paul

2010-01-01

This Issue Brief examines how current health reform legislation being debated in Congress will impact the future of retiree health benefits. In general, the proposals' provisions will have a mixed impact on retiree health benefits: In the short term, the reinsurance provisions would help shore up early retiree coverage and Medicare Part D coverage would become more valuable to retirees. In the longer term, insurance reform combined with new subsidies for individuals enrolling for coverage through insurance exchanges, the maintenance-of-effort provision affecting early retiree benefits, increases to the cost of providing drug benefits to retirees, and enhanced Medicare Part D coverage, would all create significant incentives for employers to drop coverage for early retirees and drug coverage for Medicare-eligible retirees. REINSURANCE PROGRAM FOR EARLY RETIREES: Proposed legislation includes a provision to create a temporary reinsurance program for employers providing health benefits to retirees over age 55 and not yet eligible for Medicare. Given the temporary nature of the program, it is intended to provide employers an incentive to maintain benefits until the health insurance exchange is fully operational. At that point, employers will have less incentive to provide health benefits to early retirees, and retirees will have less need for former employers to maintain a program. MEDICARE DRUG BENEFITS: The House-passed bill would initially reduce the coverage gap (the so-called "doughnut hole") for individuals in the Medicare Part D program by $500 and eliminate it altogether by 2019. The bill currently before the Senate would also reduce the coverage gap by $500, but does not call for eliminating it. Both would also provide a 50 percent discount to brand-name drug coverage in the coverage gap. These provisions increase the value of the Medicare Part D drug program to Medicare-eligible beneficiaries relative to drug benefits provided by employers. TAX TREATMENT OF EMPLOYER SUBSIDIES UNDER MMA: The Medicare Modernization Act provides subsidies to employers that continue to offer prescription drug coverage through a retiree health benefits program. This subsidy is currently not counted as taxable income to the employer receiving it. Both the House and Senate bills would effectively repeal this tax exclusion. This would have two effects: The real cost of providing retiree health benefits to Medicare-eligible retirees would increase, and an employer's FAS 106 liability would increase immediately. The increase in the cost of retiree drug benefits will cause employers to re-evaluate the subsidy, compared with other available options. Moving retirees to Medicare Part D may become even more attractive to employers if the coverage gap is reduced and/or eliminated. POSTRETIREMENT BENEFIT CHANGES: With some exceptions, the House-passed legislation would prohibit employers from changing the benefits offered to retirees and their beneficiaries once a person has retired. This provision could have a number of different effects: More employers may move toward capping their contributions; employers that want to maintain retiree health benefits may react by cutting the health benefits of active workers; employers may eliminate retiree health benefits altogether to avoid being locked into providing a permanent benefit; or they may drop benefits if they think there is no need to provide them.

29 CFR 2590.609-1 - [Reserved

Code of Federal Regulations, 2010 CFR

2010-07-01

... Relating to Labor (Continued) EMPLOYEE BENEFITS SECURITY ADMINISTRATION, DEPARTMENT OF LABOR GROUP HEALTH PLANS RULES AND REGULATIONS FOR GROUP HEALTH PLANS Continuation Coverage, Qualified Medical Child Support Orders, Coverage for Adopted Children § 2590.609-1 [Reserved] ...

Observations of Penetration Electric Fields and Sub-Auroral Ion Drifts With Mid-Latitude SuperDARN Radars

NASA Astrophysics Data System (ADS)

Baker, J. B.; Greenwald, R. A.; Yin, Y.; Ruohoniemi, J. M.; Clausen, L.; Frissell, N. A.; Ribeiro, A. J.

2009-12-01

The Super Dual Auroral Radar Network (SuperDARN) provides continuous Doppler measurements of ionospheric plasma convection over extended spatial scales with high temporal resolution. First generation SuperDARN radars were constructed at magnetic latitudes near 60 degrees to optimize coverage during periods of moderate geomagnetic activity. In recent years there has been an expansion of the network to middle latitudes to increase coverage during enhanced geomagnetic activity, such as during magnetic storms. In this paper we present measurements of prompt penetration electric fields and sub-auroral ion drift (SAID) events observed by the Wallops and Blackstone radars at middle latitudes. Together, these two radars provide a capability to continuously examine the temporal evolution of these features over an extended local time sector. We present case studies and statistical results showing that transient sub-auroral flow enhancements occur over a wide range of magnetospheric disturbance levels and are often highly correlated with activity at higher latitudes.

26 CFR 1.410(b)-1 - Minimum coverage requirements (before 1994).

Code of Federal Regulations, 2011 CFR

2011-04-01

... (CONTINUED) INCOME TAX (CONTINUED) INCOME TAXES (CONTINUED) Pension, Profit-Sharing, Stock Bonus Plans, Etc... the minimum age and service requirements (if any) prescribed by the plan, as of the date coverage is... employees (including employees who do not satisfy the minimum age or service requirements of the plan) are...

Discontinuity of Medicaid Coverage: Impact on Cost and Utilization Among Adult Medicaid Beneficiaries With Major Depression.

PubMed

Ji, Xu; Wilk, Adam S; Druss, Benjamin G; Lally, Cathy; Cummings, Janet R

2017-08-01

Gaps in Medicaid coverage may disrupt access to and continuity of care. This can be detrimental for beneficiaries with chronic conditions, such as major depression, for whom disruptions in access to outpatient care may lead to increased use of acute care. However, little is known about how Medicaid coverage discontinuities impact acute care utilization among adults with depression. Examine the relationship between Medicaid discontinuities and service utilization among adults with major depression. A total of 139,164 adults (18-64) with major depression was identified using the 2003-2004 Medicaid Analytic eXtract Files. We used generalized linear and two-part models to examine the effect of Medicaid discontinuity on service utilization. To establish causality in this relationship, we used instrumental variables analysis, relying on exogenous variation in a state-level policy for identification. Emergency department (ED) visits, inpatient episodes, inpatient days, and Medicaid-reimbursed costs. Approximately 29.4% of beneficiaries experienced coverage disruptions. In instrumental variables models, those with coverage disruptions incurred an increase of $650 in acute care costs per-person per Medicaid-covered month compared with those with continuous coverage, evidenced by an increase in ED use (0.1 more ED visits per-person-month) and inpatient days (0.6 more days per-person-month). The increase in acute costs contributed to an overall increase in all-cause costs by $310 per-person-month (all P-values<0.001). Among depressed adults, those experiencing coverage disruptions have, on average, significantly greater use of costly ED/inpatient services than those with continuous coverage. Maintenance of continuous Medicaid coverage may help prevent acute episodes requiring high-cost interventions.

Imputing forest carbon stock estimates from inventory plots to a nationally continuous coverage

Treesearch

Barry Tyler Wilson; Christopher W. Woodall; Douglas M. Griffith

2013-01-01

The U.S. has been providing national-scale estimates of forest carbon (C) stocks and stock change to meet United Nations Framework Convention on Climate Change (UNFCCC) reporting requirements for years. Although these currently are provided as national estimates by pool and year to meet greenhouse gas monitoring requirements, there is growing need to disaggregate these...

Health insurance eroding for working families: employer-provided coverage declines for fifth consecutive year.

PubMed

Gould, Elise

2007-01-01

In 2005, the percentage of Americans with employer-provided health insurance fell for the fifth year in a row. Workers and their families have been falling into the ranks of the uninsured at alarming rates. The downward trend in employer-provided coverage for children also continued into 2005. In the previous four years, children were less likely to become uninsured as public sector health coverage expanded, but in 2005 the rate of uninsured children increased. While Medicaid and SCHIP still work for many, the government has not picked up coverage for everybody who lost insurance. The weakening of this system-notably for children-is particularly difficult for workers and their families in a time of stagnating incomes. Furthermore, these programs are not designed to prevent low-income adults or middle- or high-income families from becoming uninsured. Government at the federal and state levels has responded to medical inflation with policy changes that reduce public insurance eligibility or with proposals to reduce government costs. Federal policy proposals to lessen the tax advantage of workplace insurance or to encourage a private purchase system could further destabilize the employer-provided system. Now is a critical time to consider health insurance reform. Several promising solutions could increase access to affordable health care. The key is to create large, varied, and stable risk pools.

Medicare Part D: successes and continuing challenges. Impact of Medicare Part D on Massachusetts health programs and beneficiaries.

PubMed

Thomas, Cindy Parks; Sussman, Jeffrey

2007-05-30

On January 1, 2006, the Centers for Medicare and Medicaid Services (CMS) implemented the Medicare Drug Benefit, or "Medicare Part D." The program offers prescription drug coverage for the one million Medicare beneficiaries in Massachusetts. Part D affects Massachusetts state health programs and beneficiaries in a number of ways. The program: (1) provides prescription drug insurance, including catastrophic coverage, through a choice of private prescription drug plans (PDPs) or integrated Medicare Advantage (MA-PD) health plans; (2) shifts prescription drug coverage for dual-eligible Medicare / Medicaid beneficiaries from Medicaid to Medicare Part D drug plans; (3) requires a maintenance-of-effort, or "clawback" payments from states to CMS designed to capture a portion of states' Medicaid savings to help finance the benefit; (4) offers additional help for premiums and cost sharing to low income beneficiaries through the Low Income Subsidy (LIS); and (5) provides a subsidy to employer groups that maintain their own prescription drug coverage for retired beneficiaries. This paper summarizes the activities involved in implementing Medicare Part D, the impact it has had on Massachusetts health programs, and the experiences of beneficiaries and others conducting outreach and enrollment. The data are drawn from interviews with officials and documents provided by state health programs, CMS and the Social Security Administration, and representatives of provider and advocacy groups involved in the enrollment and ongoing support of Medicare beneficiaries.

29 CFR 4022.27 - Effect of tax disqualification.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 9 2011-07-01 2011-07-01 false Effect of tax disqualification. 4022.27 Section 4022.27 Labor Regulations Relating to Labor (Continued) PENSION BENEFIT GUARANTY CORPORATION COVERAGE AND... Effect of tax disqualification. (a) General rule. Except as provided in paragraph (b) of this section...

29 CFR 4022.27 - Effect of tax disqualification.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 9 2010-07-01 2010-07-01 false Effect of tax disqualification. 4022.27 Section 4022.27 Labor Regulations Relating to Labor (Continued) PENSION BENEFIT GUARANTY CORPORATION COVERAGE AND... Effect of tax disqualification. (a) General rule. Except as provided in paragraph (b) of this section...

Using health-facility data to assess subnational coverage of maternal and child health indicators, Kenya.

PubMed

Maina, Isabella; Wanjala, Pepela; Soti, David; Kipruto, Hillary; Droti, Benson; Boerma, Ties

2017-10-01

To develop a systematic approach to obtain the best possible national and subnational statistics for maternal and child health coverage indicators from routine health-facility data. Our approach aimed to obtain improved numerators and denominators for calculating coverage at the subnational level from health-facility data. This involved assessing data quality and determining adjustment factors for incomplete reporting by facilities, then estimating local target populations based on interventions with near-universal coverage (first antenatal visit and first dose of pentavalent vaccine). We applied the method to Kenya at the county level, where routine electronic reporting by facilities is in place via the district health information software system. Reporting completeness for facility data were well above 80% in all 47 counties and the consistency of data over time was good. Coverage of the first dose of pentavalent vaccine, adjusted for facility reporting completeness, was used to obtain estimates of the county target populations for maternal and child health indicators. The country and national statistics for the four-year period 2012/13 to 2015/16 showed good consistency with results of the 2014 Kenya demographic and health survey. Our results indicated a stagnation of immunization coverage in almost all counties, a rapid increase of facility-based deliveries and caesarean sections and limited progress in antenatal care coverage. While surveys will continue to be necessary to provide population-based data, web-based information systems for health facility reporting provide an opportunity for more frequent, local monitoring of progress, in maternal and child health.

Insurance cancellations in context: stability of coverage in the nongroup market prior to health reform.

PubMed

Sommers, Benjamin D

2014-05-01

Recent cancellations of nongroup health insurance plans generated much policy debate and raised concerns that the Affordable Care Act (ACA) may increase the number of uninsured Americans in the short term. This article provides evidence on the stability of nongroup coverage using US census data for the period 2008-11, before ACA provisions took effect. The principal findings are threefold. First, this market was characterized by high turnover: Only 42 percent of people with nongroup coverage at the outset of the study period retained that coverage after twelve months. Second, 80 percent of people experiencing coverage changes acquired other insurance within a year, most commonly from an employer. Third, turnover varied across groups, with stable coverage more common for whites and self-employed people than for other groups. Turnover was particularly high among adults ages 19-35, with only 21 percent of young adults retaining continuous nongroup coverage for two years. Given estimates from 2012 that 10.8 million people were covered in this market, these results suggest that 6.2 million people leave nongroup coverage annually. This suggests that the nongroup market was characterized by frequent disruptions in coverage before the ACA and that the effects of the recent cancellations are not necessarily out of the norm. These results can serve as a useful pre-ACA baseline with which to evaluate the law's long-term impact on the stability of nongroup coverage.

29 CFR 2590.701-2 - Definitions.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Regulations Relating to Labor (Continued) EMPLOYEE BENEFITS SECURITY ADMINISTRATION, DEPARTMENT OF LABOR GROUP HEALTH PLANS RULES AND REGULATIONS FOR GROUP HEALTH PLANS Health Coverage Portability, Nondiscrimination... coverage, under a group health plan, that satisfies an applicable COBRA continuation provision. (3) COBRA...

5 CFR 850.401 - Electronic notice of coverage determination.

Code of Federal Regulations, 2010 CFR

2010-01-01

... determination. 850.401 Section 850.401 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT SYSTEMS MODERNIZATION Submission of Law Enforcement... notice of law enforcement officer, firefighter, or nuclear materials retirement coverage, required by...

5 CFR 850.401 - Electronic notice of coverage determination.

Code of Federal Regulations, 2012 CFR

2012-01-01

... determination. 850.401 Section 850.401 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT SYSTEMS MODERNIZATION Submission of Law Enforcement... notice of law enforcement officer, firefighter, or nuclear materials retirement coverage, required by...

5 CFR 850.401 - Electronic notice of coverage determination.

Code of Federal Regulations, 2011 CFR

2011-01-01

... determination. 850.401 Section 850.401 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT SYSTEMS MODERNIZATION Submission of Law Enforcement... notice of law enforcement officer, firefighter, or nuclear materials retirement coverage, required by...

5 CFR 850.401 - Electronic notice of coverage determination.

Code of Federal Regulations, 2013 CFR

2013-01-01

... determination. 850.401 Section 850.401 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT SYSTEMS MODERNIZATION Submission of Law Enforcement... notice of law enforcement officer, firefighter, or nuclear materials retirement coverage, required by...

Does Churning in Medicaid Affect Health Care Use?

PubMed Central

Roberts, Eric T.; Pollack, Craig Evan

2017-01-01

Background Transitions into and out of Medicaid, termed churning, may disrupt access to and continuity of care. Low-income, working adults who became eligible for Medicaid under the Affordable Care Act are particularly susceptible to income and employment changes that lead to churning. Objective To compare health care use among adults who do and do not churn into and out of Medicaid. Data Longitudinal data from 6 panels of the Medical Expenditure Panel Survey. Methods We used differences-in-differences regression to compare health care use when adults reenrolled in Medicaid following a loss of coverage, to utilization in a control group of continuously enrolled adults. Outcome Measures Emergency department (ED) visits, ED visits resulting in an inpatient admission, and visits to office-based providers. Results During the study period, 264 adults churned into and out of Medicaid and 627 had continuous coverage. Churning adults had an average of approximately 0.05 Medicaid-covered office-based visits per month 4 months before reenrolling in Medicaid, significantly below the rate of approximately 0.20 visits in the control group. Visits to office-based providers did not reach the control group rate until several months after churning adults had resumed Medicaid coverage. Our comparisons found no evidence of significantly elevated ED and inpatient admission rates in the churning group following reenrollment. Conclusions Adults who lose Medicaid tend to defer their use of office-based care to periods when they are insured. Although this suggests that enrollment disruptions lead to suboptimal timing of care, we do not find evidence that adults reenroll in Medicaid with elevated acute care needs. PMID:26908088

Continuous All-Sky Cloud Measurements: Cloud Fraction Analysis Based on a Newly Developed Instrument

NASA Astrophysics Data System (ADS)

Aebi, C.; Groebner, J.; Kaempfer, N.; Vuilleumier, L.

2017-12-01

Clouds play an important role in the climate system and are also a crucial parameter for the Earth's surface energy budget. Ground-based measurements of clouds provide data in a high temporal resolution in order to quantify its influence on radiation. The newly developed all-sky cloud camera at PMOD/WRC in Davos (Switzerland), the infrared cloud camera (IRCCAM), is a microbolometer sensitive in the 8 - 14 μm wavelength range. To get all-sky information the camera is located on top of a frame looking downward on a spherical gold-plated mirror. The IRCCAM has been measuring continuously (day and nighttime) with a time resolution of one minute in Davos since September 2015. To assess the performance of the IRCCAM, two different visible all-sky cameras (Mobotix Q24M and Schreder VIS-J1006), which can only operate during daytime, are installed in Davos. All three camera systems have different software for calculating fractional cloud coverage from images. Our study analyzes mainly the fractional cloud coverage of the IRCCAM and compares it with the fractional cloud coverage calculated from the two visible cameras. Preliminary results of the measurement accuracy of the IRCCAM compared to the visible camera indicate that 78 % of the data are within ± 1 octa and even 93 % within ± 2 octas. An uncertainty of 1-2 octas corresponds to the measurement uncertainty of human observers. Therefore, the IRCCAM shows similar performance in detection of cloud coverage as the visible cameras and the human observers, with the advantage that continuous measurements with high temporal resolution are possible.

Health Plans’ Early Response to Federal Parity Legislation for Mental Health and Addiction Services

PubMed Central

Horgan, Constance M.; Hodgkin, Dominic; Stewart, Maureen T.; Merrick, Elizabeth L.; Reif, Sharon; Garnick, Deborah W.; Quinn, Amity E.; Creedon, Timothy B.

2015-01-01

Objective In 2008 the federal Mental Health Parity and Addiction Equity Act (MHPAEA) passed, prohibiting U.S. health plans from subjecting mental health and substance use disorder (behavioral health) coverage to more restrictive limitations than those applied to general medical care. This require d some health plans to make changes in coverage and management of services. The aim of this study was to examine private health plans’ early responses to MHPAEA (after its 2010 implementation), in terms of both the intended and unintended effects. Methods Data were from a nationally representative survey of commercial health plans regarding the 2010 benefit year and the preparity 2009 benefit year (weighted N=8,431 products; 89% response rate). Results Annual limits specific to behavioral health care were virtually eliminated between 2009 and 2010. Prevalence of behavioral health coverage was unchanged, and copayments for both behavioral and general medical services increased slightly. Prior authorization requirements for specialty medical and behavioral health outpatient services continued to decline, and the proportion of products reporting strict continuing review requirements increased slightly. Contrary to expectations, plans did not make significant changes in contracting arrangements for behavioral health services, and 80% reported an increase in size of their behavioral health provider network. Conclusions The law had the intended effect of eliminating quantitative limitations that applied only to behavioral health care without unintended consequences such as eliminating behavioral health coverage. Plan decisions may also reflect other factors, including anticipation of the 2010 regulations and a continuation of trends away from requiring prior authorization. PMID:26369886

5 CFR 792.103 - Coverage.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 5 Administrative Personnel 2 2013-01-01 2013-01-01 false Coverage. 792.103 Section 792.103 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES' HEALTH, COUNSELING, AND WORK/LIFE PROGRAMS Alcoholism and Drug Abuse Programs and Services for...

5 CFR 792.103 - Coverage.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 5 Administrative Personnel 2 2012-01-01 2012-01-01 false Coverage. 792.103 Section 792.103 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES' HEALTH AND COUNSELING PROGRAMS Regulatory Requirements for Alcoholism and Drug Abuse Programs and...

5 CFR 792.103 - Coverage.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false Coverage. 792.103 Section 792.103 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES' HEALTH AND COUNSELING PROGRAMS Regulatory Requirements for Alcoholism and Drug Abuse Programs and...

5 CFR 792.103 - Coverage.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Coverage. 792.103 Section 792.103 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES' HEALTH AND COUNSELING PROGRAMS Regulatory Requirements for Alcoholism and Drug Abuse Programs and...

5 CFR 792.103 - Coverage.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 5 Administrative Personnel 2 2014-01-01 2014-01-01 false Coverage. 792.103 Section 792.103 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES' HEALTH, COUNSELING, AND WORK/LIFE PROGRAMS Alcoholism and Drug Abuse Programs and Services for...

5 CFR 890.302 - Coverage of family members.

Code of Federal Regulations, 2013 CFR

2013-01-01

... Section 890.302 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM Enrollment § 890.302 Coverage of family...) Evidence of goods or services which show regular and substantial contributions of considerable value; (v...

Employment transitions and continuity of health insurance: implications for premium assistance programs.

PubMed

Marquis, M Susan; Kapur, Kanika

2003-01-01

We use data from two nationwide panel surveys to explore whether premium assistance programs can provide stable insurance for low-income children. We estimate that low-income children who are newly enrolled in an employer-group plan would keep that coverage longer than similar children keep newly acquired public insurance. We conclude that group coverage could provide a source of insurance for eligible low-income children that is more stable than public insurance. However, only one-third of low-income uninsured children have access to group insurance, and most low-income children with access to a group plan are enrolled in it. Thus, premium assistance programs are difficult to target effectively, and other programs are necessary to reach the majority of uninsured children.

The current status of positron emission tomography.

PubMed

Digby, W; Keppler, J

2000-01-01

Positron emission tomography (PET), invented over 25 years ago, is the only imaging technique that provides images of the biological basis of disease. Since disease is a biological process, PET routinely detects disease when other imaging studies, such as CT and MRI, are normal. In addition to its clinical effectiveness, PET has been shown to reduce costs, primarily due to the elimination of other less accurate diagnostic tests and ineffective surgeries. PET has been determined to be applicable to a number of specific applications in the areas of: imaging cancer patients, characterizing myocardial blood flow and viability, and brain imaging in various physiological and pathologic conditions. Tremendous progress has been made in resolving the regulatory and reimbursement issues facing the field of PET. Working with HCFA, representatives of the Institute for Clinical PET and the Society of Nuclear Medicine have brought about expanded HCFA coverage for PET. When HCFA first authorized payment for PET, all coverage decisions were restricted to HCFA and an expanded national coverage policy. HCFA revised its national coverage policy in 1997; this was the first of several steps taken by HCFA towards careful expansion of PET reimbursement. In March 1999, three new indications for whole-body PET scans were added to Medicare's coverage policy. The Institute for Clinical PET is continuing to work with HCFA on continued, appropriate expansion of the coverage policy. This article is partially excerpted from a written statement made by Terry Douglass, Ph.D., president of CTI, Inc., on May 12, 1999, before the Senate Committee on Commerce, Science and Transportation and its Subcommittee on Science, Technology and Space. This was part of the committee's study of "Emerging Technologies in the New Millennium."

Youth and violence on local television news in California.

PubMed Central

Dorfman, L; Woodruff, K; Chavez, V; Wallack, L

1997-01-01

OBJECTIVES: This study explores how local television news structures the public and policy debate on youth violence. METHODS: A content analysis was performed on 214 hours of local television news from California. Each of the 1791 stories concerning youth, violence, or both was coded and analyzed for whether it included a public health perspective. RESULTS: There were five key findings. First, violence dominated local television news coverage. Second, the specifics of particular crimes dominated coverage of violence. Third, over half of the stories on youth involved violence, while more than two thirds of the violence stories concerned youth. Fourth, episodic coverage of violence was more than five times more frequent than thematic coverage, which included links to broader social factors. Finally, only one story had an explicit public health frame. CONCLUSIONS: Local television news provides extremely limited coverage of contributing etiological factors in stories on violence. If our nation's most popular source of news continues to report on violence primarily through crime stories isolated from their social context, the chance for widespread support for public health solutions to violence will be diminished. PMID:9279266

Youth and violence on local television news in California.

PubMed

Dorfman, L; Woodruff, K; Chavez, V; Wallack, L

1997-08-01

This study explores how local television news structures the public and policy debate on youth violence. A content analysis was performed on 214 hours of local television news from California. Each of the 1791 stories concerning youth, violence, or both was coded and analyzed for whether it included a public health perspective. There were five key findings. First, violence dominated local television news coverage. Second, the specifics of particular crimes dominated coverage of violence. Third, over half of the stories on youth involved violence, while more than two thirds of the violence stories concerned youth. Fourth, episodic coverage of violence was more than five times more frequent than thematic coverage, which included links to broader social factors. Finally, only one story had an explicit public health frame. Local television news provides extremely limited coverage of contributing etiological factors in stories on violence. If our nation's most popular source of news continues to report on violence primarily through crime stories isolated from their social context, the chance for widespread support for public health solutions to violence will be diminished.

5 CFR 847.206 - Time limit for making an election.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Time limit for making an election. 847... REGULATIONS (CONTINUED) ELECTIONS OF RETIREMENT COVERAGE BY CURRENT AND FORMER EMPLOYEES OF NONAPPROPRIATED... limit for making an election. (a) Except as provided in paragraph (b) of this section, the time limit...

29 CFR 500.122 - Adjustments in insurance requirements when workers' compensation coverage is provided under State...

Code of Federal Regulations, 2010 CFR

2010-07-01

... (Continued) WAGE AND HOUR DIVISION, DEPARTMENT OF LABOR REGULATIONS MIGRANT AND SEASONAL AGRICULTURAL WORKER PROTECTION Motor Vehicle Safety and Insurance for Transportation of Migrant and Seasonal Agricultural Workers, Housing Safety and Health for Migrant Workers Insurance § 500.122 Adjustments in insurance requirements...

Agencies collaborate, develop a cyanobacteria assessment network

USGS Publications Warehouse

Schaeffer, Blake A.; Loftin, Keith A.; Stumpf, Richard P.; Werdell, P. Jeremy

2015-01-01

Satellite remote sensing tools may enable policy makers and environmental managers to assess the sustainability of watershed ecosystems and the services they provide, now and in the future. Satellite technology allows us to develop early-warning indicators of cyanobacteria blooms at the local scale while maintaining continuous national coverage.

Southwestern Grassland Ecology

Treesearch

Paulette L. Ford; Deborah U. Potter; Rosemary Pendleton; Burton Pendleton; Wayne A. Robbie; Gerald J. Gottfried

2004-01-01

This chapter provides a brief overview, and selected in-depth coverage, of the factors and processes that have formed, and continue to shape, our Southwestern grasslands. In general, this chapter looks at how distributions of grasslands are regulated by soils and climate, and modified by disturbance (natural and/or anthropogenic). The attendant ecological components of...

5 CFR 894.602 - May I cancel my enrollment at any time?

Code of Federal Regulations, 2011 CFR

2011-01-01

... SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES DENTAL AND VISION INSURANCE PROGRAM Termination or... enrollment during an open season. Exceptions: You may cancel your dental and/or vision enrollment if you transfer to an eligible position with a Federal agency that provides dental and/or vision coverage with 50...

5 CFR 894.602 - May I cancel my enrollment at any time?

Code of Federal Regulations, 2010 CFR

2010-01-01

... SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES DENTAL AND VISION INSURANCE PROGRAM Termination or... enrollment during an open season. Exceptions: You may cancel your dental and/or vision enrollment if you transfer to an eligible position with a Federal agency that provides dental and/or vision coverage with 50...

45 CFR 2555.200 - Application.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 45 Public Welfare 4 2010-10-01 2010-10-01 false Application. 2555.200 Section 2555.200 Public Welfare Regulations Relating to Public Welfare (Continued) CORPORATION FOR NATIONAL AND COMMUNITY SERVICE... Coverage § 2555.200 Application. Except as provided in §§ 2555.205 through 2555.235(a), these Title IX...

Effectiveness of the Civil Aviation Security Program.

DTIC Science & Technology

1981-04-15

on item were processed through the screening system daily. The airline and airport security measures developed continue to provide increased safety...United States or Puerto Rico. None of these 16 hijackings resulted from insufficient airport security measures or a breakdown in the FAA-approved airport ... airport security programs is conducted at the Transportation Safety Institute in Oklahoma City, Oklahoma. The course provides in-depth coverage of civil

5 CFR 831.911 - Oversight of coverage determinations.

Code of Federal Regulations, 2013 CFR

2013-01-01

....911 Section 831.911 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT Law Enforcement Officers and Firefighters § 831.911 Oversight of coverage determinations. (a) Upon deciding that a position is a law enforcement officer or firefighter position, each...

5 CFR 831.911 - Oversight of coverage determinations.

Code of Federal Regulations, 2011 CFR

2011-01-01

....911 Section 831.911 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT Law Enforcement Officers and Firefighters § 831.911 Oversight of coverage determinations. (a) Upon deciding that a position is a law enforcement officer or firefighter position, each...

5 CFR 831.911 - Oversight of coverage determinations.

Code of Federal Regulations, 2014 CFR

2014-01-01

....911 Section 831.911 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT Law Enforcement Officers and Firefighters § 831.911 Oversight of coverage determinations. (a) Upon deciding that a position is a law enforcement officer or firefighter position, each...

5 CFR 831.911 - Oversight of coverage determinations.

Code of Federal Regulations, 2012 CFR

2012-01-01

....911 Section 831.911 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) RETIREMENT Law Enforcement Officers and Firefighters § 831.911 Oversight of coverage determinations. (a) Upon deciding that a position is a law enforcement officer or firefighter position, each...

5 CFR 890.1106 - Coverage.

Code of Federal Regulations, 2010 CFR

2010-01-01

... family member is an individual whose relationship to the enrollee meets the requirements of 5 U.S.C. 8901... EMPLOYEES HEALTH BENEFITS PROGRAM Temporary Continuation of Coverage § 890.1106 Coverage. (a) Type of enrollment. An individual who enrolls under this subpart may elect coverage for self alone or self and family...

Leaflets and continual educational offerings led to increased coverage rate of newborn hearing screening in Akita.

PubMed

Sato, Teruyuki; Nakazawa, Misao; Takahashi, Shin; Mizuno, Tomomi; Sato, Akira; Noguchi, Atsuko; Sato, Megumi; Katagiri, Sadako; Yamada, Takechiyo

2018-08-01

Newborn hearing screening (NHS) has been actively performed in Japan since 2001. The NHS coverage rate has increased each year in Akita Prefecture. We analyzed the details of the NHS program and how the Akita leaflets and the many educational offerings about the importance of NHS led to the high NHS coverage rate. A retrospective study was conducted in liveborn newborns in hospitals and in clinics where hearing screening was performed from the program's beginning in 2001 through the end of 2015. We describe the chronological history of NHS. The outcome data of NHS were collected from our department and analyzed. From the founding of the program in 2001 to 2015, the live birth rate in Akita continually declined. Nevertheless, the number of infants receiving NHS rose each year. Since 2012, the coverage rate of NHS has been over 90%. From 2001 to 2015, 75,331 newborns constituted the eligible population for the NHS program. Since 2012, the number of NHS tests has stabilized. We prepared educational leaflets for Akita Prefecture early in 2002. We also provided many educational classes about the importance of NHS for not only pregnant women but also professionals including obstetricians and gynecologists, pediatricians and municipal staff members. The NHS program received the complete endorsement of the Akita Association of Obstetricians and Gynecologists in 2010. The largest increase in the NHS coverage rate occurred from 2001 to 2002, and the second largest increase occurred from 2009 to 2010. The number of participating institutions increased the coverage rate. The coverage rate is strongly correlated with the number of participating institutions (rs=0.843, p<0.001, Spearman's rank correlation coefficient). Comparing the coverage rate for 5 years before and after the Akita Association of Obstetricians and Gynecologists reached their consensus on the importance of NHS, the coverage rate after 2010 was significantly higher than before 2010 (p<0.001, paired sample t-test). The NHS coverage rate ultimately reached 95.4% without need for legislation or subsidization. The number of participating institutions increased each year, and the number of NHS tests and the coverage rate increased proportionately. The number of participating institutions statistically has a strong correlation with the number of NHS tests and the coverage rate. Our research indicates that the Akita leaflets and the provision of educational sessions about the importance of NHS were the most significant factors in establishing the high NHS coverage rate. Copyright © 2017 Elsevier B.V. All rights reserved.

Coverage and equity in reproductive and maternal health interventions in Brazil: impressive progress following the implementation of the Unified Health System.

PubMed

França, Giovanny V A; Restrepo-Méndez, María Clara; Maia, Maria Fátima S; Victora, Cesar G; Barros, Aluísio J D

2016-11-17

The Brazilian SUS (Unified Health System) was created in 1988 within the new constitution, based on the premises of being universal, comprehensive, and equitable. The SUS offers free health care, independent of contribution or affiliation. Since then, great efforts and increasing investments have been made for the system to achieve its goals. We assessed how coverage and equity in selected reproductive and maternal interventions progressed in Brazil from 1986 to 2013. We reanalysed data from four national health surveys carried out in Brazil in 1986, 1996, 2006 and 2013. We estimated coverage for six interventions [use of modern contraceptives; antenatal care (ANC) 1+ visits by any provider; ANC 4+ visits by any provider; first ANC visit during the first trimester of pregnancy; institutional delivery; and Caesarean sections] using standard international definitions, and stratified results by wealth quintile, urban or rural residence and country regions. We also calculated two inequality indicators: the slope index of inequality (SII) and the concentration index (CIX). All indicators showed steady increases in coverage over time. ANC 1+ and 4+ and institutional delivery reached coverage above 90 % in 2013. Prevalence of use of modern contraceptives was 83 % in 2013, indicating nearly universal satisfaction of need for contraception. On a less positive note, the proportion of C-sections has also grown continuously, reaching 55 % in 2013. There were marked reductions in wealth inequalities for all preventive interventions. Inequalities were significantly reduced for all indicators except for the C-section rate (p = 0.06), particularly in absolute terms (SII). Despite the difficulties faced in the implementation of SUS, coverage of essential interventions increased and equity has improved dramatically, due in most cases to marked increase in coverage among the poorest 40 %. An increase in unnecessary Caesarean sections was also observed during the period. Further evaluation on the quality of healthcare provided is needed.

49 CFR 209.303 - Coverage.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 49 Transportation 4 2014-10-01 2014-10-01 false Coverage. 209.303 Section 209.303 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RAILROAD SAFETY ENFORCEMENT PROCEDURES Disqualification Procedures § 209.303 Coverage. This...

49 CFR 209.303 - Coverage.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 49 Transportation 4 2011-10-01 2011-10-01 false Coverage. 209.303 Section 209.303 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RAILROAD SAFETY ENFORCEMENT PROCEDURES Disqualification Procedures § 209.303 Coverage. This...

49 CFR 209.303 - Coverage.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 49 Transportation 4 2012-10-01 2012-10-01 false Coverage. 209.303 Section 209.303 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RAILROAD SAFETY ENFORCEMENT PROCEDURES Disqualification Procedures § 209.303 Coverage. This...

49 CFR 209.303 - Coverage.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 49 Transportation 4 2013-10-01 2013-10-01 false Coverage. 209.303 Section 209.303 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RAILROAD SAFETY ENFORCEMENT PROCEDURES Disqualification Procedures § 209.303 Coverage. This...

49 CFR 209.303 - Coverage.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 4 2010-10-01 2010-10-01 false Coverage. 209.303 Section 209.303 Transportation Other Regulations Relating to Transportation (Continued) FEDERAL RAILROAD ADMINISTRATION, DEPARTMENT OF TRANSPORTATION RAILROAD SAFETY ENFORCEMENT PROCEDURES Disqualification Procedures § 209.303 Coverage. This...

Mesozoic cyclostratigraphy, the 405-kyr orbital eccentricity metronome, and the Astronomical Time Scale (Invited)

NASA Astrophysics Data System (ADS)

Hinnov, L.; Ogg, J. G.

2009-12-01

Mesozoic cyclostratigraphy from around the world is being assessed to construct a continuous Astronomical Time Scale (ATS) based on Earth’s cyclic orbital parameters. The recognition of a prevalent sedimentary cycling with a ~400-kyr period associated with forcing by the stable 405-kyr orbital eccentricity variation is an important development. Numerous formations spanning 10 to 20 myr (and longer) intervals in the Cretaceous, Jurassic and Triassic clearly express this dominant cycle and provide a robust basis for 405-kyr-scale calibration of the ATS. This 405-kyr metronome will enable extension of the well-defined Cenozoic ATS for scaling of the past quarter-billion years of Earth history. This astronomical calibration has a resolution comparable to the 1% to 0.1% precision for radioisotope dating of Mesozoic ash beds, with the added benefit of providing continuous stratigraphic coverage between dated beds. Extended portions of the Mesozoic ATS have already provided new insights into long-standing geologic problems of seafloor spreading, tectonics, eustasy, and paleoclimate change. Ongoing work is focused on closing gaps in coverage and on collecting duplicate cyclostratigraphic records for the entire Mesozoic Era.

5 CFR 875.413 - Is it possible to have coverage reinstated?

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Is it possible to have coverage... SERVICE REGULATIONS (CONTINUED) FEDERAL LONG TERM CARE INSURANCE PROGRAM Coverage § 875.413 Is it possible... Carrier will reinstate your coverage if it receives proof satisfactory to it, within 6 months from the...

29 CFR 801.3 - Coverage.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 3 2010-07-01 2010-07-01 false Coverage. 801.3 Section 801.3 Labor Regulations Relating to Labor (Continued) WAGE AND HOUR DIVISION, DEPARTMENT OF LABOR OTHER LAWS APPLICATION OF THE EMPLOYEE POLYGRAPH PROTECTION ACT OF 1988 General § 801.3 Coverage. (a) The coverage of the Act extends to “any...

28 CFR 55.9 - Coverage of political units within a county.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 28 Judicial Administration 2 2011-07-01 2011-07-01 false Coverage of political units within a county. 55.9 Section 55.9 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) IMPLEMENTATION OF THE PROVISIONS OF THE VOTING RIGHTS ACT REGARDING LANGUAGE MINORITY GROUPS Nature of Coverage § 55.9 Coverage of...

28 CFR 55.9 - Coverage of political units within a county.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Coverage of political units within a county. 55.9 Section 55.9 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) IMPLEMENTATION OF THE PROVISIONS OF THE VOTING RIGHTS ACT REGARDING LANGUAGE MINORITY GROUPS Nature of Coverage § 55.9 Coverage of...

76 FR 4377 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Affordable...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-01-25

... Extension of Dependent Coverage ACTION: Notice. SUMMARY: The Department of Labor (DOL) hereby announces the... Coverage,'' to the Office of Management and Budget (OMB) for review and approval for continued use in... an enrollment opportunity to individuals whose coverage ended, or who were denied coverage (or were...

Women In The United States Experience High Rates Of Coverage 'Churn' In Months Before And After Childbirth.

PubMed

Daw, Jamie R; Hatfield, Laura A; Swartz, Katherine; Sommers, Benjamin D

2017-04-01

Insurance transitions-sometimes referred to as "churn"-before and after childbirth can adversely affect the continuity and quality of care. Yet little is known about coverage patterns and changes for women giving birth in the United States. Using nationally representative survey data for the period 2005-13, we found high rates of insurance transitions before and after delivery. Half of women who were uninsured nine months before delivery had acquired Medicaid or CHIP coverage by the month of delivery, but 55 percent of women with that coverage at delivery experienced a coverage gap in the ensuing six months. Risk factors associated with insurance loss after delivery include not speaking English at home, being unmarried, having Medicaid or CHIP coverage at delivery, living in the South, and having a family income of 100-185 percent of the poverty level. To minimize the adverse effects of coverage disruptions, states should consider policies that promote the continuity of coverage for childbearing women, particularly those with pregnancy-related Medicaid eligibility. Project HOPE—The People-to-People Health Foundation, Inc.

Behavioral Health Coverage Under the Affordable Care Act: What Can We Learn From Marketplace Products?

PubMed

Stewart, Maureen T; Horgan, Constance M; Hodgkin, Dominic; Creedon, Timothy B; Quinn, Amity; Garito, Lindsay; Reif, Sharon; Garnick, Deborah W

2018-03-01

The 2008 federal parity law and the 2010 Affordable Care Act (ACA) sought to expand access to behavioral health services. There was concern that health plans might discourage enrollment by individuals with behavioral health conditions who tend to be higher cost. This study compared behavioral health benefits available in the group insurance market (nonmarketplace) to those sold through the ACA marketplaces to check for evidence of less generous behavioral health coverage in marketplace plans. Data were from a 2014 nationally representative survey of commercial health plans regarding behavioral health services (80% response rate). The sample included the most common silver marketplace product and, as a comparison, the most common nonmarketplace product of the same type (for example, health maintenance organization or preferred provider organization) from each health plan (N=106 marketplace and nonmarketplace pairs, or 212 products). Marketplace and nonmarketplace products were similar in terms of coverage, prior authorization, and continuing review requirements. Marketplace products were more likely to employ narrow and tiered behavioral health provider networks. Narrow and tiered networks were more common in state than in federal marketplaces. Provider network design is a tool that health plans may use to control cost and possibly discourage enrollment by high-cost users, including those with behavioral health conditions. The ACA was successful in ensuring robust behavioral health coverage in marketplace plans. As the marketplaces evolve or are replaced, these data provide an important baseline to which future systems can be compared.

Providing Coverage for the Unique Lifelong Health Care Needs of Living Kidney Donors Within the Framework of Financial Neutrality.

PubMed

Gill, J S; Delmonico, F; Klarenbach, S; Capron, A M

2017-05-01

Organ donation should neither enrich donors nor impose financial burdens on them. We described the scope of health care required for all living kidney donors, reflecting contemporary understanding of long-term donor health outcomes; proposed an approach to identify donor health conditions that should be covered within the framework of financial neutrality; and proposed strategies to pay for this care. Despite the Affordable Care Act in the United States, donors continue to have inadequate coverage for important health conditions that are donation related or that may compromise postdonation kidney function. Amendment of Medicare regulations is needed to clarify that surveillance and treatment of conditions that may compromise postdonation kidney function following donor nephrectomy will be covered without expense to the donor. In other countries lacking health insurance for all residents, sufficient data exist to allow the creation of a compensation fund or donor insurance policies to ensure appropriate care. Providing coverage for donation-related sequelae as well as care to preserve postdonation kidney function ensures protection against the financial burdens of health care encountered by donors throughout their lives. Providing coverage for this care should thus be cost-effective, even without considering the health care cost savings that occur for living donor transplant recipients. © 2016 The American Society of Transplantation and the American Society of Transplant Surgeons.

45 CFR 400.104 - Continued coverage of recipients who receive increased earnings from employment.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Welfare OFFICE OF REFUGEE RESETTLEMENT, ADMINISTRATION FOR CHILDREN AND FAMILIES, DEPARTMENT OF HEALTH AND HUMAN SERVICES REFUGEE RESETTLEMENT PROGRAM Refugee Medical Assistance Conditions of Eligibility for Refugee Medical Assistance § 400.104 Continued coverage of recipients who receive increased earnings from...

Job-based health insurance in 2001: inflation hits double digits, managed care retreats.

PubMed

Gabel, J; Levitt, L; Pickreign, J; Whitmore, H; Holve, E; Rowland, D; Dhont, K; Hawkins, S

2001-01-01

Drawing on the results of a national survey of 1,907 firms with three or more workers, this paper reports on several facets of job-based health insurance, including the cost to employers and workers; plan offerings and enrollments; patient cost sharing and benefits; eligibility, coverage, and take-up rates; and results from questions about employers' knowledge of market trends and health policy initiatives. Premiums increased 11 percent from spring 2000 to spring 2001, and the percentage of Americans in health maintenance organizations (HMOs) fell six percentage points to its lowest level since 1993, while preferred provider organization (PPO) enrollment rose to 48 percent. Despite premium increases, the percentage of firms offering coverage remained statistically unchanged, and a relatively strong labor market has continued to shield workers from the higher cost of coverage.

47 CFR 22.951 - Minimum coverage requirement.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 47 Telecommunication 2 2010-10-01 2010-10-01 false Minimum coverage requirement. 22.951 Section 22.951 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) COMMON CARRIER SERVICES PUBLIC MOBILE SERVICES Cellular Radiotelephone Service § 22.951 Minimum coverage requirement. Applications for...

5 CFR 890.1107 - Length of temporary continuation of coverage.

Code of Federal Regulations, 2014 CFR

2014-01-01

... the requirements for being considered a child who is a covered family member, unless it is terminated... the day before ceasing to meet the requirements for being considered children who are covered family members, were covered family members of a former employee receiving continued coverage under this subpart...

5 CFR 894.703 - How long does my coverage as an annuitant or compensationer last?

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false How long does my coverage as an annuitant or compensationer last? 894.703 Section 894.703 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES DENTAL AND VISION INSURANCE...

5 CFR 894.703 - How long does my coverage as an annuitant or compensationer last?

Code of Federal Regulations, 2011 CFR

2011-01-01

... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false How long does my coverage as an annuitant or compensationer last? 894.703 Section 894.703 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES DENTAL AND VISION INSURANCE...

78 FR 59065 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Notice...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-25

... for OMB Review; Comment Request; Notice Requirements of the Health Care Continuation Coverage... of the Health Care Continuation Coverage Provisions,'' to the Office of Management and Budget (OMB..., under certain circumstances, a group health plan participant or beneficiary who meets the COBRA...

26 CFR 54.4980B-8 - Paying for COBRA continuation coverage.

Code of Federal Regulations, 2010 CFR

2010-04-01

... employee's family are covered under the plan. The employee experiences a qualifying event that is the termination of the employee's employment. The employee's family qualifies for the disability extension because... with respect to the employee's family for the first 18 months of COBRA continuation coverage, and the...

Measuring Coverage in MNCH: Tracking Progress in Health for Women and Children Using DHS and MICS Household Surveys

PubMed Central

Hancioglu, Attila; Arnold, Fred

2013-01-01

Household surveys are the primary data source of coverage indicators for children and women for most developing countries. Most of this information is generated by two global household survey programmes—the USAID-supported Demographic and Health Surveys (DHS) and the UNICEF-supported Multiple Indicator Cluster Surveys (MICS). In this review, we provide an overview of these two programmes, which cover a wide range of child and maternal health topics and provide estimates of many Millennium Development Goal indicators, as well as estimates of the indicators for the Countdown to 2015 initiative and the Commission on Information and Accountability for Women's and Children's Health. MICS and DHS collaborate closely and work through interagency processes to ensure that survey tools are harmonized and comparable as far as possible, but we highlight differences between DHS and MICS in the population covered and the reference periods used to measure coverage. These differences need to be considered when comparing estimates of reproductive, maternal, newborn, and child health indicators across countries and over time and we discuss the implications of these differences for coverage measurement. Finally, we discuss the need for survey planners and consumers of survey results to understand the strengths, limitations, and constraints of coverage measurements generated through household surveys, and address some technical issues surrounding sampling and quality control. We conclude that, although much effort has been made to improve coverage measurement in household surveys, continuing efforts are needed, including further research to improve and refine survey methods and analytical techniques. PMID:23667333

Sources of health insurance and characteristics of the uninsured: analysis of the March 2001 Current Population Survey.

PubMed

Fronstin, P

2001-12-01

This Issue Brief provides summary data on the insured and uninsured populations in the nation and in each state. It discusses the characteristics most closely related to an individual's health insurance status. Based on EBRI estimates from the March 2001 Current Population Survey (CPS), it represents 2000 data--the most recent available. Between 1999 and 2000, the percentage of Americans with health insurance increased: 84.1 percent of nonelderly Americans were covered by some form of health insurance in 2000, up from 83.8 percent in 1999. The percentage of nonelderly Americans without health insurance coverage declined from 16.2 percent in 1999 to 15.9 percent in 2000, continuing a trend that started between 1998 and 1999. The main reason for the decline in the number of uninsured Americans was the strong economy and low unemployment. Between 1999 and 2000, the percentage of nonelderly Americans covered by employment-based health insurance increased from 66.6 percent to 67.3 percent, continuing a longer-term trend that started between 1993 and 1994. In 2000, 34.3 million Americans received health insurance from public programs, and an additional 16.1 million purchased it directly from an insurer. More than 25 million Americans participated in Medicaid or the State Children's Health Insurance Program, and 6.1 million received their health insurance through the Tricare and CHAMPVA programs and other government programs designed to provide coverage for retired military members and their families. Even though the number and percentage of uninsured declined substantially between 1998 and 2000, more than 38 million Americans remain uninsured. While an increasing percentage of Americans were being covered by employment-based health plans, this trend may not continue because of the combined re-emergence of health care cost inflation and the weak economy. As long as the economy is strong and unemployment is low, employment-based health insurance coverage will expand and the uninsured will decline gradually. However, the combination of the current weak economy and the rising cost of providing health benefits will likely result in more Americans without health insurance coverage. Should the uninsured remain unchanged and continue to represent 15.9 percent of the nonelderly population, 40 million would be uninsured by 2005. If the uninsured represented 25 percent of the population, 63 million would be uninsured in 2005 and 65 million nonelderly Americans would be uninsured by 2010.

Experiencing Disasters Indirectly: How Traditional and New Media Disaster Coverage Impacts Youth

ERIC Educational Resources Information Center

Houston, J. Brian; Pfefferbaum, Betty; Reyes, Gilbert

2008-01-01

Media coverage of disasters is often pervasive, continuous, and intense. Because media use has been found to influence the way that individuals view the world, it is worth reviewing how such coverage affects children who do not directly experience a disaster. This article reviews what is known about how disaster coverage in traditional media…

42 CFR 423.566 - Coverage determinations.

Code of Federal Regulations, 2010 CFR

2010-10-01

... (CONTINUED) MEDICARE PROGRAM VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT Grievances, Coverage Determinations... sponsor. Each Part D plan sponsor must have a procedure for making timely coverage determinations in accordance with the requirements of this subpart regarding the prescription drug benefits an enrollee is...

A road map for universal coverage: finding a pass through the financial mountains.

PubMed

Sessions, Samuel Y; Lee, Philip R

2008-04-01

Government already pays for more than half of U.S. health care costs, and nearly all universal health insurance proposals assume continued government involvement through tax subsidies and other means. The question of what specific taxes could be used to finance universal coverage is, however, seldom carefully examined, in part due to efforts by health care reform proponents to downplay tax issues. In this article we undertake such an examination. We argue that the challenges of relying on taxes for universal coverage are even greater than is generally appreciated, but that they can nevertheless be met. A proposal to fund a universal health insurance voucher system with a value-added tax illustrates issues that would arise for tax-financed plans in general and provides a broad framework for a bipartisan approach to universal coverage. We discuss significant problems that such an approach would face and suggest solutions. We outline a long-term political and legislative strategy for enacting universal coverage that draws upon precedents set by comparable legislative initiatives, including tax reform and Medicare. The results are an improved understanding of the relationship between systemic health care finance reform and taxation and a politically realistic plan for universal coverage that employs undisguised taxes.

A 360 degrees evaluation of a night-float system for general surgery: a response to mandated work-hours reduction.

PubMed

Goldstein, Michael J; Kim, Eugene; Widmann, Warren D; Hardy, Mark A

2004-01-01

New York State Code 405 and societal/political pressure have led the RRC and ACGME to mandate strict limitations on resident work hours. In an attempt to meet these limitations, we have switched from the previous Q3 call schedule to a specialized night float (NF) system, the continuity-care system (CCS). The purpose of this CCS is to maximize resident duty time spent on direct patient care, operative experience, and outpatient clinics, while reducing duty hours spent on performing routine tasks and call coverage. The implementation of the CCS is the fundamental step in the restructuring of our residency program. In addition to a change in the call system, we added physician assistants to aid in performing some service tasks. We performed a 360 degrees evaluation of this work in progress. In May 2002, the standard Q3 call system was abolished on the general surgery services at the New York Presbyterian Hospital, Columbia campus. Two dedicated teams were created to provide day and night coverage, a day continuity-care team (DCT) and a night continuity-care team (NCT). The DCTs, consisting of PGY1-5 residents, provide daily in-house coverage from 6 AM to 5 PM with no regular weekday night-call responsibilities. The DCT residents provide Friday night, Saturday, and daytime Sunday call coverage 3 to 4 days per month. The NCT, consisting of 5 PGY1-5 residents, provides nightly continuous care, 5 PM to 6 AM, Sunday through Thursday, with no other weekend call responsibilities. This system creates a schedule with less than 80 duty hours per week, on average, with one 24-hour period off a week, one complete weekend off per month, and no more than 24 hours of consecutive duty time. After 1 year of use, the system was evaluated by a 360 degrees method in which residents, residents' spouses, nurses, and faculty were surveyed using a Likert-type scale. Statistical significance was calculated using the Student t-test. Patient satisfaction was measured both by internal review of a patient complaint database as well as by the Press Ganey patient satisfaction surveys. Twenty-one residents, 10 residents' spouses, 11 general surgery faculty, and 16 nurses were surveyed. Statistically significant findings included reduced resident fatigue noted by all groups (residents, p = 0.01; resident spouses, p = 0.05; faculty, p < 0.0001; nurses, p < 0.0001). Further, residents reported more time for sleep at home (p = 0.0005) and more time for independent reading (p = 0.01). Residents' spouses reported increased availability for family events (p = 0.01). Nurses reported increased availability of residents (p = 0.0002), shorter times to physician identification of patient problems (p = 0.0086), improved resident-nursing communications (p = 0.0096), and increased ease of nursing duties (p < 0.0001). Faculty were the only responders who felt that continuity of patient care suffered with the new system (p = 0.02). The Press Ganey review showed improvement in the quality of care rendered as perceived by patients. The institution of a specialized NF or CCS for in-house coverage of general surgical services in a large metropolitan university hospital has had initial success in meeting the mandated changes in resident work hours. The CCS reduced resident fatigue, improved quality of resident life, and improved patient care as judged by patients and nurse.

Improving Health Care Coverage, Equity, And Financial Protection Through A Hybrid System: Malaysia's Experience.

PubMed

Rannan-Eliya, Ravindra P; Anuranga, Chamara; Manual, Adilius; Sararaks, Sondi; Jailani, Anis S; Hamid, Abdul J; Razif, Izzanie M; Tan, Ee H; Darzi, Ara

2016-05-01

Malaysia has made substantial progress in providing access to health care for its citizens and has been more successful than many other countries that are better known as models of universal health coverage. Malaysia's health care coverage and outcomes are now approaching levels achieved by member nations of the Organization for Economic Cooperation and Development. Malaysia's results are achieved through a mix of public services (funded by general revenues) and parallel private services (predominantly financed by out-of-pocket spending). We examined the distributional aspects of health financing and delivery and assessed financial protection in Malaysia's hybrid system. We found that this system has been effective for many decades in equalizing health care use and providing protection from financial risk, despite modest government spending. Our results also indicate that a high out-of-pocket share of total financing is not a consistent proxy for financial protection; greater attention is needed to the absolute level of out-of-pocket spending. Malaysia's hybrid health system presents continuing unresolved policy challenges, but the country's experience nonetheless provides lessons for other emerging economies that want to expand access to health care despite limited fiscal resources. Project HOPE—The People-to-People Health Foundation, Inc.

Community Health Center Utilization Following the 2008 Medicaid Expansion in Oregon: Implications for the Affordable Care Act.

PubMed

Hatch, Brigit; Bailey, Steffani R; Cowburn, Stuart; Marino, Miguel; Angier, Heather; DeVoe, Jennifer E

2016-04-01

To assess longitudinal patterns of community health center (CHC) utilization and the effect of insurance discontinuity after Oregon's 2008 Medicaid expansion (the Oregon Experiment). We conducted a retrospective cohort study with electronic health records and Medicaid data. We divided individuals who gained Medicaid in the Oregon Experiment into those who maintained (n = 788) or lost (n = 944) insurance coverage. We compared these groups with continuously insured (n = 921) and continuously uninsured (n = 5416) reference groups for community health center utilization rates over a 36-month period. Both newly insured groups increased utilization in the first 6 months. After 6 months, use among those who maintained coverage stabilized at a level consistent with the continuously insured, whereas it returned to baseline for those who lost coverage. Individuals who maintained coverage through Oregon's Medicaid expansion increased long-term utilization of CHCs, whereas those with unstable coverage did not. This study predicts long-term increase in CHC utilization following Affordable Care Act Medicaid expansion and emphasizes the need for policies that support insurance retention.

On requirements for a satellite mission to measure tropical rainfall

NASA Technical Reports Server (NTRS)

Thiele, Otto W. (Editor)

1987-01-01

Tropical rainfall data are crucial in determining the role of tropical latent heating in driving the circulation of the global atmosphere. Also, the data are particularly important for testing the realism of climate models, and their ability to simulate and predict climate accurately on the seasonal time scale. Other scientific issues such as the effects of El Nino on climate could be addressed with a reliable, extended time series of tropical rainfall observations. A passive microwave sensor is planned to provide information on the integrated column precipitation content, its areal distribution, and its intensity. An active microwave sensor (radar) will define the layer depth of the precipitation and provide information about the intensity of rain reaching the surface, the key to determining the latent heat input to the atmosphere. A visible/infrared sensor will provide very high resolution information on cloud coverage, type, and top temperatures and also serve as the link between these data and the long and virtually continuous coverage by the geosynchronous meteorological satellites. The unique combination of sensor wavelengths, coverages, and resolving capabilities together with the low-altitude, non-Sun synchronous orbit provide a sampling capability that should yield monthly precipitation amounts to a reasonable accuracy over a 500- by 500-km grid.

5 CFR 890.806 - When can former spouses change enrollment or reenroll and what are the effective dates?

Code of Federal Regulations, 2014 CFR

2014-01-01

... § 890.804 loses coverage under another enrollment under this part or under another group health benefits... federally-sponsored health benefits program; (3) Loss of coverage due to the termination of membership in an... OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES HEALTH...

5 CFR 890.806 - When can former spouses change enrollment or reenroll and what are the effective dates?

Code of Federal Regulations, 2013 CFR

2013-01-01

... § 890.804 loses coverage under another enrollment under this part or under another group health benefits... federally-sponsored health benefits program; (3) Loss of coverage due to the termination of membership in an... OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES HEALTH...

5 CFR 890.806 - When can former spouses change enrollment or reenroll and what are the effective dates?

Code of Federal Regulations, 2011 CFR

2011-01-01

... § 890.804 loses coverage under another enrollment under this part or under another group health benefits... federally-sponsored health benefits program; (3) Loss of coverage due to the termination of membership in an... OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES HEALTH...

5 CFR 890.306 - When can annuitants or survivor annuitants change enrollment or reenroll and what are the...

Code of Federal Regulations, 2013 CFR

2013-01-01

... Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL... (including the Uniformed Services Family Health Plan) or TRICARE-for-Life coverage instead of FEHB coverage... program; or to use Peace Corps or CHAMPVA or TRICARE (including the Uniformed Services Family Health Plan...

5 CFR 890.306 - When can annuitants or survivor annuitants change enrollment or reenroll and what are the...

Code of Federal Regulations, 2014 CFR

2014-01-01

... Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL... (including the Uniformed Services Family Health Plan) or TRICARE-for-Life coverage instead of FEHB coverage... program; or to use Peace Corps or CHAMPVA or TRICARE (including the Uniformed Services Family Health Plan...

Evaluation of impact of measles rubella campaign on vaccination coverage and routine immunization services in Bangladesh.

PubMed

Uddin, Md Jasim; Adhikary, Gourab; Ali, Md Wazed; Ahmed, Shahabuddin; Shamsuzzaman, Md; Odell, Chris; Hashiguchi, Lauren; Lim, Stephen S; Alam, Nurul

2016-08-12

Like other countries in Asia, measles-rubella (MR) vaccine coverage in Bangladesh is suboptimal whereas 90-95 % coverage is needed for elimination of these diseases. The Ministry of Health and Family Welfare (MOHFW) of the Government of Bangladesh implemented MR campaign in January-February 2014 to increase MR vaccination coverage. Strategically, the MOHFW used both routine immunization centres and educational institutions for providing vaccine to the children aged 9 months to <15 years. The evaluation was carried out to assess the impact of the campaign on MR vaccination and routine immunization services. Both quantitative and qualitative evaluations were done before and after implementation of the campaign. Quantitative data were presented with mean (standard deviation, SD) for continuous variables and with proportion for categorical variables. The overall and age- and sex-specific coverage rates were calculated for each region and then combined. Categorical variables were compared by chi-square statistics. Multiple logistic regression analysis were performed to estimate odds ratios (OR) and 95 % confidence intervals (CI) of coverage associated with covariates, with adjustment for other covariates. Qualitative data were analyzed using content analysis. The evaluations found MR coverage was very low (<13 %) before the campaign and it rose to 90 % after the campaign. The pre-post campaign difference in MR coverage in each stratum was highly significant (p < 0.001). The campaign achieved high coverage despite relatively low level (23 %) of interpersonal communication with caregivers through registration process. Child registration was associated with higher MR coverage (OR 2.91, 95 % CI 1.91-4.44). Children who attended school were more likely to be vaccinated (OR 8.97, 95 % CI 6.17-13.04) compared to those who did not attend school. Children of caregivers with primary or secondary or higher education had higher coverage compared to children of caregivers with no formal education. Most caregivers mentioned contribution of the campaign in vaccination for the children not previously vaccinated. The results of the evaluation indicated that the campaign was successful in terms of improving MR coverage and routine immunization services. The evaluation provided an important guideline for future evaluation of similar efforts in Bangladesh and elsewhere.

45 CFR 1225.4 - Coverage.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 45 Public Welfare 4 2014-10-01 2014-10-01 false Coverage. 1225.4 Section 1225.4 Public Welfare Regulations Relating to Public Welfare (Continued) CORPORATION FOR NATIONAL AND COMMUNITY SERVICE VOLUNTEER DISCRIMINATION COMPLAINT PROCEDURE General Provisions § 1225.4 Coverage. (a) These procedures apply to all Peace...

45 CFR 1225.4 - Coverage.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 45 Public Welfare 4 2012-10-01 2012-10-01 false Coverage. 1225.4 Section 1225.4 Public Welfare Regulations Relating to Public Welfare (Continued) CORPORATION FOR NATIONAL AND COMMUNITY SERVICE VOLUNTEER DISCRIMINATION COMPLAINT PROCEDURE General Provisions § 1225.4 Coverage. (a) These procedures apply to all Peace...

24 CFR 200.17 - Mortgage coverage.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 24 Housing and Urban Development 2 2014-04-01 2014-04-01 false Mortgage coverage. 200.17 Section 200.17 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued... Eligibility Requirements for Existing Projects Eligible Mortgage § 200.17 Mortgage coverage. The mortgage...

45 CFR 1225.4 - Coverage.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 45 Public Welfare 4 2010-10-01 2010-10-01 false Coverage. 1225.4 Section 1225.4 Public Welfare Regulations Relating to Public Welfare (Continued) CORPORATION FOR NATIONAL AND COMMUNITY SERVICE VOLUNTEER DISCRIMINATION COMPLAINT PROCEDURE General Provisions § 1225.4 Coverage. (a) These procedures apply to all Peace...

45 CFR 1225.4 - Coverage.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 45 Public Welfare 4 2011-10-01 2011-10-01 false Coverage. 1225.4 Section 1225.4 Public Welfare Regulations Relating to Public Welfare (Continued) CORPORATION FOR NATIONAL AND COMMUNITY SERVICE VOLUNTEER DISCRIMINATION COMPLAINT PROCEDURE General Provisions § 1225.4 Coverage. (a) These procedures apply to all Peace...

24 CFR 200.17 - Mortgage coverage.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 24 Housing and Urban Development 2 2013-04-01 2013-04-01 false Mortgage coverage. 200.17 Section 200.17 Housing and Urban Development Regulations Relating to Housing and Urban Development (Continued... Eligibility Requirements for Existing Projects Eligible Mortgage § 200.17 Mortgage coverage. The mortgage...

7 CFR 1735.11 - Area coverage.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 11 2013-01-01 2013-01-01 false Area coverage. 1735.11 Section 1735.11 Agriculture Regulations of the Department of Agriculture (Continued) RURAL UTILITIES SERVICE, DEPARTMENT OF AGRICULTURE... Policies § 1735.11 Area coverage. Borrowers must make adequate telephone service available to the widest...

45 CFR 1225.4 - Coverage.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 45 Public Welfare 4 2013-10-01 2013-10-01 false Coverage. 1225.4 Section 1225.4 Public Welfare Regulations Relating to Public Welfare (Continued) CORPORATION FOR NATIONAL AND COMMUNITY SERVICE VOLUNTEER DISCRIMINATION COMPLAINT PROCEDURE General Provisions § 1225.4 Coverage. (a) These procedures apply to all Peace...

Promoting universal financial protection: how the Thai universal coverage scheme was designed to ensure equity.

PubMed

Tangcharoensathien, Viroj; Pitayarangsarit, Siriwan; Patcharanarumol, Walaiporn; Prakongsai, Phusit; Sumalee, Hathaichanok; Tosanguan, Jiraboon; Mills, Anne

2013-08-06

Empirical evidence demonstrates that the Thai Universal Coverage Scheme (UCS) has improved equity of health financing and provided a relatively high level of financial risk protection. Several UCS design features contribute to these outcomes: a tax-financed scheme, a comprehensive benefit package and gradual extension of coverage to illnesses that can lead to catastrophic household costs, and capacity of the National Health Security Office (NHSO) to mobilise adequate resources. This study assesses the policy processes related to making decisions on these features. The study employs qualitative methods including reviews of relevant documents, in-depth interviews of 25 key informants, and triangulation amongst information sources. Continued political and financial commitments to the UCS, despite political rivalry, played a key role. The Thai Rak Thai (TRT)-led coalition government introduced UCS; staying in power 8 of the 11 years between 2001 and 2011 was long enough to nurture and strengthen the UCS and overcome resistance from various opponents. Prime Minister Surayud's government, replacing the ousted TRT government, introduced universal renal replacement therapy, which deepened financial risk protection.Commitment to their manifesto and fiscal capacity pushed the TRT to adopt a general tax-financed universal scheme; collecting premiums from people engaged in the informal sector was neither politically palatable nor technically feasible. The relatively stable tenure of NHSO Secretary Generals and the chairs of the Financing and the Benefit Package subcommittees provided a platform for continued deepening of financial risk protection. NHSO exerted monopsonistic purchasing power to control prices, resulting in greater patient access and better systems efficiency than might have been the case with a different design.The approach of proposing an annual per capita budget changed the conventional line-item programme budgeting system by basing negotiations between the Bureau of Budget, the NHSO and other stakeholders on evidence of service utilization and unit costs. Future success of Thai UCS requires coverage of effective interventions that address primary and secondary prevention of non-communicable diseases and long-term care policies in view of epidemiologic and demographic transitions. Lessons for other countries include the importance of continued political support, evidence informed decisions, and a capable purchaser organization.

41 CFR 102-173.90 - Are there any special restrictions on the use and registration of canonical, or category names...

Code of Federal Regulations, 2012 CFR

2012-01-01

... restrictions on the use and registration of canonical, or category names like recreation.gov? 102-173.90... (Continued) FEDERAL MANAGEMENT REGULATION TELECOMMUNICATIONS 173-INTERNET GOV DOMAIN Registration § 102-173... like recreation.gov? Yes, canonical names registration request must provide access coverage for the...

41 CFR 102-173.90 - Are there any special restrictions on the use and registration of canonical, or category names...

Code of Federal Regulations, 2014 CFR

2014-01-01

... restrictions on the use and registration of canonical, or category names like recreation.gov? 102-173.90... (Continued) FEDERAL MANAGEMENT REGULATION TELECOMMUNICATIONS 173-INTERNET GOV DOMAIN Registration § 102-173... like recreation.gov? Yes, canonical names registration request must provide access coverage for the...

41 CFR 102-173.90 - Are there any special restrictions on the use and registration of canonical, or category names...

Code of Federal Regulations, 2011 CFR

2011-01-01

... restrictions on the use and registration of canonical, or category names like recreation.gov? 102-173.90... (Continued) FEDERAL MANAGEMENT REGULATION TELECOMMUNICATIONS 173-INTERNET GOV DOMAIN Registration § 102-173... like recreation.gov? Yes, canonical names registration request must provide access coverage for the...

41 CFR 102-173.90 - Are there any special restrictions on the use and registration of canonical, or category names...

Code of Federal Regulations, 2010 CFR

2010-07-01

... restrictions on the use and registration of canonical, or category names like recreation.gov? 102-173.90... (Continued) FEDERAL MANAGEMENT REGULATION TELECOMMUNICATIONS 173-INTERNET GOV DOMAIN Registration § 102-173... like recreation.gov? Yes, canonical names registration request must provide access coverage for the...

41 CFR 102-173.90 - Are there any special restrictions on the use and registration of canonical, or category names...

Code of Federal Regulations, 2013 CFR

2013-07-01

... restrictions on the use and registration of canonical, or category names like recreation.gov? 102-173.90... (Continued) FEDERAL MANAGEMENT REGULATION TELECOMMUNICATIONS 173-INTERNET GOV DOMAIN Registration § 102-173... like recreation.gov? Yes, canonical names registration request must provide access coverage for the...

INTEGRATION OF SATELLITE, MODELED, AND GROUND BASED AEROSOL DATA FOR USE IN AIR QUALITY AND PUBLIC HEALTH APPLICATIONS ( AGU-BALTIMORE )

EPA Science Inventory

Within the next several years NOAA and EPA will begin to issue PM_2.5 air quality forecasts over the entire domain of the eastern United States, eventually extending to national coverage. These forecasts will provide continuous estimated values of particulate matter on ...

Why a national high-risk insurance pool is not a workable alternative to the marketplace.

PubMed

Hall, Jean P

2014-12-01

The Pre-Existing Condition Insurance Plan (PCIP) was a national high-risk pool established under the Affordable Care Act (ACA) to provide coverage for individuals with preexisting conditions who had been uninsured for at least six months. It was intended to be a temporary program: PCIPs opened in 2010 and closed in April 2014. At that point, those with preexisting conditions could shop for health insurance in the marketplaces, where plans are prevented from using applicants' health status to deny coverage or charge more. This issue brief draws on the PCIP experience to outline why national high-risk pools, which continue to be proposed as policy alternatives to ACA coverage expansions, are expensive to enrollees as well as their administrators and ultimately unsustainable. The key lesson--and the principle on which the ACA is built--is that insurance works best when risk is evenly spread across a broad population.

14 CFR 198.5 - Types of insurance coverage available.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 false Types of insurance coverage available. 198.5 Section 198.5 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) WAR RISK INSURANCE AVIATION INSURANCE § 198.5 Types of insurance coverage available. Application...

14 CFR 198.5 - Types of insurance coverage available.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 false Types of insurance coverage available. 198.5 Section 198.5 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) WAR RISK INSURANCE AVIATION INSURANCE § 198.5 Types of insurance coverage available. Application...

47 CFR 80.771 - Method of computing coverage.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 47 Telecommunication 5 2012-10-01 2012-10-01 false Method of computing coverage. 80.771 Section 80.771 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES STATIONS IN THE MARITIME SERVICES Standards for Computing Public Coast Station VHF Coverage § 80.771 Method...

43 CFR 3933.51 - Bond coverage.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 43 Public Lands: Interior 2 2014-10-01 2014-10-01 false Bond coverage. 3933.51 Section 3933.51 Public Lands: Interior Regulations Relating to Public Lands (Continued) BUREAU OF LAND MANAGEMENT... Assignments and Subleases § 3933.51 Bond coverage. Before the BLM will approve an assignment, the assignee...

7 CFR 275.8 - Review coverage.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 7 Agriculture 4 2014-01-01 2014-01-01 false Review coverage. 275.8 Section 275.8 Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE...) Reviews § 275.8 Review coverage. (a) During each review period, State agencies shall review the national...

7 CFR 1710.103 - Area coverage.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 11 2013-01-01 2013-01-01 false Area coverage. 1710.103 Section 1710.103 Agriculture Regulations of the Department of Agriculture (Continued) RURAL UTILITIES SERVICE, DEPARTMENT OF AGRICULTURE... Basic Policies § 1710.103 Area coverage. (a) Borrowers shall make a diligent effort to extend electric...

43 CFR 3933.51 - Bond coverage.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 43 Public Lands: Interior 2 2011-10-01 2011-10-01 false Bond coverage. 3933.51 Section 3933.51 Public Lands: Interior Regulations Relating to Public Lands (Continued) BUREAU OF LAND MANAGEMENT... and Subleases § 3933.51 Bond coverage. Before the BLM will approve an assignment, the assignee must...

7 CFR 275.8 - Review coverage.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 7 Agriculture 4 2012-01-01 2012-01-01 false Review coverage. 275.8 Section 275.8 Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE...) Reviews § 275.8 Review coverage. (a) During each review period, State agencies shall review the national...

43 CFR 3933.51 - Bond coverage.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 43 Public Lands: Interior 2 2013-10-01 2013-10-01 false Bond coverage. 3933.51 Section 3933.51 Public Lands: Interior Regulations Relating to Public Lands (Continued) BUREAU OF LAND MANAGEMENT... Assignments and Subleases § 3933.51 Bond coverage. Before the BLM will approve an assignment, the assignee...

7 CFR 275.8 - Review coverage.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 7 Agriculture 4 2011-01-01 2011-01-01 false Review coverage. 275.8 Section 275.8 Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE...) Reviews § 275.8 Review coverage. (a) During each review period, State agencies shall review the national...

7 CFR 275.8 - Review coverage.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 7 Agriculture 4 2013-01-01 2013-01-01 false Review coverage. 275.8 Section 275.8 Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE...) Reviews § 275.8 Review coverage. (a) During each review period, State agencies shall review the national...

14 CFR 198.7 - Amount of insurance coverage available.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 14 Aeronautics and Space 3 2012-01-01 2012-01-01 false Amount of insurance coverage available. 198.7 Section 198.7 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) WAR RISK INSURANCE AVIATION INSURANCE § 198.7 Amount of insurance coverage available. (a) For...

14 CFR 198.7 - Amount of insurance coverage available.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 14 Aeronautics and Space 3 2013-01-01 2013-01-01 false Amount of insurance coverage available. 198.7 Section 198.7 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) WAR RISK INSURANCE AVIATION INSURANCE § 198.7 Amount of insurance coverage available. (a) For...

5 CFR 890.302 - Coverage of family members.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false Coverage of family members. 890.302... REGULATIONS (CONTINUED) FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM Enrollment § 890.302 Coverage of family members. (a)(1) An enrollment for self and family includes all family members who are eligible to be...

5 CFR 890.302 - Coverage of family members.

Code of Federal Regulations, 2012 CFR

2012-01-01

... the marriage, an employee or annuitant may enroll in his or her own right in a self and family... 5 Administrative Personnel 2 2012-01-01 2012-01-01 false Coverage of family members. 890.302... REGULATIONS (CONTINUED) FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM Enrollment § 890.302 Coverage of family...

42 CFR 486.102 - Condition for coverage: Supervision by a qualified physician.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 5 2011-10-01 2011-10-01 false Condition for coverage: Supervision by a qualified physician. 486.102 Section 486.102 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION CONDITIONS FOR COVERAGE OF SPECIALIZED...

29 CFR 2590.701-4 - Rules relating to creditable coverage.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 2590.701-4 Labor Regulations Relating to Labor (Continued) EMPLOYEE BENEFITS SECURITY ADMINISTRATION, DEPARTMENT OF LABOR GROUP HEALTH PLANS RULES AND REGULATIONS FOR GROUP HEALTH PLANS Health Coverage... I of the Act, and without regard to whether the coverage is offered in the group market, the...

29 CFR 2590.701-4 - Rules relating to creditable coverage.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 2590.701-4 Labor Regulations Relating to Labor (Continued) EMPLOYEE BENEFITS SECURITY ADMINISTRATION, DEPARTMENT OF LABOR GROUP HEALTH PLANS RULES AND REGULATIONS FOR GROUP HEALTH PLANS Health Coverage... I of the Act, and without regard to whether the coverage is offered in the group market, the...

29 CFR 2590.701-4 - Rules relating to creditable coverage.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 2590.701-4 Labor Regulations Relating to Labor (Continued) EMPLOYEE BENEFITS SECURITY ADMINISTRATION, DEPARTMENT OF LABOR GROUP HEALTH PLANS RULES AND REGULATIONS FOR GROUP HEALTH PLANS Health Coverage... I of the Act, and without regard to whether the coverage is offered in the group market, the...

75 FR 33303 - Comment Sought on Measurement of Mobile Broadband Network Performance and Coverage

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-11

...; DA 10-988] Comment Sought on Measurement of Mobile Broadband Network Performance and Coverage AGENCY... broadband services. The Bureau seeks comment on whether and how to pursue a measurement program for mobile... and coverage, and continue to work with measurement companies, application designers, device...

14 CFR 198.17 - Ground support and other coverage.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 14 Aeronautics and Space 3 2011-01-01 2011-01-01 false Ground support and other coverage. 198.17 Section 198.17 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) WAR RISK INSURANCE AVIATION INSURANCE § 198.17 Ground support and other coverage. An aircraft...

14 CFR 198.17 - Ground support and other coverage.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 3 2010-01-01 2010-01-01 false Ground support and other coverage. 198.17 Section 198.17 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) WAR RISK INSURANCE AVIATION INSURANCE § 198.17 Ground support and other coverage. An aircraft...

7 CFR 457.102 - Wheat or barley winter coverage endorsement.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 6 2010-01-01 2010-01-01 false Wheat or barley winter coverage endorsement. 457.102... INSURANCE CORPORATION, DEPARTMENT OF AGRICULTURE COMMON CROP INSURANCE REGULATIONS § 457.102 Wheat or barley... Wheat or Barley Winter Coverage Endorsement (This is a continuous endorsement) 1. In return for payment...

29 CFR 2590.606-4 - Notice requirements for plan administrators.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Coverage, Qualified Medical Child Support Orders, Coverage for Adopted Children § 2590.606-4 Notice... child; (v) An explanation of the plan's procedures for electing continuation coverage, including an... the Social Security Administration, under title II or XVI of the Social Security Act (42 U.S.C. 401 et...

Community Health Center Utilization Following the 2008 Medicaid Expansion in Oregon: Implications for the Affordable Care Act

PubMed Central

Bailey, Steffani R.; Cowburn, Stuart; Marino, Miguel; Angier, Heather; DeVoe, Jennifer E.

2016-01-01

Objectives. To assess longitudinal patterns of community health center (CHC) utilization and the effect of insurance discontinuity after Oregon’s 2008 Medicaid expansion (the Oregon Experiment). Methods. We conducted a retrospective cohort study with electronic health records and Medicaid data. We divided individuals who gained Medicaid in the Oregon Experiment into those who maintained (n = 788) or lost (n = 944) insurance coverage. We compared these groups with continuously insured (n = 921) and continuously uninsured (n = 5416) reference groups for community health center utilization rates over a 36-month period. Results. Both newly insured groups increased utilization in the first 6 months. After 6 months, use among those who maintained coverage stabilized at a level consistent with the continuously insured, whereas it returned to baseline for those who lost coverage. Conclusions. Individuals who maintained coverage through Oregon’s Medicaid expansion increased long-term utilization of CHCs, whereas those with unstable coverage did not. Policy implications. This study predicts long-term increase in CHC utilization following Affordable Care Act Medicaid expansion and emphasizes the need for policies that support insurance retention. PMID:26890164

Personal Protection of Permethrin-Treated Clothing against Aedes aegypti, the Vector of Dengue and Zika Virus, in the Laboratory

PubMed Central

Orsborne, James; DeRaedt Banks, Sarah; Hendy, Adam; Gezan, Salvador A.; Kaur, Harparkash; Wilder-Smith, Annelies; Lindsay, Steve W.; Logan, James G.

2016-01-01

Background The dengue and Zika viruses are primarily transmitted by Aedes aegypti mosquitoes, which are most active during day light hours and feed both in and outside of the household. Personal protection technologies such as insecticide-treated clothing could provide individual protection. Here we assessed the efficacy of permethrin-treated clothing on personal protection in the laboratory. Methods The effect of washing on treated clothing, skin coverage and protection against resistant and susceptible Ae. aegypti was assessed using modified WHO arm-in-cage assays. Coverage was further assessed using free-flight room tests to investigate the protective efficacy of unwashed factory-dipped permethrin-treated clothing. Clothing was worn as full coverage (long sleeves and trousers) and partial coverage (short sleeves and shorts). Residual permethrin on the skin and its effect on mosquitoes was measured using modified WHO cone assays and quantified using high-pressure liquid chromatography (HPLC) analysis. Results In the arm-in-cage assays, unwashed clothing reduced landing by 58.9% (95% CI 49.2–66.9) and biting by 28.5% (95% CI 22.5–34.0), but reduced to 18.5% (95% CI 14.7–22.3) and 11.1% (95% CI 8.5–13.8) respectively after 10 washes. Landing and biting for resistant and susceptible strains was not significantly different (p<0.05). In free-flight room tests, full coverage treated clothing reduced landing by 24.3% (95% CI 17.4–31.7) and biting by 91% (95% CI 82.2–95.9) with partial coverage reducing landing and biting by 26.4% (95% CI 20.3–31.2) and 49.3% (95% CI 42.1–59.1) respectively with coverage type having no significant difference on landing (p<0.05). Residual permethrin was present on the skin in low amounts (0.0041mg/cm2), but still produced a KD of >80% one hour after wearing treated clothing. Conclusion Whilst partially covering the body with permethrin-treated clothing provided some protection against biting, wearing treated clothing with long sleeves and trousers provided the highest form of protection. Washing treated clothing dramatically reduced protection provided. Permethrin-treated clothing could provide protection to individuals from Ae. aegypti that show permethrin resistance. Additionally, it could continue to provide protection even after the clothing has been worn. Field trials are urgently needed to determine whether clothing can protect against dengue and Zika. PMID:27187593

Personal Protection of Permethrin-Treated Clothing against Aedes aegypti, the Vector of Dengue and Zika Virus, in the Laboratory.

PubMed

Orsborne, James; DeRaedt Banks, Sarah; Hendy, Adam; Gezan, Salvador A; Kaur, Harparkash; Wilder-Smith, Annelies; Lindsay, Steve W; Logan, James G

2016-01-01

The dengue and Zika viruses are primarily transmitted by Aedes aegypti mosquitoes, which are most active during day light hours and feed both in and outside of the household. Personal protection technologies such as insecticide-treated clothing could provide individual protection. Here we assessed the efficacy of permethrin-treated clothing on personal protection in the laboratory. The effect of washing on treated clothing, skin coverage and protection against resistant and susceptible Ae. aegypti was assessed using modified WHO arm-in-cage assays. Coverage was further assessed using free-flight room tests to investigate the protective efficacy of unwashed factory-dipped permethrin-treated clothing. Clothing was worn as full coverage (long sleeves and trousers) and partial coverage (short sleeves and shorts). Residual permethrin on the skin and its effect on mosquitoes was measured using modified WHO cone assays and quantified using high-pressure liquid chromatography (HPLC) analysis. In the arm-in-cage assays, unwashed clothing reduced landing by 58.9% (95% CI 49.2-66.9) and biting by 28.5% (95% CI 22.5-34.0), but reduced to 18.5% (95% CI 14.7-22.3) and 11.1% (95% CI 8.5-13.8) respectively after 10 washes. Landing and biting for resistant and susceptible strains was not significantly different (p<0.05). In free-flight room tests, full coverage treated clothing reduced landing by 24.3% (95% CI 17.4-31.7) and biting by 91% (95% CI 82.2-95.9) with partial coverage reducing landing and biting by 26.4% (95% CI 20.3-31.2) and 49.3% (95% CI 42.1-59.1) respectively with coverage type having no significant difference on landing (p<0.05). Residual permethrin was present on the skin in low amounts (0.0041mg/cm2), but still produced a KD of >80% one hour after wearing treated clothing. Whilst partially covering the body with permethrin-treated clothing provided some protection against biting, wearing treated clothing with long sleeves and trousers provided the highest form of protection. Washing treated clothing dramatically reduced protection provided. Permethrin-treated clothing could provide protection to individuals from Ae. aegypti that show permethrin resistance. Additionally, it could continue to provide protection even after the clothing has been worn. Field trials are urgently needed to determine whether clothing can protect against dengue and Zika.

Children, Families, and Disparities: Pediatric Provisions in the Affordable Care Act.

PubMed

Grace, Aimee M; Horn, Ivor; Hall, Robert; Cheng, Tina L

2015-10-01

The Affordable Care Act has caused and continues to cause sweeping changes throughout the health system in the United States. Poorly explained, complex, controversial, confusing, and subject to continuous legal and regulatory definition, the law stands as a hallmark piece of legislation that will change the health sector in America forever. This article summarizes the Affordable Care Act with a focus on children, families, and disparities. Also provided is the context of the current system of health care coverage in the United States. Published by Elsevier Inc.

29 CFR 2520.101-2 - Annual reporting by multiple employer welfare arrangements and certain other entities offering or...

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 9 2010-07-01 2010-07-01 false Annual reporting by multiple employer welfare arrangements and certain other entities offering or providing coverage for medical care to the employees of two or more employers. 2520.101-2 Section 2520.101-2 Labor Regulations Relating to Labor (Continued) EMPLOYEE...

26 CFR 54.4980B-7 - Duration of COBRA continuation coverage.

Code of Federal Regulations, 2010 CFR

2010-04-01

... day for which timely payment is not made to the plan with respect to the qualified beneficiary (see Q... provide any group health plan (including successor plans) to any employee; (4) The date, after the date of... plan, as described in Q&A-2 of this section; (5) The date, after the date of the election, upon which...

Formation and operation of a captive insurance company for malpractice coverage.

PubMed

Townsend, R W

1988-01-01

With the onset of the "malpractice crisis" of spiralling insurance costs in the 1970s, many medical groups began viewing self-insurance as a viable alternative to conventional carriers. Captive insurance companies are not without their risks, but continue to hold promise for controlling escalating insurance costs and providing a positive cash flow for the parent company.

Key findings from HSC's 2010 site visits: health care markets weather economic downturn, brace for health reform.

PubMed

Felland, Laurie E; Grossman, Joy M; Tu, Ha T

2011-05-01

Lingering fallout--loss of jobs and employer coverage--from the great recession slowed demand for health care services but did little to slow aggressive competition by dominant hospital systems for well-insured patients, according to key findings from the Center for Studying Health System Change's (HSC) 2010 site visits to 12 nationally representative metropolitan communities. Hospitals with significant market clout continued to command high payment rate increases from private insurers, and tighter hospital-physician alignment heightened concerns about growing provider market power. High and rising premiums led to increasing employer adoption of consumer-driven health plans and continued increases in patient cost sharing, but the broader movement to educate and engage consumers in care decisions did not keep pace. State and local budget deficits led to some funding cuts for safety net providers, but an influx of federal stimulus funds increased support to community health centers and shored up Medicaid programs, allowing many people who lost private insurance because of job losses to remain covered. Hospitals, physicians and insurers generally viewed health reform coverage expansions favorably, but all worried about protecting revenues as reform requirements phase in.

Superposed epoch analysis of ion temperatures during CME- and CIR/HSS-driven storms

NASA Astrophysics Data System (ADS)

Keesee, A. M.; Scime, E. E.

2012-12-01

The NASA Two Wide-angle Imaging Neutral atom Spectrometers (TWINS) Mission provides a global view of the magnetosphere with near-continuous coverage. Utilizing a novel technique to calculate ion temperatures from the TWINS energetic neutral atom (ENA) measurements, we generate ion temperature maps of the magnetosphere. These maps can be used to study ion temperature evolution during geomagnetic storms. A superposed epoch analysis of the ion temperature evolution during 48 storms will be presented. Zaniewski et al. [2006] performed a superposed epoch analysis of ion temperatures by storm interval using data from the MENA instrument on the IMAGE mission, demonstrating significant dayside ion heating during the main phase. The TWINS measurements provide more continuous coverage and improved spatial and temporal resolution. Denton and Borovsky [2008] noted differences in ion temperature evolution at geosynchronous orbit between coronal mass ejection (CME)- and corotating interaction region (CIR)/high speed stream (HSS)- driven storms. Using our global ion temperature maps, we have found consistent results for select individual storms [Keesee et al., 2012]. We will present superposed epoch analyses for the subgroups of CME- and CIR/HSS-driven storms to compare global ion temperature evolution during the two types of storms.

42 CFR 486.106 - Condition for coverage: Referral for service and preservation of records.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 5 2011-10-01 2011-10-01 false Condition for coverage: Referral for service and preservation of records. 486.106 Section 486.106 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION CONDITIONS FOR COVERAGE OF...

29 CFR 1620.7 - “Enterprise” coverage.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 4 2010-07-01 2010-07-01 false âEnterpriseâ coverage. 1620.7 Section 1620.7 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION THE EQUAL PAY ACT § 1620.7 “Enterprise” coverage. (a) The terms “enterprise” and “enterprise engaged in commerce or in the production of...

5 CFR 875.408 - What is the significance of incontestability?

Code of Federal Regulations, 2010 CFR

2010-01-01

... SERVICE REGULATIONS (CONTINUED) FEDERAL LONG TERM CARE INSURANCE PROGRAM Coverage § 875.408 What is the... coverage is different from what is shown in your medical records. (2) If your coverage has been in force... is shown in your medical records and pertains to the condition for which benefits are sought. (3...

5 CFR 875.408 - What is the significance of incontestability?

Code of Federal Regulations, 2011 CFR

2011-01-01

... SERVICE REGULATIONS (CONTINUED) FEDERAL LONG TERM CARE INSURANCE PROGRAM Coverage § 875.408 What is the... coverage is different from what is shown in your medical records. (2) If your coverage has been in force... is shown in your medical records and pertains to the condition for which benefits are sought. (3...

NASA Near Earth Network (NEN) Support for Lunar and L1/L2 CubeSats

NASA Technical Reports Server (NTRS)

Schaire, Scott; Altunc, Serhat; Wong, Yen; Shelton, Marta; Celeste, Peter; Anderson, Michael; Perrotto, Trish

2017-01-01

The NASA Near Earth Network (NEN) consists of globally distributed tracking stations, including NASA, commercial, and partner ground stations, that are strategically located to maximize the coverage provided to a variety of orbital and suborbital missions, including those in LEO, GEO, HEO, lunar and L1/L2 orbits. The NENs future mission set includes and will continue to include CubeSat missions. The majority of the CubeSat missions destined to fly on EM-1, launching in late 2018, many in a lunar orbit, will communicate with ground based stations via X-band and will utilize the NASA Jet Propulsion Laboratory (JPL) developed IRIS radio. The NEN recognizes the important role CubeSats are beginning to play in carrying out NASAs mission and is therefore investigating the modifications needed to provide IRIS radio compatibility. With modification, the NEN could potentially expand support to the EM-1 lunar CubeSats.The NEN could begin providing significant coverage to lunar CubeSat missions utilizing three to four of the NENs mid-latitude sites. This coverage would supplement coverage provided by the JPL Deep Space Network (DSN). The NEN, with smaller apertures than DSN, provides the benefit of a larger beamwidth that could be beneficial in the event of uncertain ephemeris data. In order to realize these benefits the NEN would need to upgrade stations targeted based on coverage ability and current configuration/ease of upgrade, to ensure compatibility with the IRIS radio. In addition, the NEN is working with CubeSat radio developers to ensure NEN compatibility with alternative CubeSat radios for Lunar and L1/L2 CubeSats. The NEN has provided NEN compatibility requirements to several radio developers who are developing radios that offer lower cost and, in some cases, more capabilities with fewer constraints. The NEN is ready to begin supporting CubeSat missions. The NEN is considering network upgrades to broaden the types of CubeSat missions that can be supported and is supporting both the CubeSat community and radio developers to ensure future CubeSat missions have multiple options when choosing a network for their communications support.

The search for a national child health coverage policy.

PubMed

Rosenbaum, Sara; Kenney, Genevieve M

2014-12-01

Thirty-eight percent of US children depend on publicly financed health insurance, reflecting both its expansion and the steady erosion of employment-based coverage. Continued funding for the Children's Health Insurance Program (CHIP) is an immediate priority. But broader reforms aimed at improving the quality of coverage for all insured children, with a special emphasis on children living in low-income families, are also essential. This means addressing the "family glitch," which bars premium subsidies for children whose parents have access to affordable self-only employer-sponsored benefits. It also means addressing the quality of health plans sold in the individual and small-group markets-whether or not purchased through the state and federal exchanges-that are governed by the "essential health benefit" standard of the Affordable Care Act (ACA). In this article we examine trends in coverage and the role of Medicaid and CHIP. We also consider how the ACA has shaped child health financing, and we discuss critical issues in the broader insurance market and the need to ensure plan quality, including the scope of coverage, use of a pediatric medical necessity standard that emphasizes growth and development, the structure of pediatric provider networks, and attention to the quality of pediatric health care. Project HOPE—The People-to-People Health Foundation, Inc.

29 CFR 2590.715-2714 - Eligibility of children until at least age 26.

Code of Federal Regulations, 2010 CFR

2010-07-01

... plan, or a health insurance issuer offering group health insurance coverage, that makes available... or health insurance coverage providing dependent coverage of children cannot vary based on age... of self-only or family health coverage. Dependent coverage is provided under family health coverage...

Global ice and land climate studies using scatterometer image data

NASA Astrophysics Data System (ADS)

Long, David G.; Drinkwater, Mark R.; Holt, Benjamin; Saatchi, Sasan; Bertoia, Cheryl

Scatterometers have provided continuous synoptic microwave radar coverage of the Earth from space for nearly a decade. NASA launched three scatterometers: the current SeaWinds scatterometer onboard QuikSCAT (QSCAT, 13.4 GHz) launched in 1999; the NASA scatterometer (NSCAT, 14.0 GHz), which flew on the Japanese Space Agency's ADEOS-1 platform during 1996-1997 and the Seasat-A scatterometer system (SASS, 14.6 GHz), which flew in 1978. The European Space Agency's (ESA) 5.3-GHz scatterometer (ESCAT) has been carried onboard both the ERS-1 and ERS-2 satellites since 1991.properties, including the phase state, of a particular surface type. Varying response from the surface also results from different polarizations, viewing angles and orientations, and radar frequencies. The wide swath of scatterometers provides near daily global coverage at intrinsic sensor resolutions that are generally between 25-50 km.

26 CFR 1.420-1 - Significant reduction in retiree health coverage during the cost maintenance period.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 26 Internal Revenue 5 2010-04-01 2010-04-01 false Significant reduction in retiree health coverage during the cost maintenance period. 1.420-1 Section 1.420-1 Internal Revenue INTERNAL REVENUE SERVICE, DEPARTMENT OF THE TREASURY (CONTINUED) INCOME TAX (CONTINUED) INCOME TAXES Pension, Profit-Sharing, Stock Bonus Plans, Etc. § 1.420-1 Significant...

New Medicaid Enrollees In Oregon Report Health Care Successes And Challenges

PubMed Central

Allen, Heidi; Wright, Bill J.; Baicker, Katherine

2014-01-01

Medicaid expansions will soon cover millions of new enrollees, but insurance alone may not ensure that they receive high-quality care. This study examines health care interactions and the health perceptions of an Oregon cohort three years after they gained Medicaid coverage. During in-depth qualitative interviews, 120 enrollees reported a wide range of interactions with the health care system. Forty percent of the new enrollees sought care infrequently because they were confused about coverage, faced access barriers, had bad interactions with providers, or felt that care was unnecessary. For the 60 percent who had multiple health care interactions, continuity and ease of the provider-patient relationship were critical to improved health. Some newly insured Medicaid enrollees recounted rapid improvements in health. However, most reported that gains came after months or years of working closely and systematically with a provider. Our findings suggest that improving communication with beneficiaries and increasing the availability of coordinated care across settings could reduce the barriers that new enrollees are likely to face. PMID:24493773

Improvements to GOES Twilight Cloud Detection over the ARM SGP

NASA Technical Reports Server (NTRS)

Yost, c. R.; Trepte, Q.; Khaiyer, M. M.; Palikonda, R.; Nguyen, L.

2007-01-01

The current ARM satellite cloud products derived from Geostationary Operational Environmental Satellite (GOES) data provide continuous coverage of many cloud properties over the ARM Southern Great Plains domain. However, discontinuities occur during daylight near the terminator, a time period referred to here as twilight. This poster presentation will demonstrate the improvements in cloud detection provided by the improved cloud mask algorithm as well as validation of retrieved cloud properties using surface observations from the Atmospheric Radiation Measurement Southern Great Plains (ARM SGP) site.

[Changes in mangrove coverage in Culebra Bay, North Pacific of Costa Rica (1945-2010)].

PubMed

Benavides-Varela, Catalina; Samper-Villareal, Jimena; Cortés, Jorge

2016-09-01

Despite the economic and environmental services that mangroves provide, they continue to be threatened by overexploitation, pollution, and land use change. Costa Rica has mangrove areas on the Pacific and Caribbean coasts, and cover has been declining since the 1980s. However, data on mangrove coverage are not continually updated and are often based on inaccurate estimates. It is therefore necessary to assess the current extension and variation of the mangrove cover in recent years, to determine changes. The mangrove cover was analyzed in two mangrove forests located in Bahía Culebra, North Pacific: Iguanita and Playa Panamá. For this, aerial photographs and satellite imagery were used to study changes for a 65 year period (1945-2010). Spatio-temporal changes were found in mangroves coverage, and adjacent forests and areas without vegetation. Lower mangrove cover occurred during the 1970s (28.4 ha in Iguanita and 4.8 ha in Playa Panamá); but increased in recent years (38.9 ha in Iguanita and 12.0 ha in Panamá). Changes in forest cover by the Iguanita and Playa Panama mangroves were related to the history of land use around Bahía Culebra. Before 1980, there was extensive and intensive cattle ranching, increasing the deforestation rate; after that year, these practices were abandoned and secondary forest coverage increased until 2000. To ensure the adequate protection of mangroves, it is not only important to protect mangrove forests, but it is also necessary to establish buffer zones on their surroundings, to mitigate and/or reduce possible impacts.

29 CFR 1620.6 - Coverage is not based on amount of covered activity.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 4 2010-07-01 2010-07-01 false Coverage is not based on amount of covered activity. 1620.6 Section 1620.6 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION THE EQUAL PAY ACT § 1620.6 Coverage is not based on amount of covered activity. The FLSA makes no...

An Optimized Hidden Node Detection Paradigm for Improving the Coverage and Network Efficiency in Wireless Multimedia Sensor Networks

PubMed Central

Alanazi, Adwan; Elleithy, Khaled

2016-01-01

Successful transmission of online multimedia streams in wireless multimedia sensor networks (WMSNs) is a big challenge due to their limited bandwidth and power resources. The existing WSN protocols are not completely appropriate for multimedia communication. The effectiveness of WMSNs varies, and it depends on the correct location of its sensor nodes in the field. Thus, maximizing the multimedia coverage is the most important issue in the delivery of multimedia contents. The nodes in WMSNs are either static or mobile. Thus, the node connections change continuously due to the mobility in wireless multimedia communication that causes an additional energy consumption, and synchronization loss between neighboring nodes. In this paper, we introduce an Optimized Hidden Node Detection (OHND) paradigm. The OHND consists of three phases: hidden node detection, message exchange, and location detection. These three phases aim to maximize the multimedia node coverage, and improve energy efficiency, hidden node detection capacity, and packet delivery ratio. OHND helps multimedia sensor nodes to compute the directional coverage. Furthermore, an OHND is used to maintain a continuous node– continuous neighbor discovery process in order to handle the mobility of the nodes. We implement our proposed algorithms by using a network simulator (NS2). The simulation results demonstrate that nodes are capable of maintaining direct coverage and detecting hidden nodes in order to maximize coverage and multimedia node mobility. To evaluate the performance of our proposed algorithms, we compared our results with other known approaches. PMID:27618048

An Optimized Hidden Node Detection Paradigm for Improving the Coverage and Network Efficiency in Wireless Multimedia Sensor Networks.

PubMed

Alanazi, Adwan; Elleithy, Khaled

2016-09-07

Successful transmission of online multimedia streams in wireless multimedia sensor networks (WMSNs) is a big challenge due to their limited bandwidth and power resources. The existing WSN protocols are not completely appropriate for multimedia communication. The effectiveness of WMSNs varies, and it depends on the correct location of its sensor nodes in the field. Thus, maximizing the multimedia coverage is the most important issue in the delivery of multimedia contents. The nodes in WMSNs are either static or mobile. Thus, the node connections change continuously due to the mobility in wireless multimedia communication that causes an additional energy consumption, and synchronization loss between neighboring nodes. In this paper, we introduce an Optimized Hidden Node Detection (OHND) paradigm. The OHND consists of three phases: hidden node detection, message exchange, and location detection. These three phases aim to maximize the multimedia node coverage, and improve energy efficiency, hidden node detection capacity, and packet delivery ratio. OHND helps multimedia sensor nodes to compute the directional coverage. Furthermore, an OHND is used to maintain a continuous node- continuous neighbor discovery process in order to handle the mobility of the nodes. We implement our proposed algorithms by using a network simulator (NS2). The simulation results demonstrate that nodes are capable of maintaining direct coverage and detecting hidden nodes in order to maximize coverage and multimedia node mobility. To evaluate the performance of our proposed algorithms, we compared our results with other known approaches.

A bill to amend title 10, United States Code, to provide for continuity of TRICARE Standard coverage for certain members of the Retired Reserve.

THOMAS, 111th Congress

Sen. Nelson, Ben [D-NE

2009-03-26

Senate - 03/26/2009 Read twice and referred to the Committee on Armed Services. (All Actions) Notes: For further action, see H.R.2647, which became Public Law 111-84 on 10/28/2009. Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

Surveillance of Vaccination Coverage Among Adult Populations - United States, 2014.

PubMed

Williams, Walter W; Lu, Peng-Jun; O'Halloran, Alissa; Kim, David K; Grohskopf, Lisa A; Pilishvili, Tamara; Skoff, Tami H; Nelson, Noele P; Harpaz, Rafael; Markowitz, Lauri E; Rodriguez-Lainz, Alfonso; Bridges, Carolyn B

2016-02-05

Overall, the prevalence of illness attributable to vaccine-preventable diseases is greater among adults than among children. Adults are recommended to receive vaccinations based on their age, underlying medical conditions, lifestyle, prior vaccinations, and other considerations. Updated vaccination recommendations from CDC are published annually in the U.S. Adult Immunization Schedule. Despite longstanding recommendations for use of many vaccines, vaccination coverage among U.S. adults is low. August 2013-June 2014 (for influenza vaccination) and January-December 2014 (for pneumococcal, tetanus and diphtheria [Td] and tetanus and diphtheria with acellular pertussis [Tdap], hepatitis A, hepatitis B, herpes zoster, and human papillomavirus [HPV] vaccination). The National Health Interview Survey (NHIS) is a continuous, cross-sectional national household survey of the noninstitutionalized U.S. civilian population. In-person interviews are conducted throughout the year in a probability sample of households, and NHIS data are compiled and released annually. The survey objective is to monitor the health of the U.S. population and provide estimates of health indicators, health care use and access, and health-related behaviors. Compared with data from the 2013 NHIS, increases in vaccination coverage occurred for Tdap vaccine among adults aged ≥19 years (a 2.9 percentage point increase to 20.1%) and herpes zoster vaccine among adults aged ≥60 years (a 3.6 percentage point increase to 27.9%). Aside from these modest improvements, vaccination coverage among adults in 2014 was similar to estimates from 2013 (for influenza coverage, similar to the 2012-13 season). Influenza vaccination coverage among adults aged ≥19 years was 43.2%. Pneumococcal vaccination coverage among high-risk persons aged 19-64 years was 20.3% and among adults aged ≥65 years was 61.3%. Td vaccination coverage among adults aged ≥19 years was 62.2%. Hepatitis A vaccination coverage among adults aged ≥19 years was 9.0%. Hepatitis B vaccination coverage among adults aged ≥19 years was 24.5%. HPV vaccination coverage among adults aged 19-26 years was 40.2% for females and 8.2% for males. Racial/ethnic differences in coverage persisted for all seven vaccines, with higher coverage generally for whites compared with most other groups. Adults without health insurance were significantly less likely than those with health insurance to report receipt of influenza vaccine (aged ≥19 years), pneumococcal vaccine (aged 19-64 years with high-risk conditions and aged ≥65 years), Td vaccine (aged ≥19 years), Tdap vaccine (aged ≥19 years and 19-64 years), hepatitis A vaccine (aged ≥19 years overall and among travelers), hepatitis B vaccine (aged ≥19 years, 19-49 years, and 19-59 years with diabetes), herpes zoster vaccine (aged ≥60 years and 60-64 years), and HPV vaccine (females aged 19-26 years and males aged 19-26 years). Adults who reported having a usual place for health care generally were more likely to receive recommended vaccinations than those who did not have a usual place for health care, regardless of whether they had health insurance. Vaccination coverage was significantly higher among those reporting one or more physician contacts in the past year compared with those who had not visited a physician in the past year, regardless of whether they had health insurance. Even among adults who had health insurance and ≥10 physician contacts within the past year, 23.8%-88.8% reported not having received vaccinations that were recommended either for all persons or for those with some specific indication. Overall, vaccination coverage among U.S.-born respondents was significantly higher than that of foreign-born respondents with few exceptions (influenza vaccination [adults aged 19-49 years], hepatitis A vaccination [adults aged ≥19 years], hepatitis B vaccination [adults with diabetes aged ≥60 years], and HPV vaccination [males aged 19-26 years]). Overall, increases in adult vaccination coverage are needed. Although modest gains occurred in Tdap vaccination coverage among adults aged ≥19 years and herpes zoster vaccination coverage among adults aged ≥60 years, coverage for other vaccines and risk groups did not improve, and racial/ethnic disparities persisted for routinely recommended adult vaccines. Coverage for all vaccines for adults remained low, and missed opportunities to vaccinate adults continued. Although having health insurance coverage and a usual place for health care are associated with higher vaccination coverage, these factors alone do not assure optimal adult vaccination coverage. Assessing associations with vaccination is important for understanding factors that contribute to low coverage rates and to disparities in vaccination, and for implementing strategies to improve vaccination coverage. Practices that have been demonstrated to improve vaccination coverage should be used. These practices include assessment of patients' vaccination indications by health care providers and routine recommendation and offer of needed vaccines to adults, implementation of reminder-recall systems, use of standing-order programs for vaccination, and assessment of practice-level vaccination rates with feedback to staff members. For vaccination to be improved among those least likely to be up-to-date on recommended adult vaccines, efforts also are needed to identify adults who do not have a regular provider or insurance and who report fewer health care visits.

Increasing cellular coverage within integrated terrestrial/satellite mobile networks

NASA Technical Reports Server (NTRS)

Castro, Jonathan P.

1995-01-01

When applying the hierarchical cellular concept, the satellite acts as giant umbrella cell covering a region with some terrestrial cells. If a mobile terminal traversing the region arrives to the border-line or limits of a regular cellular ground service, network transition occurs and the satellite system continues the mobile coverage. To adequately assess the boundaries of service of a mobile satellite system an a cellular network within an integrated environment, this paper provides an optimized scheme to predict when a network transition may be necessary. Under the assumption of a classified propagation phenomenon and Lognormal shadowing, the study applies an analytical approach to estimate the location of a mobile terminal based on a reception of the signal strength emitted by a base station.

5 CFR 892.211 - What options are available to me if I go on a period of leave without pay (LWOP) or other types...

Code of Federal Regulations, 2010 CFR

2010-01-01

... will continue FEHB coverage while on LWOP; your employer will advance your share of your FEHB premium during your LWOP period; and you will repay the advanced amounts when you return from LWOP. (Described in... you now waive). (b)(1) You may continue your FEHB coverage by agreeing in advance of LWOP to one of...

Lot quality assurance sampling to monitor supplemental immunization activity quality: an essential tool for improving performance in polio endemic countries.

PubMed

Brown, Alexandra E; Okayasu, Hiromasa; Nzioki, Michael M; Wadood, Mufti Z; Chabot-Couture, Guillaume; Quddus, Arshad; Walker, George; Sutter, Roland W

2014-11-01

Monitoring the quality of supplementary immunization activities (SIAs) is a key tool for polio eradication. Regular monitoring data, however, are often unreliable, showing high coverage levels in virtually all areas, including those with ongoing virus circulation. To address this challenge, lot quality assurance sampling (LQAS) was introduced in 2009 as an additional tool to monitor SIA quality. Now used in 8 countries, LQAS provides a number of programmatic benefits: identifying areas of weak coverage quality with statistical reliability, differentiating areas of varying coverage with greater precision, and allowing for trend analysis of campaign quality. LQAS also accommodates changes to survey format, interpretation thresholds, evaluations of sample size, and data collection through mobile phones to improve timeliness of reporting and allow for visualization of campaign quality. LQAS becomes increasingly important to address remaining gaps in SIA quality and help focus resources on high-risk areas to prevent the continued transmission of wild poliovirus. © Crown copyright 2014.

Land status and federal mineral ownership in the Powder River basin, Wyoming and Montana; a digital data set for geographic information systems

USGS Publications Warehouse

Biewick, Laura; Urbanowski, Shayne R.; Cain, Sheila; Neasloney, Larry

1998-01-01

As the Nation's energy resources continue to be examined for development, it is critical that a digital database exist that contains location data for all Federal land and mineral resources. The U.S. Geological Survey (USGS), in cooperation with the Bureau of Land Management (BLM), is collecting these ownership files and compiling them in Environmental Systems Research Institute, Inc. (ESRI) ARC/INFO coverages, to form a standardized data library. A coverage is a digital version of a map in the form of vector data storage. These coverages are combined with models of coal deposits from the USGS National Coal Resource Assessment project, a five-year effort to identify and characterize the coal beds and coal zones that will provide fuel for the Nation’s energy needs during the first quarter of the twenty-first century. Geographic and geologic data layers are integrated in a Geographic Information System (GIS) to answer complex geo-spatial questions concerning coal resource occurrence.

Understanding the role of the news media in HPV vaccine uptake in the United States: Synthesis and commentary.

PubMed

Gollust, Sarah E; LoRusso, Susan M; Nagler, Rebekah H; Fowler, Erika Franklin

2016-06-02

Vaccination rates for the human papillomavirus (HPV) vaccine fall below targets and only 2 states and the District of Columbia require the vaccine for middle school-age children. Messages conveyed through news media-to parents, providers, policymakers, and the general public-may contribute to sluggish vaccination rates and policy action. In this commentary, we review the findings from 13 published studies of news media coverage of the HPV vaccine in the United States since FDA licensure in 2006. We find 2 important themes in news coverage: a rising focus on political controversy and a consistent emphasis on the vaccine as for girls, even beyond the point when the vaccine was recommended for boys. These political and gendered messages have consequences for public understanding of the vaccine. Future research should continue to monitor news media depictions of the HPV vaccine to assess whether political controversy will remain a pronounced theme of coverage or whether the media ultimately depict the vaccine as a routine public health service.

McGann v. H & H Music Company.

PubMed

1991-11-04

The U.S. Court of Appeals affirmed a U.S. District Court holding that the plaintiff-employee was not discriminated against under the Employee Retirement Income Security Act (ERISA) when his employer became self-insured and reduced the maximum lifetime medical benefits for employees with AIDS from $1,000,000 to $5,000. ERISA does not mandate that employers provide any particular benefits. ERISA is violated, however, when an employee is discriminated against for exercising any right to which he/she is entitled or when there is interference with the attainment of any right to which an employee may become entitled. The court held that there was no ERISA violation because the reduction in coverage affected all current and future employees with AIDS and was not directed against the plaintiff in particular, and because there was no evidence that the reduction was done for any reason other than reducing plan cost. Additionally, the continued coverage was not a right the plaintiff was entitled to because the defendant company never promised indefinite million dollar coverage.

Epigenetics, Media Coverage, and Parent Responsibilities in the Post-Genomic Era

PubMed Central

Lappé, Martine

2016-01-01

Environmental epigenetics is the study of how exposures and experiences can turn genes “on” or “off” without changing DNA sequence. By examining the influence that environmental conditions including diet, stress, trauma, toxins, and care can have on gene expression, this science suggests molecular connections between the environment, genetics, and how acquired characteristics may be inherited across generations. The rapid expansion of research in this area has attracted growing media attention. This coverage has implications for how parents and prospective parents understand health and their perceived responsibilities for children’s wellbeing. This review provides insight into epigenetic research, its coverage in the media, and the social and ethical implications of this science for patients and clinicians. As epigenetic findings continue to elucidate the complex relationships between nature and nurture, it becomes critical to examine how representations of this science may influence patient experiences of risk and responsibility. This review describes some of the social and ethical implications of epigenetic research today. PMID:27867757

Epigenetics, Media Coverage, and Parent Responsibilities in the Post-Genomic Era.

PubMed

Lappé, Martine

2016-09-01

Environmental epigenetics is the study of how exposures and experiences can turn genes "on" or "off" without changing DNA sequence. By examining the influence that environmental conditions including diet, stress, trauma, toxins, and care can have on gene expression, this science suggests molecular connections between the environment, genetics, and how acquired characteristics may be inherited across generations. The rapid expansion of research in this area has attracted growing media attention. This coverage has implications for how parents and prospective parents understand health and their perceived responsibilities for children's wellbeing. This review provides insight into epigenetic research, its coverage in the media, and the social and ethical implications of this science for patients and clinicians. As epigenetic findings continue to elucidate the complex relationships between nature and nurture, it becomes critical to examine how representations of this science may influence patient experiences of risk and responsibility. This review describes some of the social and ethical implications of epigenetic research today.

Health Care Coverage Decision Making in Low- and Middle-Income Countries: Experiences from 25 Coverage Schemes.

PubMed

Gutierrez, Hialy; Shewade, Ashwini; Dai, Minghan; Mendoza-Arana, Pedro; Gómez-Dantés, Octavio; Jain, Nishant; Khonelidze, Irma; Nabyonga-Orem, Juliet; Saleh, Karima; Teerawattananon, Yot; Nishtar, Sania; Hornberger, John

2015-08-01

Lessons learned by countries that have successfully implemented coverage schemes for health services may be valuable for other countries, especially low- and middle-income countries (LMICs), which likewise are seeking to provide/expand coverage. The research team surveyed experts in population health management from LMICs for information on characteristics of health care coverage schemes and factors that influenced decision-making processes. The level of coverage provided by the different schemes varied. Nearly all the health care coverage schemes involved various representatives and stakeholders in their decision-making processes. Maternal and child health, cardiovascular diseases, cancer, and HIV were among the highest priorities guiding coverage development decisions. Evidence used to inform coverage decisions included medical literature, regional and global epidemiology, and coverage policies of other coverage schemes. Funding was the most commonly reported reason for restricting coverage. This exploratory study provides an overview of health care coverage schemes from participating LMICs and contributes to the scarce evidence base on coverage decision making. Sharing knowledge and experiences among LMICs can support efforts to establish systems for accessible, affordable, and equitable health care.

29 CFR 1620.3 - General coverage of employees “engaged in * * * the production of goods for commerce.”

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 4 2010-07-01 2010-07-01 false General coverage of employees âengaged in * * * the production of goods for commerce.â 1620.3 Section 1620.3 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION THE EQUAL PAY ACT § 1620.3 General coverage of employees...

29 CFR 1620.2 - General coverage of employees “engaged in commerce.”

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 4 2010-07-01 2010-07-01 false General coverage of employees âengaged in commerce.â 1620.2 Section 1620.2 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION THE EQUAL PAY ACT § 1620.2 General coverage of employees “engaged in commerce.” (a) Like the FLSA, the EPA...

Developing an evidence-based list of journals for nursing

PubMed Central

Sherwill-Navarro, Pamela; Kennedy, Joy C.; Allen, Margaret (Peg)

2014-01-01

The Nursing and Allied Health Resources Section (NAHRS) of the Medical Library Association created the 2012 NAHRS Selected List of Nursing Journals to assist librarians with collection development and to provide nurses and librarians with data on nursing and interdisciplinary journals to assist their decisions about where to submit articles for publication. This list is a continuation and expansion of a list initially known as the Key Nursing Journals list. It compares database coverage and full-text options for each title and includes an analysis of the number of evidence-based, research, and continuing education articles. PMID:24860267

Make Your Good Publicity Work Marketing Magic.

ERIC Educational Resources Information Center

Wassom, Julie

1988-01-01

Stresses the importance of positive public opinion and media coverage for the successful continuity of day care centers. Suggests a variety of alternatives for maximizing the longevity and galvanizing the impact of positive media attention and coverage. (RWB)

EVATS: a proactive solution to improve surgical education and maintain flexibility in the new training era.

PubMed

Horvath, Karen D; Mann, Gary N; Pellegrini, Carlos

2006-01-01

To describe the development of the EVATS rotation. Descriptive document. University teaching hospital. Faculty and residents of the University of Washington. In July 2003 we identified the need for a new, independent, educational module within our residency training. Requirements for this rotation included dedicated time for technical skills training on simulators, independent competency learning modules, academic research project time, vacation time and coverage, and flexibility for unplanned leave (eg, interview travel, m/paternity leave). An EVATS rotation was created in July 2003 that is provided at each training level and lasts from 4 to 8 weeks depending on R-level. EVATS meets the following challenges: Emergency coverage (EVATS residents available for last-minute service coverage), vacation time/vacation coverage (2 weeks vacation + 1 week vacation coverage; this maintains vacations for all residents every 6 months), academic time (residents now must complete 1 academic project for graduation) and ACGME competency learning and assessment, and technical skills training (includes simulator work for open/lap skills). Initial implementation indices are high and include resident satisfaction, 80-hour work week compliance, academic productivity, and patient continuity of care. The 21st century brought new challenges for surgical training. Increased societal demands for skills training in a laboratory setting using simulators and the 6 ACGME competencies all require classroom-type training periods. Paradoxically, the 80-hour work week restricted the time available for these educational activities and made it more difficult for programs to accommodate resident vacations and emergencies. These challenges provided an opportunity to enhance the educational experience for our residency program. The product was the EVATS rotation. Early data after implementation are favorable.

Performance Assessment of Ga District Mutual Health Insurance Scheme, Greater Accra Region, Ghana.

PubMed

Nsiah-Boateng, Eric; Aikins, Moses

This study assessed performance of the Ga District Mutual Health Insurance Scheme over the period 2007-2009. The desk review method was used to collect secondary data on membership coverage, revenue, expenditure, and claims settlement patterns of the scheme. A household survey was also conducted in the Madina Township by using a self-administered semi-structured questionnaire to determine community coverage of the scheme. The study showed membership coverage of 21.8% and community coverage of 22.2%. The main reasons why respondents had not registered with the scheme are that contributions are high and it does not offer the services needed. Financially, the scheme depended largely on subsidies and reinsurance from the National Health Insurance Authority for 89.8% of its revenue. Approximately 92% of the total revenue was spent on medical claims, and 99% of provider claims were settled beyond the stipulated 4-week period. There is an increasing trend in medical claims expenditure and lengthy delay in claims settlements, with most of them being paid beyond the mandatory 4-week period. Introduction of cost-containment measures including co-payment and capitation payment mechanism would be necessary to reduce the escalating cost of medical claims. Adherence to the 4-week stipulated period for payment of medical claims would be important to ensure that health care providers are financially resourced to deliver continuous health services to insured members. Furthermore, resourcing the scheme would be useful for speedy vetting of claims and also, community education on the National Health Insurance Scheme to improve membership coverage and revenue from the informal sector. Copyright © 2013, International Society for Pharmacoeconomics and Outcomes Research (ISPOR). Published by Elsevier Inc.

Delaunay Triangulation as a New Coverage Measurement Method in Wireless Sensor Network

PubMed Central

Chizari, Hassan; Hosseini, Majid; Poston, Timothy; Razak, Shukor Abd; Abdullah, Abdul Hanan

2011-01-01

Sensing and communication coverage are among the most important trade-offs in Wireless Sensor Network (WSN) design. A minimum bound of sensing coverage is vital in scheduling, target tracking and redeployment phases, as well as providing communication coverage. Some methods measure the coverage as a percentage value, but detailed information has been missing. Two scenarios with equal coverage percentage may not have the same Quality of Coverage (QoC). In this paper, we propose a new coverage measurement method using Delaunay Triangulation (DT). This can provide the value for all coverage measurement tools. Moreover, it categorizes sensors as ‘fat’, ‘healthy’ or ‘thin’ to show the dense, optimal and scattered areas. It can also yield the largest empty area of sensors in the field. Simulation results show that the proposed DT method can achieve accurate coverage information, and provides many tools to compare QoC between different scenarios. PMID:22163792

Reputation-Based Trust for a Cooperative, Agent-Based Backup Protection Scheme for Power Networks

DTIC Science & Technology

2010-03-01

85 Appendix B . Performance Charts for Data by Scenario...protection for that line. For example Relay 3 provides zone 1 coverage for line B and zone 3 coverage for line C. Relay 4 would also provide zone 1...coverage for line B but zone 3 coverage for line A instead since it is directional. Relay 1 and relay 6 would provide zone 3 coverage for line B . A

Prevalence, Characteristics, and Perception of Nursery Antibiotic Stewardship Coverage in the United States.

PubMed

Cantey, Joseph B; Vora, Niraj; Sunkara, Mridula

2017-09-01

Prolonged or unnecessary antibiotic use is associated with adverse outcomes in infants. Antibiotic stewardship programs (ASPs) aim to prevent these adverse outcomes and optimize antibiotic prescribing. However, data evaluating ASP coverage of nurseries are limited. The objectives of this study were to describe the characteristics of nurseries with and without ASP coverage and to determine perceptions of and barriers to nursery ASP coverage. The 2014 American Hospital Association annual survey was used to randomly select a level III neonatal intensive care unit from all 50 states. A level I and level II nursery from the same city as the level III nursery were then randomly selected. Hospital, nursery, and ASP characteristics were collected. Nursery and ASP providers (pharmacists or infectious disease providers) were interviewed using a semistructured template. Transcribed interviews were analyzed for themes. One hundred forty-six centers responded; 104 (71%) provided nursery ASP coverage. In multivariate analysis, level of nursery, university affiliation, and number of full-time equivalent ASP staff were the main predictors of nursery ASP coverage. Several themes were identified from interviews: unwanted coverage, unnecessary coverage, jurisdiction issues, need for communication, and a focus on outcomes. Most providers had a favorable view of nursery ASP coverage. Larger, higher-acuity nurseries in university-affiliated hospitals are more likely to have ASP coverage. Low ASP staffing and a perceived lack of importance were frequently cited as barriers to nursery coverage. Most nursery ASP coverage is viewed favorably by providers, but nursery providers regard it as less important than ASP providers. © The Author 2016. Published by Oxford University Press on behalf of the Pediatric Infectious Diseases Society. All rights reserved. For Permissions, please e-mail: journals.permissions@oup.com.

Expanding health insurance for children: examining the alternatives.

PubMed

Fronstin, P; Pierron, B

1997-07-01

This Issue Brief examines the issue of uninsured children. The budget reconciliation legislation currently under congressional consideration earmarks $16 billion for new initiatives to provide health insurance coverage to approximately 5 million of the 10 million uninsured children during the next five years. Proposals to expand coverage among children include the use of tax credits, subsidies, vouchers, Medicaid program expansion, and expansion of state programs. However, these proposals do not address the decline in employment-based health insurance coverage--the underlying cause of the lack of coverage, to the extent that a cause can be identified. What is worse, some proposals to expand health insurance among children may discourage employers from offering coverage. Between 1987 and 1995, the percentage of children with employment-based health insurance declined from 66.7 percent to 58.6 percent. Despite this trend, the percentage of children without any form of health insurance coverage barely increased. In 1987, 13.1 percent were uninsured, compared with 13.8 percent in 1995. Medicaid program expansions helped to alleviate the effects of the decline in employment-based health insurance coverage among children and the potential increase in the number of uninsured children. Between 1987 and 1995, the percentage of children enrolled in the Medicaid program increased from 15.5 percent to 23.2 percent. Some questions to consider in assessing approaches to improving children's health insurance coverage include the following: If the government intervenes, should it do so through a compulsory mechanism or a voluntary system? Is the employment-based system "worth saving" for children? In other words, are the market interventions necessary to keep this system functioning for children too regulatory, too intrusive, and too cumbersome to be practical? In addition to reforming the employment-based system, what reforms are necessary in order to reach those families who have no coverage through the work place? Which approaches are both efficient and politically acceptable? Employment-based coverage of children will likely continue. The challenge for lawmakers is to find a way to cover more uninsured children without eroding employment-based coverage. Several current legislative proposals attempt to avoid this problem by excluding children who have access to employment-based coverage. Without such a requirement, the opportunity to purchase coverage at a discount would create incentives for some low-income employees to drop dependent/family coverage, which in turn could lead some employers to drop their health plans.

Toward a continuous 405-kyr-calibrated Astronomical Time Scale for the Mesozoic Era

NASA Astrophysics Data System (ADS)

Hinnov, Linda; Ogg, James; Huang, Chunju

2010-05-01

Mesozoic cyclostratigraphy is being assembled into a continuous Astronomical Time Scale (ATS) tied to the Earth's cyclic orbital parameters. Recognition of a nearly ubiquitous, dominant ~400-kyr cycling in formations throughout the era has been particularly striking. Composite formations spanning contiguous intervals up to 50 myr clearly express these long-eccentricity cycles, and in some cases, this cycling is defined by third- or fourth-order sea-level sequences. This frequency is associated with the 405-kyr orbital eccentricity cycle, which provides a basic metronome and enables the extension of the well-defined Cenozoic ATS to scale the majority of the Mesozoic Era. This astronomical calibration has a resolution comparable to the 1% to 0.1% precision for radioisotope dating of Mesozoic ash beds, but with the added benefit of providing continuous stratigraphic coverage between dated beds. Extended portions of the Mesozoic ATS provide solutions to long-standing geologic problems of tectonics, eustasy, paleoclimate change, and rates of seafloor spreading.

The X-33 Extended Flight Test Range

NASA Technical Reports Server (NTRS)

Mackall, Dale A.; Sakahara, Robert; Kremer, Steven E.

1998-01-01

Development of an extended test range, with range instrumentation providing continuous vehicle communications, is required to flight-test the X-33, a scaled version of a reusable launch vehicle. The extended test range provides vehicle communications coverage from California to landing at Montana or Utah. This paper provides an overview of the approaches used to meet X-33 program requirements, including using multiple ground stations, and methods to reduce problems caused by reentry plasma radio frequency blackout. The advances used to develop the extended test range show other hypersonic and access-to-space programs can benefit from the development of the extended test range.

Journalism and Journalism Education: Abstracts of Doctoral Dissertations Published in "Dissertation Abstracts International," July through December 1980 (Vol. 41 Nos. 1 through 6).

ERIC Educational Resources Information Center

ERIC Clearinghouse on Reading and Communication Skills, Urbana, IL.

This collection of abstracts is part of a continuing series providing information on recent doctoral dissertations. The 18 titles deal with a variety of topics, including the following: (1) the status, function, and perceived needs of journalism in the high schools of West Virginia; (2) environmental pollution news coverage; (3) a critical history…

Journalism and Journalism Education: Abstracts of Doctoral Dissertations Published in "Dissertation Abstracts International," July through December 1984 (Vol. 45 Nos. 1 through 6).

ERIC Educational Resources Information Center

ERIC Clearinghouse on Reading and Communication Skills, Urbana, IL.

This collection of abstracts is part of a continuing series providing information on recent doctoral dissertations. The 15 titles deal with the following topics: (1) Robert Kennedy and the American press; (2) objective reporting, muckraking, and the "New Journalism" from 1950 to 1975; (3) the coverage of welfare by the New York press;…

Tennessee health plan tobacco cessation coverage.

PubMed

Kolade, Folasade M

2014-01-01

To evaluate the smoking cessation coverage available from public and private Tennessee health plans. Cross-sectional study. The sampling frame for private plans was a register of licensed plans obtained from the Tennessee Commerce Department. Government websites and reports provided TennCare data. Data were abstracted from plan manuals and formularies for benefit year 2012. Classification of coverage included comprehensive-all seven recommended medications plus individual and group counseling; moderate-at least two forms of nicotine replacement therapy (NRT) plus bupropion and varenicline and one form of counseling; inadequate-at least one treatment, or none-no medications or counseling, or coverage only for pregnant women. Of nine private plans, one provided comprehensive coverage; two, moderate coverage; four, inadequate coverage, as did TennCare; and two plans provided no coverage. Over 362,800 smokers had inadequate access to cessation treatments under TennCare, while 119,094 smokers had inadequate or no cessation coverage under private plans. In 2012, Tennessee fell short of Healthy People goals for total managed care and comprehensive TennCare coverage of smoking cessation. If Tennessee mandates that all health plans provide full coverage, 481,900 smokers may immediately be in a better position to quit. © 2013 Wiley Periodicals, Inc.

Geriatric Education in the Health Professions: Are We Making Progress?

PubMed Central

Bardach, Shoshana H.; Rowles, Graham D.

2012-01-01

Purpose: Relative to the overall population, older adults consume a disproportionally large percentage of health care resources. Despite advocacy and efforts initiated more than 30 years ago, the number of providers with specialized training in geriatrics is still not commensurate with the growing population of older adults. This contribution provides a contemporary update on the status of geriatric education and explores how geriatric coverage is valued, how geriatric competence is defined, and how students are evaluated for geriatric competencies. Design and Methods: Semi-structured interviews were conducted with curriculum representatives from 7 health profession disciplines in a case study of one academic medical center. Findings: Geriatric training varies across health professions’ disciplines. Although participants recognized the unique needs of older patients and valued geriatric coverage, they identified shortage of time in packed curricula, lack of geriatrics-trained educators, absence of financial incentive, and low student demand (resulting from limited exposure to older adults and gerontological stereotyping) as barriers to improving geriatric training. Implications: Progress in including geriatric training within curricula across the health professions continues to lag behind need as a result of the continuing presence of barriers identified several decades ago. There remains an urgent need for institutional commitment to enhance geriatric education as a component of health professions curricula. PMID:22394495

Analysis of aeromedical retrieval coverage using elliptical isochrones: An evaluation of helicopter fleet size configurations in Scotland.

PubMed

Dodds, Naomi; Emerson, Philip; Phillips, Stephanie; Green, David R; Jansen, Jan O

2017-03-01

Trauma systems in remote and rural regions often rely on helicopter emergency medical services to facilitate access to definitive care. The siting of such resources is key, but often relies on simplistic modeling of coverage, using circular isochrones. Scotland is in the process of implementing a national trauma network, and there have been calls for an expansion of aeromedical retrieval capacity. The aim of this study was to analyze population and area coverage of the current retrieval service configuration, with three aircraft, and a configuration with an additional helicopter, in the North East of Scotland, using a novel methodology. Both overall coverage and coverage by physician-staffed aircraft, with enhanced clinical capability, were analyzed. This was a geographical analysis based on calculation of elliptical isochrones, which consider the "open-jaw" configuration of many retrieval flights. Helicopters are not always based at hospitals. We modeled coverage based on different outbound and inbound flights. Areally referenced population data were obtained from the Scottish Government. The current helicopter network configuration provides 94.2% population coverage and 59.0% area coverage. The addition of a fourth helicopter would marginally increase population coverage to 94.4% and area coverage to 59.1%. However, when considering only physician-manned aircraft, the current configuration provides only 71.7% population coverage and 29.4% area coverage, which would be increased to 91.1% and 51.2%, respectively, with a second aircraft. Scotland's current helicopter network configuration provides good population coverage for retrievals to major trauma centers, which would only be increased minimally by the addition of a fourth aircraft in the North East. The coverage provided by the single physician-staffed aircraft is more limited, however, and would be increased considerably by a second physician-staffed aircraft in the North East. Elliptical isochrones provide a useful means of modeling "open-jaw" retrieval missions and provide a more realistic estimate of coverage. Epidemiological study, level IV; therapeutic study, level IV.

Using routine health information systems for well-designed health evaluations in low- and middle-income countries

PubMed Central

Wagenaar, Bradley H; Sherr, Kenneth; Fernandes, Quinhas; Wagenaar, Alexander C

2016-01-01

Routine health information systems (RHISs) are in place in nearly every country and provide routinely collected full-coverage records on all levels of health system service delivery. However, these rich sources of data are regularly overlooked for evaluating causal effects of health programmes due to concerns regarding completeness, timeliness, representativeness and accuracy. Using Mozambique’s national RHIS (Módulo Básico) as an illustrative example, we urge renewed attention to the use of RHIS data for health evaluations. Interventions to improve data quality exist and have been tested in low-and middle-income countries (LMICs). Intrinsic features of RHIS data (numerous repeated observations over extended periods of time, full coverage of health facilities, and numerous real-time indicators of service coverage and utilization) provide for very robust quasi-experimental designs, such as controlled interrupted time-series (cITS), which are not possible with intermittent community sample surveys. In addition, cITS analyses are well suited for continuously evolving development contexts in LMICs by: (1) allowing for measurement and controlling for trends and other patterns before, during and after intervention implementation; (2) facilitating the use of numerous simultaneous control groups and non-equivalent dependent variables at multiple nested levels to increase validity and strength of causal inference; and (3) allowing the integration of continuous ‘effective dose received’ implementation measures. With expanded use of RHIS data for the evaluation of health programmes, investments in data systems, health worker interest in and utilization of RHIS data, as well as data quality will further increase over time. Because RHIS data are ministry-owned and operated, relying upon these data will contribute to sustainable national capacity over time. PMID:25887561

Using routine health information systems for well-designed health evaluations in low- and middle-income countries.

PubMed

Wagenaar, Bradley H; Sherr, Kenneth; Fernandes, Quinhas; Wagenaar, Alexander C

2016-02-01

Routine health information systems (RHISs) are in place in nearly every country and provide routinely collected full-coverage records on all levels of health system service delivery. However, these rich sources of data are regularly overlooked for evaluating causal effects of health programmes due to concerns regarding completeness, timeliness, representativeness and accuracy. Using Mozambique's national RHIS (Módulo Básico) as an illustrative example, we urge renewed attention to the use of RHIS data for health evaluations. Interventions to improve data quality exist and have been tested in low-and middle-income countries (LMICs). Intrinsic features of RHIS data (numerous repeated observations over extended periods of time, full coverage of health facilities, and numerous real-time indicators of service coverage and utilization) provide for very robust quasi-experimental designs, such as controlled interrupted time-series (cITS), which are not possible with intermittent community sample surveys. In addition, cITS analyses are well suited for continuously evolving development contexts in LMICs by: (1) allowing for measurement and controlling for trends and other patterns before, during and after intervention implementation; (2) facilitating the use of numerous simultaneous control groups and non-equivalent dependent variables at multiple nested levels to increase validity and strength of causal inference; and (3) allowing the integration of continuous 'effective dose received' implementation measures. With expanded use of RHIS data for the evaluation of health programmes, investments in data systems, health worker interest in and utilization of RHIS data, as well as data quality will further increase over time. Because RHIS data are ministry-owned and operated, relying upon these data will contribute to sustainable national capacity over time. © The Author 2015. Published by Oxford University Press in association with The London School of Hygiene and Tropical Medicine.

A comparison of confidence interval methods for the concordance correlation coefficient and intraclass correlation coefficient with small number of raters.

PubMed

Feng, Dai; Svetnik, Vladimir; Coimbra, Alexandre; Baumgartner, Richard

2014-01-01

The intraclass correlation coefficient (ICC) with fixed raters or, equivalently, the concordance correlation coefficient (CCC) for continuous outcomes is a widely accepted aggregate index of agreement in settings with small number of raters. Quantifying the precision of the CCC by constructing its confidence interval (CI) is important in early drug development applications, in particular in qualification of biomarker platforms. In recent years, there have been several new methods proposed for construction of CIs for the CCC, but their comprehensive comparison has not been attempted. The methods consisted of the delta method and jackknifing with and without Fisher's Z-transformation, respectively, and Bayesian methods with vague priors. In this study, we carried out a simulation study, with data simulated from multivariate normal as well as heavier tailed distribution (t-distribution with 5 degrees of freedom), to compare the state-of-the-art methods for assigning CI to the CCC. When the data are normally distributed, the jackknifing with Fisher's Z-transformation (JZ) tended to provide superior coverage and the difference between it and the closest competitor, the Bayesian method with the Jeffreys prior was in general minimal. For the nonnormal data, the jackknife methods, especially the JZ method, provided the coverage probabilities closest to the nominal in contrast to the others which yielded overly liberal coverage. Approaches based upon the delta method and Bayesian method with conjugate prior generally provided slightly narrower intervals and larger lower bounds than others, though this was offset by their poor coverage. Finally, we illustrated the utility of the CIs for the CCC in an example of a wake after sleep onset (WASO) biomarker, which is frequently used in clinical sleep studies of drugs for treatment of insomnia.

Near Earth Network (NEN) CubeSat Communications

NASA Technical Reports Server (NTRS)

Schaire, Scott

2017-01-01

The NASA Near Earth Network (NEN) consists of globally distributed tracking stations, including NASA, commercial, and partner ground stations, that are strategically located to maximize the coverage provided to a variety of orbital and suborbital missions, including those in LEO (Low Earth Orbit), GEO (Geosynchronous Earth Orbit), HEO (Highly Elliptical Orbit), lunar and L1-L2 orbits. The NEN's future mission set includes and will continue to include CubeSat missions. The first NEN-supported CubeSat mission will be the Cubesat Proximity Operations Demonstration (CPOD) launching into LEO in 2017. The majority of the CubeSat missions destined to fly on EM-1, launching in late 2018, many in a lunar orbit, will communicate with ground-based stations via X-band and will utilize the NASA Jet Propulsion Laboratory (JPL)-developed IRIS (Satellite Communication for Air Traffic Management) radio. The NEN recognizes the important role CubeSats are beginning to play in carrying out NASAs mission and is therefore investigating the modifications needed to provide IRIS radio compatibility. With modification, the NEN could potentially expand support to the EM-1 (Exploration Mission-1) lunar CubeSats. The NEN could begin providing significant coverage to lunar CubeSat missions utilizing three to four of the NEN's mid-latitude sites. This coverage would supplement coverage provided by the JPL Deep Space Network (DSN). The NEN, with smaller apertures than DSN, provides the benefit of a larger beamwidth that could be beneficial in the event of uncertain ephemeris data. In order to realize these benefits the NEN would need to upgrade stations targeted based on coverage ability and current configuration ease of upgrade, to ensure compatibility with the IRIS radio. In addition, the NEN is working with CubeSat radio developers to ensure NEN compatibility with alternative CubeSat radios for Lunar and L1-L2 CubeSats. The NEN has provided NEN compatibility requirements to several radio developers who are developing radios that offer lower cost and, in some cases, more capabilities with fewer constraints. The NEN is ready to begin supporting CubeSat missions. The NEN is considering network upgrades to broaden the types of CubeSat missions that can be supported and is supporting both the CubeSat community and radio developers to ensure future CubeSat missions have multiple options when choosing a network for their communications support.

NASA Near Earth Network (NEN) Support for Lunar and L1/L2 CubeSats

NASA Technical Reports Server (NTRS)

Schaire, Scott H.

2017-01-01

The NASA Near Earth Network (NEN) consists of globally distributed tracking stations, including NASA, commercial, and partner ground stations, that are strategically located to maximize the coverage provided to a variety of orbital and suborbital missions, including those in LEO, GEO, HEO, lunar and L1/L2 orbits. The NENs future mission set includes and will continue to include CubeSat missions. The first NEN supported CubeSat mission will be the Cubesat Proximity Operations Demonstration (CPOD) launching into low earth orbit (LEO) in early 2017. The majority of the CubeSat missions destined to fly on EM-1, launching in late 2018, many in a lunar orbit, will communicate with ground based stations via X-band and will utilize the NASA Jet Propulsion Laboratory (JPL) developed IRIS radio. The NEN recognizes the important role CubeSats are beginning to play in carrying out NASAs mission and is therefore investigating the modifications needed to provide IRIS radio compatibility. With modification, the NEN could potentially expand support to the EM-1 lunar CubeSats. The NEN could begin providing significant coverage to lunar CubeSat missions utilizing three to four of the NENs mid-latitude sites. This coverage would supplement coverage provided by the JPL Deep Space Network (DSN). The NEN, with smaller apertures than DSN, provides the benefit of a larger beamwidth that could be beneficial in the event of uncertain ephemeris data. In order to realize these benefits the NEN would need to upgrade stations targeted based on coverage ability and current configurationease of upgrade, to ensure compatibility with the IRIS radio.In addition, the NEN is working with CubeSat radio developers to ensure NEN compatibility with alternative CubeSat radios for Lunar and L1/L2 CubeSats. The NEN has provided NEN compatibility requirements to several radio developers who are developing radios that offer lower cost and, in some cases, more capabilities with fewer constraints. The NEN is ready to begin supporting CubeSat missions. The NEN is considering network upgrades to broaden the types of CubeSat missions that can be supported and is supporting both the CubeSat community and radio developers to ensure future CubeSat missions have multiple options when choosing a network for their communications support.

Statutory health insurance in Germany: a health system shaped by 135 years of solidarity, self-governance, and competition.

PubMed

Busse, Reinhard; Blümel, Miriam; Knieps, Franz; Bärnighausen, Till

2017-08-26

Bismarck's Health Insurance Act of 1883 established the first social health insurance system in the world. The German statutory health insurance system was built on the defining principles of solidarity and self-governance, and these principles have remained at the core of its continuous development for 135 years. A gradual expansion of population and benefits coverage has led to what is, in 2017, universal health coverage with a generous benefits package. Self-governance was initially applied mainly to the payers (the sickness funds) but was extended in 1913 to cover relations between sickness funds and doctors, which in turn led to the right for insured individuals to freely choose their health-care providers. In 1993, the freedom to choose one's sickness fund was formally introduced, and reforms that encourage competition and a strengthened market orientation have gradually gained importance in the past 25 years; these reforms were designed and implemented to protect the principles of solidarity and self-governance. In 2004, self-governance was strengthened through the establishment of the Federal Joint Committee, a major payer-provider structure given the task of defining uniform rules for access to and distribution of health care, benefits coverage, coordination of care across sectors, quality, and efficiency. Under the oversight of the Federal Joint Committee, payer and provider associations have ensured good access to high-quality health care without substantial shortages or waiting times. Self-governance has, however, led to an oversupply of pharmaceutical products, an excess in the number of inpatient cases and hospital stays, and problems with delivering continuity of care across sectoral boundaries. The German health insurance system is not as cost-effective as in some of Germany's neighbouring countries, which, given present expenditure levels, indicates a need to improve efficiency and value for patients. Copyright © 2017 Elsevier Ltd. All rights reserved.

29 CFR 1603.101 - Coverage.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 4 2010-07-01 2010-07-01 false Coverage. 1603.101 Section 1603.101 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION PROCEDURES FOR PREVIOUSLY EXEMPT STATE AND LOCAL GOVERNMENT EMPLOYEE COMPLAINTS OF EMPLOYMENT DISCRIMINATION UNDER SECTION 304 OF THE...

29 CFR 1603.101 - Coverage.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 29 Labor 4 2012-07-01 2012-07-01 false Coverage. 1603.101 Section 1603.101 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION PROCEDURES FOR PREVIOUSLY EXEMPT STATE AND LOCAL GOVERNMENT EMPLOYEE COMPLAINTS OF EMPLOYMENT DISCRIMINATION UNDER SECTION 304 OF THE...

29 CFR 1603.101 - Coverage.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 29 Labor 4 2014-07-01 2014-07-01 false Coverage. 1603.101 Section 1603.101 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION PROCEDURES FOR PREVIOUSLY EXEMPT STATE AND LOCAL GOVERNMENT EMPLOYEE COMPLAINTS OF EMPLOYMENT DISCRIMINATION UNDER SECTION 304 OF THE...

29 CFR 1603.101 - Coverage.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 29 Labor 4 2013-07-01 2013-07-01 false Coverage. 1603.101 Section 1603.101 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION PROCEDURES FOR PREVIOUSLY EXEMPT STATE AND LOCAL GOVERNMENT EMPLOYEE COMPLAINTS OF EMPLOYMENT DISCRIMINATION UNDER SECTION 304 OF THE...

29 CFR 1603.101 - Coverage.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 29 Labor 4 2011-07-01 2011-07-01 false Coverage. 1603.101 Section 1603.101 Labor Regulations Relating to Labor (Continued) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION PROCEDURES FOR PREVIOUSLY EXEMPT STATE AND LOCAL GOVERNMENT EMPLOYEE COMPLAINTS OF EMPLOYMENT DISCRIMINATION UNDER SECTION 304 OF THE...

76 FR 21265 - Interest on Deposits; Deposit Insurance Coverage

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-15

... of interest on demand deposits, effective one year from the date of the DFA's enactment, July 21... COVERAGE 2. The authority for part 330 continues to read as follows: 12 U.S.C. 1813(l), 1813(m), 1817(i...

A short review of applications of liquid chromatography mass spectrometry based metabolomics techniques to the analysis of human urine.

PubMed

Zhang, Tong; Watson, David G

2015-05-07

The applications of metabolomics as a methodology for providing better treatment and understanding human disease continue to expand rapidly. In this review, covering the last two years, the focus is on liquid chromatography-mass spectrometry (LC-MS) profiling of metabolites in urine. In LC-MS based metabolomics there are still problems with regard to: chromatographic separation, peak picking and alignment, metabolite identification, metabolite coverage, instrument sensitivity and data interpretation and in the case of urine sample normalisation. Progress has been made with regard to all of these issues during the period of the review. Of particular interest are the increasing use of orthogonal chromatographic methods for optimal metabolite coverage and the increasing adoption of receiver operator characteristic (ROC) curves for biomarker validation.

The employer's decision to provide health insurance under the health reform law.

PubMed

Pang, Gaobo; Warshawsky, Mark J

2013-01-01

This article considers the employer's decision to continue or to drop health insurance coverage for its workers under the provisions of the 2010 health reform law, on the presumption that the primary influence on that decision is what will produce a higher worker standard of living during working years and retirement. The authors incorporate the most recent empirical estimates of health care costs into their long-horizon, optimal savings consumption model for workers. Their results show that the employer sponsorship of health plans is valuable for maintaining a consistent and higher living standard over the life cycle for middle- and upper-income households considered here, whereas exchange-purchased and subsidized coverage is more beneficial for lower income households (roughly 4-6% of illustrative single workers and 15-22% of working families).

The U.S. Health Care Crisis Five Years After Passage of the Affordable Care Act: A Data Snapshot.

PubMed

Hellander, Ida

2015-01-01

Despite passage of the Affordable Care Act in 2010, the U.S. health care crisis continues. While coverage has been expanded, the reform will leave 27 million people uninsured in 2024, according to the Congressional Budget Office. Much of the new coverage is of low actuarial value with high cost-sharing requirements, creating barriers to access. Choice of physician is restricted to narrow networks of providers. Recent measures of uninsurance, underinsurance, access to care, and health care costs are given. Changes in Medicare, particularly privatization and the rise of specialty drug tiers that limit access to medically necessary medications, are reviewed. Data on a new wave of consolidation among hospitals, medical groups, insurers, and drug companies are presented. The rise of ultra-high-price drugs, such as Solvadi, is raising pharmaceutical costs, particularly in Medicaid, the program for low-income Americans. International health comparisons continue to show the United States performing poorly in relation to other countries. Recent polling data are presented, showing support for more fundamental reform. © The Author(s) 2015.

Beyond spinal manipulation: should Medicare expand coverage for chiropractic services? A review and commentary on the challenges for policy makers

PubMed Central

Whedon, James M.; Goertz, Christine M.; Lurie, Jon D.; Stason, William B.

2013-01-01

Objectives Private insurance plans typically reimburse doctors of chiropractic for a range of clinical services, but Medicare reimbursements are restricted to spinal manipulation procedures. Medicare pays for evaluations performed by medical and osteopathic physicians, nurse practitioners, physician assistants, podiatrists, physical therapists, and occupational therapists; however, it does not reimburse the same services provided by chiropractic physicians. Advocates for expanded coverage of chiropractic services under Medicare cite clinical effectiveness and patient satisfaction, whereas critics point to unnecessary services, inadequate clinical documentation, and projected cost increases. To further inform this debate, the purpose of this commentary is to address the following questions: (1) What are the barriers to expand coverage for chiropractic services? (2) What could potentially be done to address these issues? (3) Is there a rationale for Centers for Medicare and Medicaid Services to expand coverage for chiropractic services? Methods A literature search was conducted of Google and PubMed for peer-reviewed articles and US government reports relevant to the provision of chiropractic care under Medicare. We reviewed relevant articles and reports to identify key issues concerning the expansion of coverage for chiropractic under Medicare, including identification of barriers and rationale for expanded coverage. Results The literature search yielded 29 peer-reviewed articles and 7 federal government reports. Our review of these documents revealed 3 key barriers to full coverage of chiropractic services under Medicare: inadequate documentation of chiropractic claims, possible provision of unnecessary preventive care services, and the uncertain costs of expanded coverage. Our recommendations to address these barriers include the following: individual chiropractic physicians, as well as state and national chiropractic organizations, should continue to strengthen efforts to improve claims and documentation practices; and additional rigorous efficacy/effectiveness research and clinical studies for chiropractic services need to be performed. Research of chiropractic services should target the triple aim of high-quality care, affordability, and improved health. Conclusions The barriers that were identified in this study can be addressed. To overcome these barriers, the chiropractic profession and individual physicians must assume responsibility for correcting deficiencies in compliance and documentation; further research needs to be done to evaluate chiropractic services; and effectiveness of extended episodes of preventive chiropractic care should be rigorously evaluated. Centers for Medicare and Medicaid Services policies related to chiropractic reimbursement should be reexamined using the same standards applicable to other health care providers. The integration of chiropractic physicians as fully engaged Medicare providers has the potential to enhance the capacity of the Medicare workforce to care for the growing population. We recommend that Medicare policy makers consider limited expansion of Medicare coverage to include, at a minimum, reimbursement for evaluation and management services by chiropractic physicians. PMID:25067927

KSC-2012-6504

NASA Image and Video Library

2012-12-19

VANDENBERG AFB, Calif.-- The truck transporting NASA's Landsat Data Continuity Mission, or LDCM, satellite backs into the processing facility at Vandenberg Air Force Base, Calif. for prelaunch checkout. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2013-1124

NASA Image and Video Library

2013-01-12

VANDENBERG AFB, Calif. – The Landsat Data Continuity Mission, or LDCM, spacecraft stands in the Astrotech processing facility at Vandenberg Air Force Base in Calif., during fueling operations. The Landsat Data Continuity Mission is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: VAFB

KSC-2012-6520

NASA Image and Video Library

2012-12-21

VANDENBERG AFB, Calif. -- Technicians unload and rotate NASA's Landsat Data Continuity Mission, or LDCM, satellite at the Astrotech processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6518

NASA Image and Video Library

2012-12-21

VANDENBERG AFB, Calif.-- Technicians use a crane to move NASA's Landsat Data Continuity Mission, or LDCM, satellite at the Astrotech processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6496

NASA Image and Video Library

2012-12-19

VANDENBERG AFB, Calif.-- NASA's Landsat Data Continuity Mission, or LDCM, satellite arrives by transport truck at Vandenberg Air Force Base, Calif. for prelaunch processing. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6517

NASA Image and Video Library

2012-12-21

VANDENBERG AFB, Calif.-- Technicians use a crane to move NASA's Landsat Data Continuity Mission, or LDCM, satellite at the Astrotech processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6495

NASA Image and Video Library

2012-12-19

VANDENBERG AFB, Calif.-- NASA's Landsat Data Continuity Mission, or LDCM, satellite arrives by transport truck at Vandenberg Air Force Base, Calif. for prelaunch processing. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6503

NASA Image and Video Library

2012-12-19

VANDENBERG AFB, Calif.-- The truck transporting NASA's Landsat Data Continuity Mission, or LDCM, satellite backs into the processing facility at Vandenberg Air Force Base, Calif. for prelaunch checkout. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6519

NASA Image and Video Library

2012-12-21

VANDENBERG AFB, Calif.-- Technicians begin checkout of NASA's Landsat Data Continuity Mission, or LDCM, satellite at the Astrotech processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6513

NASA Image and Video Library

2012-12-21

VANDENBERG AFB, Calif. -- Technicians unload NASA's Landsat Data Continuity Mission, or LDCM, satellite at the Astrotech processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6523

NASA Image and Video Library

2012-12-21

VANDENBERG AFB, Calif. -- Technicians inspect NASA's Landsat Data Continuity Mission, or LDCM, satellite at the Astrotech processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6514

NASA Image and Video Library

2012-12-21

VANDENBERG AFB, Calif.-- Technicians unload NASA's Landsat Data Continuity Mission, or LDCM, satellite at the Astrotech processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6515

NASA Image and Video Library

2012-12-21

VANDENBERG AFB, Calif.-- Technicians use a crane to move NASA's Landsat Data Continuity Mission, or LDCM, satellite at the Astrotech processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6506

NASA Image and Video Library

2012-12-19

VANDENBERG AFB, Calif.-- Technicians position the transport container with NASA's Landsat Data Continuity Mission, or LDCM, satellite at the prelaunch processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6497

NASA Image and Video Library

2012-12-19

VANDENBERG AFB, Calif.-- NASA's Landsat Data Continuity Mission, or LDCM, satellite arrives by transport truck at the Vandenberg Air Force Base, Calif. for prelaunch processing. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6525

NASA Image and Video Library

2012-12-21

VANDENBERG AFB, Calif. -- NASA's Landsat Data Continuity Mission, or LDCM, satellite during post-arrival inspections at the Astrotech processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6507

NASA Image and Video Library

2012-12-19

VANDENBERG AFB, Calif.-- The truck transporting NASA's Landsat Data Continuity Mission, or LDCM, satellite backs into the processing facility at Vandenberg Air Force Base, Calif. for prelaunch checkout. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6516

NASA Image and Video Library

2012-12-21

VANDENBERG AFB, Calif.-- Technicians begin checkout of NASA's Landsat Data Continuity Mission, or LDCM, satellite at the Astrotech processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6512

NASA Image and Video Library

2012-12-21

VANDENBERG AFB, Calif. -- Technicians unload NASA's Landsat Data Continuity Mission, or LDCM, satellite at the Astrotech processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6508

NASA Image and Video Library

2012-12-19

VANDENBERG AFB, Calif.-- Technicians position the transport container with NASA's Landsat Data Continuity Mission, or LDCM, satellite at the prelaunch processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6524

NASA Image and Video Library

2012-12-21

VANDENBERG AFB, Calif. -- NASA's Landsat Data Continuity Mission, or LDCM, satellite during post-arrival inspections at the Astrotech processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6526

NASA Image and Video Library

2012-12-21

VANDENBERG AFB, Calif. -- Technicians inspect NASA's Landsat Data Continuity Mission, or LDCM, satellite at the Astrotech processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

Employer-sponsored health insurance coverage continues to decline in a new decade.

PubMed

Gould, Elise

2013-01-01

Most Americans, particularly those under age 65, rely on health insurance offered through the workplace. Given continuing high unemployment, it comes as no surprise that the share of Americans under age 65 covered by employer-sponsored health insurance (ESI) eroded for the 11th year in a row in 2011, falling from 58.6 percent in 2010 to 58.3 percent. The situation started deteriorating long before the Great Recession: the share of Americans under age 65 covered by ESI eroded every year from 2000 to 2011, decreasing by a total of 10.9 percentage points. As many as 29 million more people under age 65 would have had ESI in 2011 if the coverage rate had remained at the 2000 level. The decline in ESI coverage has been accompanied by an overall decline in health insurance coverage. The number of uninsured non-elderly Americans was 47.9 million in 2011--11.7 million higher than in 2000. Increasing public insurance coverage, particularly among children, is the only reason the uninsured rate did not rise one-for-one with losses in ESI. In addition, key components in the Patient Protection and Affordable Care Act took effect in 2010, shielding young adults from further coverage losses.

42 CFR 600.405 - Standard health plan coverage.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 42 Public Health 5 2014-10-01 2014-10-01 false Standard health plan coverage. 600.405 Section 600.405 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) BASIC HEALTH PROGRAM ADMINISTRATION, ELIGIBILITY, ESSENTIAL HEALTH BENEFITS, PERFORMANCE...

45 CFR 1150.20 - What debts are included or excluded from coverage of these regulations on salary offset?

Code of Federal Regulations, 2011 CFR

2011-10-01

... Public Welfare (Continued) NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE ARTS COLLECTION OF CLAIMS Salary Offset § 1150.20 What debts are included or excluded from coverage of...

45 CFR 1150.20 - What debts are included or excluded from coverage of these regulations on salary offset?

Code of Federal Regulations, 2010 CFR

2010-10-01

... Public Welfare (Continued) NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIES NATIONAL ENDOWMENT FOR THE ARTS COLLECTION OF CLAIMS Salary Offset § 1150.20 What debts are included or excluded from coverage of...

Whooping cough in 2014 and beyond: an update and review.

PubMed

Hartzell, Joshua D; Blaylock, Jason M

2014-07-01

Pertussis, or whooping cough, has had a dramatic resurgence in the past several years and is the most common vaccine-preventable disease in the world. The year 2012 marked the most cases in the United States in > 50 years. Large outbreaks have occurred in multiple states, and infant deaths have drawn the attention of not only health-care providers but also the media. Although the disease is theoretically preventable by vaccination, it remains a challenge to control. New vaccination strategies have been implemented across different age groups and populations of patients, but vaccine coverage remains dismally low. Acellular vaccines, although safe, do not afford the same long-lasting immunity as the previously used whole-cell vaccine. Ultimately, improvements in the development of vaccines and in vaccination coverage will be essential to decrease the burden of pertussis on society. This article provides a review of pertussis infection and discusses advances related to the epidemiology, diagnosis, treatment, and prevention of infection, as well as continued areas of uncertainty.

Analysis of Servicemembers’ Group Life Insurance (SGLI) Program: History, Current Issues and Future Implications

DTIC Science & Technology

2011-06-01

provide coverage for servicemembers. Even though insurance actuaries are fairly reliable in predicting deaths in the armed services during peacetime... disability . Mr. Wurtz continues: The SGLI program has insurance companies that have agreed to be "converters.” When an insured wants to convert...Philadelphia, PA; and Chief, Actuarial Staff, VA Regional Office and Insurance Center, Philadelphia, PA. A copy of the 1998 (Thursday, December 17

Research Highlights. Extending Health Care Insurance to Specific Populations: Profile of RAND Work

DTIC Science & Technology

2000-01-01

Consolidated Omnibus Budget Reconciliation Act, 1985), insured workers in firms with 20 or more employees can continue their health benefits at 102...approaches to providing coverage for these groups. to employees . Indeed, 60 percent of uninsured non-elderly workers are employed in small firms... workers . Employers would make regular, tax-deductible contributions to the MSA; an em- ployee could draw on the MSA to cover health care expenses

42 CFR 457.450 - Secretary-approved coverage.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 4 2010-10-01 2010-10-01 false Secretary-approved coverage. 457.450 Section 457... Requirements: Coverage and Benefits § 457.450 Secretary-approved coverage. Secretary-approved coverage is health benefits coverage that, in the determination of the Secretary, provides appropriate coverage for...

42 CFR 457.450 - Secretary-approved coverage.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 42 Public Health 4 2012-10-01 2012-10-01 false Secretary-approved coverage. 457.450 Section 457... Requirements: Coverage and Benefits § 457.450 Secretary-approved coverage. Secretary-approved coverage is health benefits coverage that, in the determination of the Secretary, provides appropriate coverage for...

Crew Exploration Vehicle Service Module Ascent Abort Coverage

NASA Technical Reports Server (NTRS)

Tedesco, Mark B.; Evans, Bryan M.; Merritt, Deborah S.; Falck, Robert D.

2007-01-01

The Crew Exploration Vehicle (CEV) is required to maintain continuous abort capability from lift off through destination arrival. This requirement is driven by the desire to provide the capability to safely return the crew to Earth after failure scenarios during the various phases of the mission. This paper addresses abort trajectory design considerations, concept of operations and guidance algorithm prototypes for the portion of the ascent trajectory following nominal jettison of the Launch Abort System (LAS) until safe orbit insertion. Factors such as abort system performance, crew load limits, natural environments, crew recovery, and vehicle element disposal were investigated to determine how to achieve continuous vehicle abort capability.

41 CFR 105-72.401 - Insurance coverage.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Insurance coverage. 105... § 105-72.401 Insurance coverage. Recipients shall, at a minimum, provide the equivalent insurance coverage for real property and equipment acquired with Federal funds as provided to property owned by the...

Experiences with Health Insurance and Health Care in the Context of Welfare Reform.

PubMed

Narain, Kimberly Danae; Katz, Marian Lisa

2016-11-20

Studies have shown that in the wake of welfare reform there has been a drop in the health insurance coverage and health care utilization of low-income mothers. Using data from 20 telephone interviews, this study explored the health insurance and health care experiences of current and former welfare participants living in Los Angeles County. This study found that half of these women had been uninsured at some point. Many of these lapses in health insurance coverage were linked to employment transitions and lack of knowledge regarding eligibility for different safety net programs. This study also found that satisfaction with access to health care was high among the insured respondents; however, barriers to care remained for many individuals, including appointment scheduling issues, limited scope of health insurance coverage, narrow provider networks, lack of care continuity, and perceived low quality of care. Better linkages between social programs assisting with health insurance coverage and improved knowledge among program clients may reduce health insurance cycling in this group. New rules for Medicaid managed care, currently being considered by the Centers for Medicare and Medicaid Services, have the potential to improve access to health care and the quality of care for these individuals. © 2016 National Association of Social Workers.

STEM connections to the GOES-R Satellite Series

NASA Astrophysics Data System (ADS)

Mooney, M. E.; Schmit, T.

2015-12-01

GOES-R, a new Geostationary Operational Environmental Satellite (GOES) is scheduled to be launched in October of 2016. Its role is to continue western hemisphere satellite coverage while the existing GOES series winds down its 20-year operation. However, instruments on the next generation GOES-R satellite series will provide major improvements to the current GOES, both in the frequency of images acquired and the spectral and spatial resolution of the images, providing a perfect conduit for STEM education. Most of these improvements will be provided by the Advanced Baseline Imager (ABI). ABI will provide three times more spectral information, four times the spatial resolution, and more than five times faster temporal coverage than the current GOES. Another exciting addition to the GOES-R satellite series will be the Geostationary Lightning Mapper (GLM). The all new GLM on GOES-R will measure total lightning activity continuously over the Americas and adjacent ocean regions with near uniform spatial resolution of approximately 10 km! Due to ABI, GLM and improved spacecraft calibration and navigation, the next generation GOES-R satellite series will usher in an exciting era of satellite applications and opportunities for STEM education. This session will present and demonstrate exciting next-gen imagery advancements and new HTML5 WebApps that demonstrate STEM connections to these improvements. Participants will also be invited to join the GOES-R Education Proving Ground, a national network of educators who will receive stipends to attend 4 webinars during the spring of 2016, pilot a STEM lesson plan, and organize a school-wide launch awareness event.

Universal health coverage in Turkey: enhancement of equity.

PubMed

Atun, Rifat; Aydın, Sabahattin; Chakraborty, Sarbani; Sümer, Safir; Aran, Meltem; Gürol, Ipek; Nazlıoğlu, Serpil; Ozgülcü, Senay; Aydoğan, Ulger; Ayar, Banu; Dilmen, Uğur; Akdağ, Recep

2013-07-06

Turkey has successfully introduced health system changes and provided its citizens with the right to health to achieve universal health coverage, which helped to address inequities in financing, health service access, and health outcomes. We trace the trajectory of health system reforms in Turkey, with a particular emphasis on 2003-13, which coincides with the Health Transformation Program (HTP). The HTP rapidly expanded health insurance coverage and access to health-care services for all citizens, especially the poorest population groups, to achieve universal health coverage. We analyse the contextual drivers that shaped the transformations in the health system, explore the design and implementation of the HTP, identify the factors that enabled its success, and investigate its effects. Our findings suggest that the HTP was instrumental in achieving universal health coverage to enhance equity substantially, and led to quantifiable and beneficial effects on all health system goals, with an improved level and distribution of health, greater fairness in financing with better financial protection, and notably increased user satisfaction. After the HTP, five health insurance schemes were consolidated to create a unified General Health Insurance scheme with harmonised and expanded benefits. Insurance coverage for the poorest population groups in Turkey increased from 2·4 million people in 2003, to 10·2 million in 2011. Health service access increased across the country-in particular, access and use of key maternal and child health services improved to help to greatly reduce the maternal mortality ratio, and under-5, infant, and neonatal mortality, especially in socioeconomically disadvantaged groups. Several factors helped to achieve universal health coverage and improve outcomes. These factors include economic growth, political stability, a comprehensive transformation strategy led by a transformation team, rapid policy translation, flexible implementation with continuous learning, and simultaneous improvements in the health system, on both the demand side (increased health insurance coverage, expanded benefits, and reduced cost-sharing) and the supply side (expansion of infrastructure, health human resources, and health services). Copyright © 2013 Elsevier Ltd. All rights reserved.

5 CFR 890.1103 - Eligibility.

Code of Federal Regulations, 2013 CFR

2013-01-01

... involuntary separation for gross misconduct. (2) Individuals whose coverage as children under the family... under a family enrollment of an employee or annuitant at the time of the qualifying event. (3) Former spouses of employees, of former employees having continued family coverage under this subpart, or of...

5 CFR 890.1103 - Eligibility.

Code of Federal Regulations, 2012 CFR

2012-01-01

... involuntary separation for gross misconduct. (2) Individuals whose coverage as children under the family... under a family enrollment of an employee or annuitant at the time of the qualifying event. (3) Former spouses of employees, of former employees having continued family coverage under this subpart, or of...

5 CFR 890.1103 - Eligibility.

Code of Federal Regulations, 2011 CFR

2011-01-01

... involuntary separation for gross misconduct. (2) Individuals whose coverage as children under the family... under a family enrollment of an employee or annuitant at the time of the qualifying event. (3) Former spouses of employees, of former employees having continued family coverage under this subpart, or of...

5 CFR 890.1103 - Eligibility.

Code of Federal Regulations, 2010 CFR

2010-01-01

... involuntary separation for gross misconduct. (2) Individuals whose coverage as children under the family... under a family enrollment of an employee or annuitant at the time of the qualifying event. (3) Former spouses of employees, of former employees having continued family coverage under this subpart, or of...

42 CFR 457.475 - Limitations on coverage: Abortions.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 42 Public Health 4 2012-10-01 2012-10-01 false Limitations on coverage: Abortions. 457.475 Section 457.475 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO STATES...

42 CFR 457.475 - Limitations on coverage: Abortions.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 4 2010-10-01 2010-10-01 false Limitations on coverage: Abortions. 457.475 Section 457.475 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO STATES...

42 CFR 457.475 - Limitations on coverage: Abortions.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 4 2011-10-01 2011-10-01 false Limitations on coverage: Abortions. 457.475 Section 457.475 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO STATES...

42 CFR 457.475 - Limitations on coverage: Abortions.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 42 Public Health 4 2013-10-01 2013-10-01 false Limitations on coverage: Abortions. 457.475 Section 457.475 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO STATES...

42 CFR 457.475 - Limitations on coverage: Abortions.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 42 Public Health 4 2014-10-01 2014-10-01 false Limitations on coverage: Abortions. 457.475 Section 457.475 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO STATES...

42 CFR 457.410 - Health benefits coverage options.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 4 2010-10-01 2010-10-01 false Health benefits coverage options. 457.410 Section 457.410 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO STATES...

42 CFR 457.410 - Health benefits coverage options.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 42 Public Health 4 2012-10-01 2012-10-01 false Health benefits coverage options. 457.410 Section 457.410 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO STATES...

42 CFR 457.410 - Health benefits coverage options.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 42 Public Health 4 2014-10-01 2014-10-01 false Health benefits coverage options. 457.410 Section 457.410 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO STATES...

42 CFR 457.420 - Benchmark health benefits coverage.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 42 Public Health 4 2013-10-01 2013-10-01 false Benchmark health benefits coverage. 457.420 Section 457.420 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO STATES...

42 CFR 457.420 - Benchmark health benefits coverage.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 4 2010-10-01 2010-10-01 false Benchmark health benefits coverage. 457.420 Section 457.420 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO STATES...

42 CFR 457.420 - Benchmark health benefits coverage.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 42 Public Health 4 2014-10-01 2014-10-01 false Benchmark health benefits coverage. 457.420 Section 457.420 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO STATES...

42 CFR 457.420 - Benchmark health benefits coverage.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 4 2011-10-01 2011-10-01 false Benchmark health benefits coverage. 457.420 Section 457.420 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO STATES...

42 CFR 457.420 - Benchmark health benefits coverage.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 42 Public Health 4 2012-10-01 2012-10-01 false Benchmark health benefits coverage. 457.420 Section 457.420 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO STATES...

42 CFR 457.410 - Health benefits coverage options.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 4 2011-10-01 2011-10-01 false Health benefits coverage options. 457.410 Section 457.410 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO STATES...

42 CFR 457.410 - Health benefits coverage options.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 42 Public Health 4 2013-10-01 2013-10-01 false Health benefits coverage options. 457.410 Section 457.410 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO STATES...

State trends in premiums and deductibles, 2003-2011: eroding protection and rising costs underscore need for action.

PubMed

Schoen, Cathy; Lippa, Jacob; Collins, Sara; Radley, David

2012-12-01

Rapidly rising health insurance premiums and higher cost-sharing continue to strain the budgets of U.S. working families and employers. Analysis of state trends in private employer-based health insurance from 2003 to 2011 reveals that premiums for family coverage increased 62 percent across states--rising far faster than income for middle- and low-income families. At the same time, deductibles more than doubled in large and small firms. Workers are thus paying more but getting less-protective benefits. If trends continue at their historical rate, the average premium for family coverage will reach nearly $25,000 by 2020. The Affordable Care Act's reforms should begin to moderate costs while improving coverage. But with private insurance costs projected to increase faster than incomes over the next decade, further efforts are needed. If annual premium growth slowed by one percentage point, by 2020 employers and families would save $2,029 annually for family coverage.

Inferior rabies vaccine quality and low immunization coverage in dogs (Canis familiaris) in China

PubMed Central

HU, R. L.; FOOKS, A. R.; ZHANG, S. F.; LIU, Y.; ZHANG, F.

2008-01-01

SUMMARY Human rabies in China continues to increase exponentially, largely due to an inadequate veterinary infrastructure and poor vaccine coverage of naive dogs. We performed an epidemiological survey of rabies both in humans and animals, examined vaccine quality for animal use, evaluated the vaccination coverage in dogs, and checked the dog samples for the presence of rabies virus. The lack of surveillance in dog rabies, together with the low immunization coverage (up to 2·8% in rural areas) and the high percentage of rabies virus prevalence (up to 6·4%) in dogs, suggests that the dog population is a continual threat for rabies transmission from dogs to humans in China. Results also indicated that the quality of rabies vaccines for animal use did not satisfy all of the requirements for an efficacious vaccine capable of fully eliminating rabies. These data suggest that the factors noted above are highly correlated with the high incidence of human rabies in China. PMID:18177524

Progress in Childhood Vaccination Data in Immunization Information Systems - United States, 2013-2016.

PubMed

Murthy, Neil; Rodgers, Loren; Pabst, Laura; Fiebelkorn, Amy Parker; Ng, Terence

2017-11-03

In 2016, 55 jurisdictions in 49 states and six cities in the United States* used immunization information systems (IISs) to collect and manage immunization data and support vaccination providers and immunization programs. To monitor progress toward achieving IIS program goals, CDC surveys jurisdictions through an annual self-administered IIS Annual Report (IISAR). Data from the 2013-2016 IISARs were analyzed to assess progress made in four priority areas: 1) data completeness, 2) bidirectional exchange of data with electronic health record systems, 3) clinical decision support for immunizations, and 4) ability to generate childhood vaccination coverage estimates. IIS participation among children aged 4 months through 5 years increased from 90% in 2013 to 94% in 2016, and 33 jurisdictions reported ≥95% of children aged 4 months through 5 years participating in their IIS in 2016. Bidirectional messaging capacity in IISs increased from 25 jurisdictions in 2013 to 37 in 2016. In 2016, nearly all jurisdictions (52 of 55) could provide automated provider-level coverage reports, and 32 jurisdictions reported that their IISs could send vaccine forecasts to providers via Health Level 7 (HL7) messaging, up from 17 in 2013. Incremental progress was made in each area since 2013, but continued effort is needed to implement these critical functionalities among all IISs. Success in these priority areas, as defined by the IIS Functional Standards (1), bolsters clinicians' and public health practitioners' ability to attain high vaccination coverage in pediatric populations, and prepares IISs to develop more advanced functionalities to support state/local immunization services. Success in these priority areas also supports the achievement of federal immunization objectives, including the use of IISs as supplemental sampling frames for vaccination coverage surveys like the National Immunization Survey (NIS)-Child, reducing data collection costs, and supporting increased precision of state-level estimates.

Terahertz quantum-cascade lasers as high-power and wideband, gapless sources for spectroscopy.

PubMed

Röben, Benjamin; Lü, Xiang; Hempel, Martin; Biermann, Klaus; Schrottke, Lutz; Grahn, Holger T

2017-07-10

Terahertz (THz) quantum-cascade lasers (QCLs) are powerful radiation sources for high-resolution and high-sensitivity spectroscopy with a discrete spectrum between 2 and 5 THz as well as a continuous coverage of several GHz. However, for many applications, a radiation source with a continuous coverage of a substantially larger frequency range is required. We employed a multi-mode THz QCL operated with a fast ramped injection current, which leads to a collective tuning of equally-spaced Fabry-Pérot laser modes exceeding their separation. A continuous coverage over 72 GHz at about 4.7 THz was achieved. We demonstrate that the QCL is superior to conventional sources used in Fourier transform infrared spectroscopy in terms of the signal-to-noise ratio as well as the dynamic range by one to two orders of magnitude. Our results pave the way for versatile THz spectroscopic systems with unprecedented resolution and sensitivity across a wide frequency range.

Part D employer retiree drug subsidy: inception, implementation and issues.

PubMed

Costello, Ann

2010-01-01

The Medicare Prescription Drug, Improvement, and Modernization Act of 2003 provided a subsidy to employers that offered a retiree health prescription coverage benefit actuarially equivalent to Medicare Part D. This article reviews the development of the subsidy, the support by the federal government and the issues that have arisen. It also presents analysis of data from a set of companies that offered retiree health in 2006 and 2007. The data show widespread acceptance of the subsidy and continuance of prescription coverage; however, companies that did not take the subsidy were more likely to be smaller and in less robust financial health. Analysis of a subset of the companies shows the magnitude of the benefits paid yearly and the accounting liability caused by retiree health relative to the size of the subsidy. The author concludes that the potential success or failure of the federal subsidy in preserving retiree health benefits will not be known for years. Nevertheless, with the elimination of the deductibility of the subsidy in the Patient Protection and Affordable Care Act (PPACA), employers surely will reexamine their offer of prescription coverage to retirees.

Understanding the role of the news media in HPV vaccine uptake in the United States: Synthesis and commentary

PubMed Central

Gollust, Sarah E.; LoRusso, Susan M.; Nagler, Rebekah H.; Fowler, Erika Franklin

2016-01-01

ABSTRACT Vaccination rates for the human papillomavirus (HPV) vaccine fall below targets and only 2 states and the District of Columbia require the vaccine for middle school-age children. Messages conveyed through news media—to parents, providers, policymakers, and the general public—may contribute to sluggish vaccination rates and policy action. In this commentary, we review the findings from 13 published studies of news media coverage of the HPV vaccine in the United States since FDA licensure in 2006. We find 2 important themes in news coverage: a rising focus on political controversy and a consistent emphasis on the vaccine as for girls, even beyond the point when the vaccine was recommended for boys. These political and gendered messages have consequences for public understanding of the vaccine. Future research should continue to monitor news media depictions of the HPV vaccine to assess whether political controversy will remain a pronounced theme of coverage or whether the media ultimately depict the vaccine as a routine public health service. PMID:26554612

Extended ellipse-line-ellipse trajectory for long-object cone-beam imaging with a mounted C-arm system

NASA Astrophysics Data System (ADS)

Yu, Zhicong; Lauritsch, Günter; Dennerlein, Frank; Mao, Yanfei; Hornegger, Joachim; Noo, Frédéric

2016-02-01

Recent reports show that three-dimensional cone-beam (CB) imaging with a floor-mounted (or ceiling-mounted) C-arm system has become a valuable tool in interventional radiology. Currently, a circular short scan is used for data acquisition, which inevitably yields CB artifacts and a short coverage in the direction of the patient table. To overcome these two limitations, a more sophisticated data acquisition geometry is needed. This geometry should be complete in terms of Tuy’s condition and should allow continuous scanning, while being compatible with the mechanical constraints of mounted C-arm systems. Additionally, the geometry should allow accurate image reconstruction from truncated data. One way to ensure such a feature is to adopt a trajectory that provides full R-line coverage within the field-of-view (FOV). An R-line is any segment of line that connects two points on a source trajectory, and the R-line coverage is the set of points that belong to an R-line. In this work, we propose a novel geometry called the extended ellipse-line-ellipse (ELE) for long-object imaging with a mounted C-arm system. This trajectory is built from modules consisting of two elliptical arcs connected by a line. We demonstrate that the extended ELE can be configured in many ways so that full R-line coverage is guaranteed. Both tight and relaxed parametric settings are presented. All results are supported by extensive mathematical proofs provided in appendices. Our findings make the extended ELE trajectory attractive for axially-extended FOV imaging in interventional radiology.

Effect of the Medicare Part D coverage gap on medication use among patients with hypertension and hyperlipidemia.

PubMed

Li, Pengxiang; McElligott, Sean; Bergquist, Henry; Schwartz, J Sanford; Doshi, Jalpa A

2012-06-05

Prior studies of the Medicare Part D coverage gap are limited in generalizability and scope. To determine the effect of the coverage gap on drugs used for asymptomatic (antihypertensive and lipid-lowering drugs) and symptomatic (pain relievers, acid suppressants, and antidepressants) conditions in elderly patients with hypertension and hyperlipidemia. Quasi-experimental study using pre-post design and contemporaneous control group. Medicare claims files from 2005 and 2006 for 5% random sample of Medicare beneficiaries. Part D plan enrollees with hypertension or hyperlipidemia aged 65 years or older who had no coverage, generic-only coverage, or both brand-name and generic coverage during the gap in 2006. Patients who were fully eligible for the low-income subsidy served as the control group. Monthly 30-day supply prescriptions available, medication adherence, and continuous medication gaps of 30 days or more for antihypertensive or lipid-lowering drugs; monthly 30-day supply prescriptions available for pain relievers, acid suppressants, or antidepressants before and after coverage gap entry. Patients with no gap coverage had a decrease in monthly antihypertensive and lipid-lowering drug prescriptions during the coverage gap. Nonadherence also increased in this group (antihypertensives: odds ratio [OR], 1.60 [95% CI, 1.50 to 1.71]; lipid-lowering drugs: OR, 1.59 [CI, 1.50 to 1.68]). The proportion of patients with no gap coverage who had continuous medication gaps in lipid-lowering medication use and antihypertensive use increased by an absolute 7.3% (OR, 1.38 [CI, 1.29 to 1.46]) and 3.2% (OR, 1.35 [CI, 1.25 to 1.45]), respectively, because of the coverage gap. Decreases in use were smaller for pain relievers and antidepressants and larger for acid suppressants in patients with no gap coverage. Patients with generic-only coverage had decreased use of cardiovascular medications but no change in use of drugs for symptomatic conditions. No measures changed in the brand-name and generic coverage groups. Results of sensitivity analyses were consistent with the main findings. Because this study was nonrandomized, unobserved differences may still exist between study groups. The Part D coverage gap was associated with decreased use of medications for hypertension and hyperlipidemia in patients with no gap coverage and generic-only gap coverage. The proposed phasing out of the gap by 2020 will benefit such patients; however, use of low-value medications may also increase. Penn-Pfizer Alliance and American Heart Association.

Barriers and enablers for iron folic acid (IFA) supplementation in pregnant women.

PubMed

Siekmans, Kendra; Roche, Marion; Kung'u, Jacqueline K; Desrochers, Rachelle E; De-Regil, Luz Maria

2017-12-22

In order to inform large scale supplementation programme design, we review and summarize the barriers and enablers for improved coverage and utilization of iron and folic acid (IFA) supplements by pregnant women in 7 countries in Africa and Asia. Mixed methods were used to analyse IFA supplementation programmes in Afghanistan, Bangladesh, Indonesia, Ethiopia, Kenya, Nigeria, and Senegal based on formative research conducted in 2012-2013. Qualitative data from focus-group discussions and interviews with women and service providers were used for content analysis to elicit common themes on barriers and enablers at internal, external, and relational levels. Anaemia symptoms in pregnancy are well known among women and health care providers in all countries, yet many women do not feel personally at risk. Broad awareness and increased coverage of facility-based antenatal care (ANC) make it an efficient delivery channel for IFA; however, first trimester access to IFA is hindered by beliefs about when to first attend ANC and preferences for disclosing pregnancy status. Variable access and poor quality ANC services, including insufficient IFA supplies and inadequate counselling to encourage consumption, are barriers to both coverage and adherence. Community-based delivery of IFA and referral to ANC provides earlier and more frequent access and opportunities for follow-up. Improving ANC access and quality is needed to facilitate IFA supplementation during pregnancy. Community-based delivery and counselling can address problems of timely and continuous access to supplements. Renewed investment in training for service providers and effective behaviour change designs are urgently needed to achieve the desired impact. © 2018 John Wiley & Sons Ltd.

42 CFR 440.330 - Benchmark health benefits coverage.

Code of Federal Regulations, 2011 CFR

2011-10-01

... Benchmark-Equivalent Coverage § 440.330 Benchmark health benefits coverage. Benchmark coverage is health...) Federal Employees Health Benefit Plan Equivalent Coverage (FEHBP—Equivalent Health Insurance Coverage). A benefit plan equivalent to the standard Blue Cross/Blue Shield preferred provider option service benefit...

42 CFR 440.330 - Benchmark health benefits coverage.

Code of Federal Regulations, 2014 CFR

2014-10-01

... Benchmark-Equivalent Coverage § 440.330 Benchmark health benefits coverage. Benchmark coverage is health...) Federal Employees Health Benefit Plan Equivalent Coverage (FEHBP—Equivalent Health Insurance Coverage). A benefit plan equivalent to the standard Blue Cross/Blue Shield preferred provider option service benefit...

42 CFR 440.330 - Benchmark health benefits coverage.

Code of Federal Regulations, 2013 CFR

2013-10-01

... Benchmark-Equivalent Coverage § 440.330 Benchmark health benefits coverage. Benchmark coverage is health...) Federal Employees Health Benefit Plan Equivalent Coverage (FEHBP—Equivalent Health Insurance Coverage). A benefit plan equivalent to the standard Blue Cross/Blue Shield preferred provider option service benefit...

42 CFR 440.330 - Benchmark health benefits coverage.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Benchmark-Equivalent Coverage § 440.330 Benchmark health benefits coverage. Benchmark coverage is health...) Federal Employees Health Benefit Plan Equivalent Coverage (FEHBP—Equivalent Health Insurance Coverage). A benefit plan equivalent to the standard Blue Cross/Blue Shield preferred provider option service benefit...

29 CFR 825.109 - Federal agency coverage.

Code of Federal Regulations, 2010 CFR

2010-07-01

... the administrative workweek; and, (4) An employee serving under an intermittent appointment or... Regulations Relating to Labor (Continued) WAGE AND HOUR DIVISION, DEPARTMENT OF LABOR OTHER LAWS THE FAMILY AND MEDICAL LEAVE ACT OF 1993 Coverage Under the Family and Medical Leave Act § 825.109 Federal agency...

42 CFR 423.104 - Requirements related to qualified prescription drug coverage.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 3 2010-10-01 2010-10-01 false Requirements related to qualified prescription drug coverage. 423.104 Section 423.104 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM VOLUNTARY MEDICARE PRESCRIPTION DRUG BENEFIT...

7 CFR 457.146 - Northern potato crop insurance-storage coverage endorsement.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 7 Agriculture 6 2010-01-01 2010-01-01 false Northern potato crop insurance-storage coverage endorsement. 457.146 Section 457.146 Agriculture Regulations of the Department of Agriculture (Continued) FEDERAL CROP INSURANCE CORPORATION, DEPARTMENT OF AGRICULTURE COMMON CROP INSURANCE REGULATIONS § 457.146...

42 CFR 457.430 - Benchmark-equivalent health benefits coverage.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 42 Public Health 4 2014-10-01 2014-10-01 false Benchmark-equivalent health benefits coverage. 457.430 Section 457.430 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO...

42 CFR 457.430 - Benchmark-equivalent health benefits coverage.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 42 Public Health 4 2012-10-01 2012-10-01 false Benchmark-equivalent health benefits coverage. 457.430 Section 457.430 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO...

5 CFR 890.401 - Temporary extension of coverage and conversion.

Code of Federal Regulations, 2011 CFR

2011-01-01

... conversion. 890.401 Section 890.401 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL... and Conversion § 890.401 Temporary extension of coverage and conversion. (a) Thirty-one day extension and conversion. (1) An enrollee whose enrollment is terminated other than by cancellation of the...

76 FR 77051 - Proposed Collection; Comment Request for Form 13704

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-09

... 13704, Health Coverage Tax Credit Registration Update Form. DATES: Written comments should be [email protected] . SUPPLEMENTARY INFORMATION: Title: Health Coverage Tax Credit Registration Update Form... taxpayers determine if they are eligible for the credit and understand what they need to do to continue to...

Improving coverage measurement for reproductive, maternal, neonatal and child health: gaps and opportunities.

PubMed

Munos, Melinda K; Stanton, Cynthia K; Bryce, Jennifer

2017-06-01

Regular monitoring of coverage for reproductive, maternal, neonatal, and child health (RMNCH) is central to assessing progress toward health goals. The objectives of this review were to describe the current state of coverage measurement for RMNCH, assess the extent to which current approaches to coverage measurement cover the spectrum of RMNCH interventions, and prioritize interventions for a novel approach to coverage measurement linking household surveys with provider assessments. We included 58 interventions along the RMNCH continuum of care for which there is evidence of effectiveness against cause-specific mortality and stillbirth. We reviewed household surveys and provider assessments used in low- and middle-income countries (LMICs) to determine whether these tools generate measures of intervention coverage, readiness, or quality. For facility-based interventions, we assessed the feasibility of linking provider assessments to household surveys to provide estimates of intervention coverage. Fewer than half (24 of 58) of included RMNCH interventions are measured in standard household surveys. The periconceptional, antenatal, and intrapartum periods were poorly represented. All but one of the interventions not measured in household surveys are facility-based, and 13 of these would be highly feasible to measure by linking provider assessments to household surveys. We found important gaps in coverage measurement for proven RMNCH interventions, particularly around the time of birth. Based on our findings, we propose three sets of actions to improve coverage measurement for RMNCH, focused on validation of coverage measures and development of new measurement approaches feasible for use at scale in LMICs.

Robust Flood Monitoring Using Sentinel-1 SAR Time Series

NASA Astrophysics Data System (ADS)

DeVries, B.; Huang, C.; Armston, J.; Huang, W.

2017-12-01

The 2017 hurricane season in North and Central America has resulted in unprecedented levels of flooding that have affected millions of people and continue to impact communities across the region. The extent of casualties and damage to property incurred by these floods underscores the need for reliable systems to track flood location, timing and duration to aid response and recovery efforts. While a diverse range of data sources provide vital information on flood status in near real-time, only spaceborne Synthetic Aperture Radar (SAR) sensors can ensure wall-to-wall coverage over large areas, mostly independently of weather conditions or site accessibility. The European Space Agency's Sentinel-1 constellation represents the only SAR mission currently providing open access and systematic global coverage, allowing for a consistent stream of observations over flood-prone regions. Importantly, both the data and pre-processing software are freely available, enabling the development of improved methods, tools and data products to monitor floods in near real-time. We tracked flood onset and progression in Southeastern Texas, Southern Florida, and Puerto Rico using a novel approach based on temporal backscatter anomalies derived from times series of Sentinel-1 observations and historic baselines defined for each of the three sites. This approach was shown to provide a more objective measure of flood occurrence than the simple backscatter thresholds often employed in operational flood monitoring systems. Additionally, the use of temporal anomaly measures allowed us to partially overcome biases introduced by varying sensor view angles and image acquisition modes, allowing increased temporal resolution in areas where additional targeted observations are available. Our results demonstrate the distinct advantages offered by data from operational SAR missions such as Sentinel-1 and NASA's planned NISAR mission, and call attention to the continuing need for SAR Earth Observation missions that provide systematic repeat observations to facilitate continuous monitoring of flood-affected regions.

47 CFR 80.905 - Vessel radio equipment.

Code of Federal Regulations, 2014 CFR

2014-10-01

... the coverage of an INMARSAT maritime mobile geostationary satellite in which continuous alerting is... of an INMARSAT maritime mobile geostationary satellite in which continuous alerting is available, an...

47 CFR 80.905 - Vessel radio equipment.

Code of Federal Regulations, 2012 CFR

2012-10-01

... the coverage of an INMARSAT maritime mobile geostationary satellite in which continuous alerting is... of an INMARSAT maritime mobile geostationary satellite in which continuous alerting is available, an...

47 CFR 80.905 - Vessel radio equipment.

Code of Federal Regulations, 2013 CFR

2013-10-01

... the coverage of an INMARSAT maritime mobile geostationary satellite in which continuous alerting is... of an INMARSAT maritime mobile geostationary satellite in which continuous alerting is available, an...

Insurance continuity and receipt of diabetes preventive care in a network of Federally Qualified Health Centers

PubMed Central

Gold, Rachel; DeVoe, Jennifer; Shah, Amit; Chauvie, Susan

2009-01-01

Background and Objectives Having health insurance is usually associated with better access to care and better health outcomes. For patients receiving care at Federally Qualified Health Centers (FQHCs), where care is provided regardless of insurance status, the role health insurance status plays in affecting receipt of services is less well understood. Research Design We used practice management data from a coalition of FQHCs in Oregon, and linked to Oregon’s electronic insurance data, to examine whether receipt of diabetes preventive care services was associated with continuity of insurance coverage among adult FQHC patients receiving diabetes care in 2005. Results About one-third (32%) of patients with diabetes received a flu vaccination in 2005, 36% an LDL screening, 54% at least one HbA1c screening, and 21% a nephropathy screening. Compared to the continuously insured, the continuously uninsured were less likely to receive an LDL screening, a flu vaccination, and/or a nephropathy screening; those with partial coverage were less likely than the continuously insured to receive a flu shot, at least one HbA1c screening, or an LDL screening. Conclusions Our results suggest that FQHCs do an excellent job in delivering most services to their uninsured and partially insured patients, but also underscore that for diabetic patients from underserved communities, having both an FQHC medical home and continuous health insurance plays a critical role in receiving optimal chronic disease management. Our study is one of the first to demonstrate how electronic administrative data from a network of FQHCs can be successfully used to gauge the state of healthcare delivery. PMID:19330890

Mission and sensor concepts for coastal and ocean monitoring using spacecraft and aircraft

NASA Technical Reports Server (NTRS)

Darnell, W. L.

1980-01-01

A concept developed for a 1990 oceanic mission which places strong emphasis on coastal monitoring needs is described and analysed. The concept assumes that use of one active spacecraft in orbit and one on standby plus airplanes and data collection platforms which provide continuing complementary coverage and surface truth. The coastal measurement requirements and goals, the prospective oceanic and coastal sensors, the spacecraft and aircraft data platforms, and the prospective orbit designs are discussed.

A shared responsibility. US employers and the provision of health insurance to employees.

PubMed

Collins, Sara R; Davis, Karen; Ho, Alice

2005-01-01

Employer-based health insurance is the backbone of the U.S. system of health insurance coverage. Yet it has been slowly eroding, and if these trends continue greater numbers of Americans are likely to be uninsured or without affordable coverage. Employer coverage has marked advantages, including benefits to employers and a natural risk pool that offers better benefits at lower cost than individual coverage, and is highly valued by employees. The shift of health care costs from employers who do not cover their workers to other parts of the economy is substantial. Very little attention has been given to policies that might strengthen and expand employer coverage. It will be important to shore up employer coverage both to curb its recent erosion and to build toward a more comprehensive system of health insurance.

42 CFR 436.322 - Medically needy coverage of the disabled.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 42 Public Health 4 2012-10-01 2012-10-01 false Medically needy coverage of the disabled. 436.322... Optional Coverage of the Medically Needy § 436.322 Medically needy coverage of the disabled. If the agency provides Medicaid to the medically needy, it may provide Medicaid to disabled individuals who meet— (a) The...

42 CFR 436.322 - Medically needy coverage of the disabled.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 4 2010-10-01 2010-10-01 false Medically needy coverage of the disabled. 436.322... Optional Coverage of the Medically Needy § 436.322 Medically needy coverage of the disabled. If the agency provides Medicaid to the medically needy, it may provide Medicaid to disabled individuals who meet— (a) The...

42 CFR 436.322 - Medically needy coverage of the disabled.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 4 2011-10-01 2011-10-01 false Medically needy coverage of the disabled. 436.322... Optional Coverage of the Medically Needy § 436.322 Medically needy coverage of the disabled. If the agency provides Medicaid to the medically needy, it may provide Medicaid to disabled individuals who meet— (a) The...

42 CFR 436.322 - Medically needy coverage of the disabled.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 42 Public Health 4 2013-10-01 2013-10-01 false Medically needy coverage of the disabled. 436.322... Optional Coverage of the Medically Needy § 436.322 Medically needy coverage of the disabled. If the agency provides Medicaid to the medically needy, it may provide Medicaid to disabled individuals who meet— (a) The...

42 CFR 436.322 - Medically needy coverage of the disabled.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 42 Public Health 4 2014-10-01 2014-10-01 false Medically needy coverage of the disabled. 436.322... Optional Coverage of the Medically Needy § 436.322 Medically needy coverage of the disabled. If the agency provides Medicaid to the medically needy, it may provide Medicaid to disabled individuals who meet— (a) The...

42 CFR 436.321 - Medically needy coverage of the blind.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 4 2010-10-01 2010-10-01 false Medically needy coverage of the blind. 436.321... Optional Coverage of the Medically Needy § 436.321 Medically needy coverage of the blind. If the agency provides Medicaid to the medically needy, it may provide Medicaid to blind individuals who meet— (a) The...

42 CFR 436.321 - Medically needy coverage of the blind.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 4 2011-10-01 2011-10-01 false Medically needy coverage of the blind. 436.321... Optional Coverage of the Medically Needy § 436.321 Medically needy coverage of the blind. If the agency provides Medicaid to the medically needy, it may provide Medicaid to blind individuals who meet— (a) The...

42 CFR 436.321 - Medically needy coverage of the blind.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 42 Public Health 4 2012-10-01 2012-10-01 false Medically needy coverage of the blind. 436.321... Optional Coverage of the Medically Needy § 436.321 Medically needy coverage of the blind. If the agency provides Medicaid to the medically needy, it may provide Medicaid to blind individuals who meet— (a) The...

42 CFR 436.321 - Medically needy coverage of the blind.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 42 Public Health 4 2013-10-01 2013-10-01 false Medically needy coverage of the blind. 436.321... Optional Coverage of the Medically Needy § 436.321 Medically needy coverage of the blind. If the agency provides Medicaid to the medically needy, it may provide Medicaid to blind individuals who meet— (a) The...

42 CFR 436.321 - Medically needy coverage of the blind.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 42 Public Health 4 2014-10-01 2014-10-01 false Medically needy coverage of the blind. 436.321... Optional Coverage of the Medically Needy § 436.321 Medically needy coverage of the blind. If the agency provides Medicaid to the medically needy, it may provide Medicaid to blind individuals who meet— (a) The...

Insurance premiums and insurance coverage of near-poor children.

PubMed

Hadley, Jack; Reschovsky, James D; Cunningham, Peter; Kenney, Genevieve; Dubay, Lisa

States increasingly are using premiums for near-poor children in their public insurance programs (Medicaid/SCHIP) to limit private insurance crowd-out and constrain program costs. Using national data from four rounds of the Community Tracking Study Household Surveys spanning the seven years from 1996 to 2003, this study estimates a multinomial logistic regression model examining how public and private insurance premiums affect insurance coverage outcomes (Medicaid/SCHIP coverage, private coverage, and no coverage). Higher public premiums are significantly associated with a lower probability of public coverage and higher probabilities of private coverage and uninsurance; higher private premiums are significantly related to a lower probability of private coverage and higher probabilities of public coverage and uninsurance. The results imply that uninsurance rates will rise if both public and private premiums increase, and suggest that states that impose or increase public insurance premiums for near-poor children will succeed in discouraging crowd-out of private insurance, but at the expense of higher rates of uninsurance. Sustained increases in private insurance premiums will continue to create enrollment pressures on state insurance programs for children.

KSC-2012-5946

NASA Image and Video Library

2012-10-12

VANDENBERG AFB, Calif. – A Centaur upper stage is lifted onto the first stage booster of a United Launch Alliance Atlas V at the launch pad at Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5947

NASA Image and Video Library

2012-10-12

VANDENBERG AFB, Calif. – A Centaur upper stage is lifted onto the first stage booster of a United Launch Alliance Atlas V at the launch pad at Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5952

NASA Image and Video Library

2012-10-13

VANDENBERG AFB, Calif. – The boattail element is lifted onto the first stage booster of a United Launch Alliance Atlas V at the launch pad at Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuation Mission. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5951

NASA Image and Video Library

2012-10-12

VANDENBERG AFB, Calif. – A Centaur upper stage is lifted onto the first stage booster of a United Launch Alliance Atlas V at the launch pad at Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2013-1128

NASA Image and Video Library

2013-01-12

VANDENBERG AFB, Calif. – A technician inspects the Landsat Data Continuity Mission, or LDCM, spacecraft in the Astrotech processing facility at Vandenberg Air Force Base in Calif., following fueling operations. The Landsat Data Continuity Mission is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: VAFB

KSC-2012-6502

NASA Image and Video Library

2012-12-19

VANDENBERG AFB, Calif.-- Technicians check out the transport truck used to deliver NASA's Landsat Data Continuity Mission, or LDCM, satellite to Vandenberg Air Force Base, Calif. for prelaunch processing. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-5926

NASA Image and Video Library

2012-10-08

VANDENBERG AFB, Calif. – A truck moves the first stage booster of a United Launch Alliance Atlas V to Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission, or LDCM, is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5922

NASA Image and Video Library

2012-10-08

VANDENBERG AFB, Calif. – A truck moves the first stage booster of a United Launch Alliance Atlas V to Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission, or LDCM, is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5939

NASA Image and Video Library

2012-10-09

VANDENBERG AFB, Calif. – The first stage booster of a United Launch Alliance Atlas V is raised onto the launch pad at Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-6494

NASA Image and Video Library

2012-12-19

VANDENBERG AFB, Calif.-- The Astrotech payload processing facility at Vandenberg Air Force Base, Calif. where NASA's Landsat Data Continuity Mission, or LDCM, satellite will be processed prior to launch. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-5932

NASA Image and Video Library

2012-10-08

VANDENBERG AFB, Calif. – A truck moves the first stage booster of a United Launch Alliance Atlas V to Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission, or LDCM, is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5940

NASA Image and Video Library

2012-10-09

VANDENBERG AFB, Calif. – The first stage booster of a United Launch Alliance Atlas V is raised onto the launch pad at Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5925

NASA Image and Video Library

2012-10-08

VANDENBERG AFB, Calif. – A truck moves the first stage booster of a United Launch Alliance Atlas V to Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission, or LDCM, is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-6498

NASA Image and Video Library

2012-12-19

VANDENBERG AFB, Calif.-- Technicians check out the transport truck used to deliver NASA's Landsat Data Continuity Mission, or LDCM, satellite to Vandenberg Air Force Base, Calif. for prelaunch processing. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-5938

NASA Image and Video Library

2012-10-09

VANDENBERG AFB, Calif. – Cranes raise the first stage booster of a United Launch Alliance Atlas V onto the launch pad at Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5950

NASA Image and Video Library

2012-10-12

VANDENBERG AFB, Calif. – A Centaur upper stage is lifted onto the first stage booster of a United Launch Alliance Atlas V at the launch pad at Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuation Mission. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-6499

NASA Image and Video Library

2012-12-19

VANDENBERG AFB, Calif.-- Technicians check out the transport truck used to deliver NASA's Landsat Data Continuity Mission, or LDCM, satellite to Vandenberg Air Force Base, Calif. for prelaunch processing. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6493

NASA Image and Video Library

2012-12-18

VANDENBERG AFB, Calif.-- Mechanical ground support equipment to be used in support of NASA's Landsat Data Continuity Mission, or LDCM, satellite arrives by transport truck at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-5931

NASA Image and Video Library

2012-10-08

VANDENBERG AFB, Calif. – A truck moves the first stage booster of a United Launch Alliance Atlas V to Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission, or LDCM, is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5942

NASA Image and Video Library

2012-10-10

VANDENBERG AFB, Calif. – The interstage booster segment is lifted onto the first stage booster of a United Launch Alliance Atlas V at the launch pad at Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuation Mission. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5941

NASA Image and Video Library

2012-10-09

VANDENBERG AFB, Calif. – The first stage booster of a United Launch Alliance Atlas V is raised onto the launch pad at Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5924

NASA Image and Video Library

2012-10-08

VANDENBERG AFB, Calif. – A truck moves the first stage booster of a United Launch Alliance Atlas V to Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission, or LDCM, is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5945

NASA Image and Video Library

2012-10-12

VANDENBERG AFB, Calif. – A Centaur upper stage is lifted onto the first stage booster of a United Launch Alliance Atlas V at the launch pad at Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5948

NASA Image and Video Library

2012-10-12

VANDENBERG AFB, Calif. – A Centaur upper stage is lifted onto the first stage booster of a United Launch Alliance Atlas V at the launch pad at Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuation Mission. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-6521

NASA Image and Video Library

2012-12-21

VANDENBERG AFB, Calif. -- Technicians unload and rotate NASA's Landsat Data Continuity Mission, or LDCM, satellite at the Astrotech processing facility at Vandenberg Air Force Base, Calif. The payload faring is seen on the left. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-6505

NASA Image and Video Library

2012-12-19

VANDENBERG AFB, Calif.-- Technicians monitor activity as the transport container delivering NASA's Landsat Data Continuity Mission, or LDCM, satellite is lowered to the floor at the prelaunch processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-5927

NASA Image and Video Library

2012-10-08

VANDENBERG AFB, Calif. – A truck moves the first stage booster of a United Launch Alliance Atlas V to Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission, or LDCM, is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2013-1130

NASA Image and Video Library

2013-01-12

VANDENBERG AFB, Calif. – A technician inspects the Landsat Data Continuity Mission, or LDCM, spacecraft in the Astrotech processing facility at Vandenberg Air Force Base in Calif., following fueling operations. The Landsat Data Continuity Mission is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: VAFB

KSC-2012-5921

NASA Image and Video Library

2012-10-08

VANDENBERG AFB, Calif. – A truck moves the first stage booster of a United Launch Alliance Atlas V to Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission, or LDCM, is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5949

NASA Image and Video Library

2012-10-12

VANDENBERG AFB, Calif. – A Centaur upper stage is lifted onto the first stage booster of a United Launch Alliance Atlas V at the launch pad at Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-6509

NASA Image and Video Library

2012-12-19

VANDENBERG AFB, Calif.-- The transport container with NASA's Landsat Data Continuity Mission, or LDCM, satellite has been delivered to the prelaunch processing facility at Vandenberg Air Force Base, Calif. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 11, 2013. For more information, visit: http://www.nasa.gov/mission_pages/landsat/main/index.html Photo credit: NASA

KSC-2012-5930

NASA Image and Video Library

2012-10-08

VANDENBERG AFB, Calif. – A truck moves the first stage booster of a United Launch Alliance Atlas V to Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission, or LDCM, is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5929

NASA Image and Video Library

2012-10-08

VANDENBERG AFB, Calif. – A truck moves the first stage booster of a United Launch Alliance Atlas V to Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission, or LDCM, is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5937

NASA Image and Video Library

2012-10-09

VANDENBERG AFB, Calif. – Technicians prepare to raise the first stage booster of a United Launch Alliance Atlas V onto the launch pad at Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission LDCM is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

KSC-2012-5928

NASA Image and Video Library

2012-10-08

VANDENBERG AFB, Calif. – A truck moves the first stage booster of a United Launch Alliance Atlas V to Space Launch Complex-3E at Vandenberg Air Force Base, Calif. in preparation for the launch of the Landsat Data Continuity Mission. The Landsat Data Continuity Mission, or LDCM, is the future of Landsat satellites. It will continue to obtain valuable data and imagery to be used in agriculture, education, business, science, and government. The Landsat Program provides repetitive acquisition of high resolution multispectral data of the Earth's surface on a global basis. The data from the Landsat spacecraft constitute the longest record of the Earth's continental surfaces as seen from space. It is a record unmatched in quality, detail, coverage, and value. Launch is planned for Feb. 2013. Photo credit: NASA/Roy Allison

45 CFR 2551.122 - What legal coverage does the Corporation make available to Senior Companions?

Code of Federal Regulations, 2010 CFR

2010-10-01

... available to Senior Companions? 2551.122 Section 2551.122 Public Welfare Regulations Relating to Public Welfare (Continued) CORPORATION FOR NATIONAL AND COMMUNITY SERVICE SENIOR COMPANION PROGRAM Restrictions and Legal Representation § 2551.122 What legal coverage does the Corporation make available to Senior...

29 CFR 825.106 - Joint employer coverage.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Regulations Relating to Labor (Continued) WAGE AND HOUR DIVISION, DEPARTMENT OF LABOR OTHER LAWS THE FAMILY AND MEDICAL LEAVE ACT OF 1993 Coverage Under the Family and Medical Leave Act § 825.106 Joint employer... employees; (2) Where one employer acts directly or indirectly in the interest of the other employer in...

29 CFR 825.106 - Joint employer coverage.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Regulations Relating to Labor (Continued) WAGE AND HOUR DIVISION, DEPARTMENT OF LABOR OTHER LAWS THE FAMILY AND MEDICAL LEAVE ACT OF 1993 Coverage Under the Family and Medical Leave Act § 825.106 Joint employer... employees; (2) Where one employer acts directly or indirectly in the interest of the other employer in...

29 CFR 825.106 - Joint employer coverage.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Regulations Relating to Labor (Continued) WAGE AND HOUR DIVISION, DEPARTMENT OF LABOR OTHER LAWS THE FAMILY AND MEDICAL LEAVE ACT OF 1993 Coverage Under the Family and Medical Leave Act § 825.106 Joint employer... employees; (2) Where one employer acts directly or indirectly in the interest of the other employer in...

29 CFR 825.106 - Joint employer coverage.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Regulations Relating to Labor (Continued) WAGE AND HOUR DIVISION, DEPARTMENT OF LABOR OTHER LAWS THE FAMILY AND MEDICAL LEAVE ACT OF 1993 Coverage Under the Family and Medical Leave Act § 825.106 Joint employer... employees; (2) Where one employer acts directly or indirectly in the interest of the other employer in...

42 CFR 457.80 - Current State child health insurance coverage and coordination.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 4 2010-10-01 2010-10-01 false Current State child health insurance coverage and... HEALTH AND HUMAN SERVICES (CONTINUED) STATE CHILDREN'S HEALTH INSURANCE PROGRAMS (SCHIPs) ALLOTMENTS AND GRANTS TO STATES Introduction; State Plans for Child Health Insurance Programs and Outreach Strategies...

5 CFR 847.502 - Transfers to the CSR Fund.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Transfers to the CSR Fund. 847.502 Section 847.502 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE... to the CSR Fund. For elections of CSRS or FERS coverage under § 847.411 or FERS coverage and service...

5 CFR 831.204 - Elections of retirement coverage under the District of Columbia Financial Responsibility and...

Code of Federal Regulations, 2011 CFR

2011-01-01

... 5 Administrative Personnel 2 2011-01-01 2011-01-01 false Elections of retirement coverage under the District of Columbia Financial Responsibility and Management Assistance Act of 1995. 831.204 Section 831.204 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE...

Group Health Insurance Plans for Public-School Personnel, 1964-65.

ERIC Educational Resources Information Center

National Education Association, Washington, DC.

This report explains the major considerations in developing group health insurance coverage for public school personnel. A general overview is given of (1) group health insurance coverage, (2) patterns of group health insurance, (3) group health insurance organizations, (4) eligibility and enrollment practices, and (5) continuous health insurance…

5 CFR 894.601 - When does my FEDVIP coverage stop?

Code of Federal Regulations, 2010 CFR

2010-01-01

... REGULATIONS (CONTINUED) FEDERAL EMPLOYEES DENTAL AND VISION INSURANCE PROGRAM Termination or Cancellation of...) If you are enrolled with a combination dental and vision carrier with a restricted service area, and... carrier and you change to a dental only or vision only carrier, your existing combination plan coverage...

5 CFR 894.601 - When does my FEDVIP coverage stop?

Code of Federal Regulations, 2011 CFR

2011-01-01

... REGULATIONS (CONTINUED) FEDERAL EMPLOYEES DENTAL AND VISION INSURANCE PROGRAM Termination or Cancellation of...) If you are enrolled with a combination dental and vision carrier with a restricted service area, and... carrier and you change to a dental only or vision only carrier, your existing combination plan coverage...

29 CFR 825.106 - Joint employer coverage.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Regulations Relating to Labor (Continued) WAGE AND HOUR DIVISION, DEPARTMENT OF LABOR OTHER LAWS THE FAMILY... coverage. (a) Where two or more businesses exercise some control over the work or working conditions of the... leave who is working for a secondary employer is considered employed by the secondary employer, and must...

42 CFR 416.40 - Condition for coverage-Compliance with State licensure law.

Code of Federal Regulations, 2010 CFR

2010-10-01

... licensure law. 416.40 Section 416.40 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM AMBULATORY SURGICAL SERVICES Specific Conditions for Coverage § 416.40 Condition for coverage—Compliance with State licensure law. The ASC must comply...

29 CFR 778.2 - Coverage and exemptions not discussed.

Code of Federal Regulations, 2010 CFR

2010-07-01

... within the general coverage of the wage and hours provisions are wholly or partially excluded from the protection of the Act's minimum-wage and overtime-pay requirements. Some of these exemptions are self... Labor Regulations Relating to Labor (Continued) WAGE AND HOUR DIVISION, DEPARTMENT OF LABOR STATEMENTS...

Lesbians still face job discrimination.

PubMed

Ryniker, Margaret R

2008-01-01

This article examines continued discrimination against lesbians in the workplace. A number of cases from various jurisdictions in the United States are highlighted. The paper studies two common forms of discrimination: denial of employment benefits to same sex partners, and sexual harassment. On the first front, the case law suggests that health insurance coverage for one's partner is becoming the norm. On the question of sexual harassment in the workplace, the case law did not provide protection for lesbians. Finally, U.S. employment policies related to sexual orientation are contrasted with those in Israel, which provides much greater protection from discrimination.

Lightning mapper sensor design study

NASA Technical Reports Server (NTRS)

Eaton, L. R.; Poon, C. W.; Shelton, J. C.; Laverty, N. P.; Cook, R. D.

1983-01-01

World-wide continuous measurement of lightning location, intensity, and time during both day and night is to be provided by the Lightning Mapper (LITMAP) instrument. A technology assessment to determine if the LITMAP requirements can be met using existing sensor and electronic technologies is presented. The baseline concept discussed in this report is a compromise among a number of opposing requirements (e.g., ground resolution versus array size; large field of view versus narrow bandpass filter). The concept provides coverage for more than 80 percent of the lightning events as based on recent above-cloud NASA/U2 lightning measurements.

Interactive target tracking for persistent wide-area surveillance

NASA Astrophysics Data System (ADS)

Ersoy, Ilker; Palaniappan, Kannappan; Seetharaman, Guna S.; Rao, Raghuveer M.

2012-06-01

Persistent aerial surveillance is an emerging technology that can provide continuous, wide-area coverage from an aircraft-based multiple-camera system. Tracking targets in these data sets is challenging for vision algorithms due to large data (several terabytes), very low frame rate, changing viewpoint, strong parallax and other imperfections due to registration and projection. Providing an interactive system for automated target tracking also has additional challenges that require online algorithms that are seamlessly integrated with interactive visualization tools to assist the user. We developed an algorithm that overcomes these challenges and demonstrated it on data obtained from a wide-area imaging platform.

5 CFR 890.1101 - Purpose.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Purpose. 890.1101 Section 890.1101 Administrative Personnel OFFICE OF PERSONNEL MANAGEMENT (CONTINUED) CIVIL SERVICE REGULATIONS (CONTINUED) FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM Temporary Continuation of Coverage § 890.1101 Purpose. This subpart...

Coverage Metrics for Requirements-Based Testing: Evaluation of Effectiveness

NASA Technical Reports Server (NTRS)

Staats, Matt; Whalen, Michael W.; Heindahl, Mats P. E.; Rajan, Ajitha

2010-01-01

In black-box testing, the tester creates a set of tests to exercise a system under test without regard to the internal structure of the system. Generally, no objective metric is used to measure the adequacy of black-box tests. In recent work, we have proposed three requirements coverage metrics, allowing testers to objectively measure the adequacy of a black-box test suite with respect to a set of requirements formalized as Linear Temporal Logic (LTL) properties. In this report, we evaluate the effectiveness of these coverage metrics with respect to fault finding. Specifically, we conduct an empirical study to investigate two questions: (1) do test suites satisfying a requirements coverage metric provide better fault finding than randomly generated test suites of approximately the same size?, and (2) do test suites satisfying a more rigorous requirements coverage metric provide better fault finding than test suites satisfying a less rigorous requirements coverage metric? Our results indicate (1) only one coverage metric proposed -- Unique First Cause (UFC) coverage -- is sufficiently rigorous to ensure test suites satisfying the metric outperform randomly generated test suites of similar size and (2) that test suites satisfying more rigorous coverage metrics provide better fault finding than test suites satisfying less rigorous coverage metrics.

The History and Legacy of BATSE

NASA Technical Reports Server (NTRS)

Fishman, Gerald J.

2012-01-01

The BATSE experiment on the Compton Gamma-ray Observatory was the first large detector system specifically designed for the study of gamma-ray bursts. The eight large-area detectors allowed full-sky coverage and were optimized to operate in the energy region of the peak emission of most GRBs. BATSE provided detailed observations of the temporal and spectral characteristics of large samples of GRBs, and it was the first experiment to provide rapid notifications of the coarse location of many them. It also provided strong evidence for the cosmological distances to GRBs through the observation of the sky distribution and intensity distribution of numerous GRBs. The large number of GRBs observed with the high- sensitivity BATSE detectors continues to provide a database of GRB spectral and temporal properties in the primary energy range of GRB emission that will likely not be exceeded for at least another decade. The origin and development of the BATSE experiment, some highlights from the mission and its continuing legacy are described in this paper.

The effects of nursing turnover on continuity of care in isolated First Nation communities.

PubMed

Minore, Bruce; Boone, Margaret; Katt, Mae; Kinch, Peggy; Birch, Stephen; Mushquash, Christopher

2005-03-01

Many of Canada's northern First Nation communities experience difficulty recruiting and retaining appropriate nursing staff and must rely on relief nurses for short-term coverage. The latter often are not adequately prepared for the demanding nature of the practice. This study examined the consequences of nursing turnover on the continuity of care provided to residents of three Ojibway communities in northern Ontario. The findings are based on a review of 135 charts of oncology, diabetes, and mental health clients, and on interviews with 30 professional and paraprofessional health-care providers who served the communities. Nursing turnover is shown to detrimentally affect communications, medications management, and the range of services offered; it also results in compromised follow-up, client disengagement, illness exacerbation, and an added burden of care for family and community members.

A Penning discharge source for extreme ultraviolet calibration

NASA Technical Reports Server (NTRS)

Finley, David S.; Jelinsky, Patrick; Bowyer, Stuart; Malina, Roger F.

1986-01-01

A Penning discharge lamp for use in the calibration of instruments and components for the extreme ultraviolet has been developed. This source is sufficiently light and compact to make it suitable for mounting on the movable slit assembly of a grazing incidence Rowland circle monochromator. Because this is a continuous discharge source, it is suitable for use with photon counting detectors. Line radiation is provided both by the gas and by atoms sputtered off the interchangeable metal cathodes. Usable lines are produced by species as highly ionized as Ne IV and Al V. The wavelength coverage provided is such that a good density of emission lines is available down to wavelengths as short as 100A. This source fills the gap between 100 and 300A, which is inadequately covered by the other available compact continuous radiation sources.

Investigation of aquifer-estuary interaction using wavelet analysis of fiber-optic temperature data

USGS Publications Warehouse

Henderson, R.D.; Day-Lewis, Frederick D.; Harvey, Charles F.

2009-01-01

Fiber-optic distributed temperature sensing (FODTS) provides sub-minute temporal and meter-scale spatial resolution over kilometer-long cables. Compared to conventional thermistor or thermocouple-based technologies, which measure temperature at discrete (and commonly sparse) locations, FODTS offers nearly continuous spatial coverage, thus providing hydrologic information at spatiotemporal scales previously impossible. Large and information-rich FODTS datasets, however, pose challenges for data exploration and analysis. To date, FODTS analyses have focused on time-series variance as the means to discriminate between hydrologic phenomena. Here, we demonstrate the continuous wavelet transform (CWT) and cross-wavelet transform (XWT) to analyze FODTS in the context of related hydrologic time series. We apply the CWT and XWT to data from Waquoit Bay, Massachusetts to identify the location and timing of tidal pumping of submarine groundwater.

System factors to explain H1N1 state vaccination rates for adults in US emergency response to pandemic.

PubMed

Davila-Payan, Carlo; Swann, Julie; Wortley, Pascale M

2014-05-23

During the 2009-2010 H1N1 pandemic, vaccine in short supply was allocated to states pro rata by population, yet the vaccination rates of adults differed by state. States also differed in their campaign processes and decisions. Analyzing the campaign provides an opportunity to identify specific approaches that may result in higher vaccine uptake in a future event of this nature. To determine supply chain and system factors associated with higher state H1N1 vaccination coverage for adults in a system where vaccine was in short supply. Regression analysis of factors predicting state-specific H1N1 vaccination coverage in adults. Independent variables included state campaign information, demographics, preventive or health-seeking behavior, preparedness funding, providers, state characteristics, and H1N1-specific state data. The best model explained the variation in state-specific adult vaccination coverage with an adjusted R-squared of 0.76. We found that higher H1N1 coverage of adults is associated with program aspects including shorter lead-times (i.e., the number of days between when doses were allocated to a state and were shipped, including the time for states to order the doses) and less vaccine directed to specialist locations. Higher vaccination coverage is also positively associated with the maximum number of ship-to locations, past seasonal influenza vaccination coverage, the percentage of women with a Pap smear, the percentage of the population that is Hispanic, and negatively associated with a long duration of the epidemic peak. Long lead-times may be a function of system structure or of efficiency and may suggest monitoring or redesign of distribution processes. Sending vaccine to sites with broad access could be useful when covering a general population. Existing infrastructure may be reflected in the maximum number of ship-to locations, so strengthening routine influenza vaccination programs may help during emergency vaccinations also. Future research could continue to inform program decisions. Copyright © 2013 The Authors. Published by Elsevier Ltd.. All rights reserved.

Coverage for Gender-Affirming Care: Making Health Insurance Work for Transgender Americans.

PubMed

Padula, William V; Baker, Kellan

2017-08-01

Many transgender Americans continue to remain uninsured or are underinsured because of payers' refusal to cover medically necessary, gender-affirming healthcare services-such as hormone therapy, mental health counseling, and reconstructive surgeries. Coverage refusal results in higher costs and poor health outcomes among transgender people who cannot access gender-affirming care. Research into the value of health insurance coverage for gender-affirming care for transgender individuals shows that the health benefits far outweigh the costs of insuring transition procedures. Although the Affordable Care Act explicitly protects health insurance for transgender individuals, these laws are being threatened; therefore, this article reviews their importance to transgender-inclusive healthcare coverage.

Estimated Budget Impact of Adopting the Affordable Care Act's Required Smoking Cessation Coverage on United States Healthcare Payers.

PubMed

Baker, Christine L; Ferrufino, Cheryl P; Bruno, Marianna; Kowal, Stacey

2017-01-01

Despite abundant information on the negative impacts of smoking, more than 40 million adult Americans continue to smoke. The Affordable Care Act (ACA) requires tobacco cessation as a preventive service with no patient cost share for all FDA-approved cessation medications. Health plans have a vital role in supporting smoking cessation by managing medication access, but uncertainty remains on the gaps between smoking cessation requirements and what is actually occurring in practice. This study presents current cessation patterns, real-world drug costs and plan benefit design data, and estimates the 1- to 5-year pharmacy budget impact of providing ACA-required coverage for smoking cessation products to understand the fiscal impact to a US healthcare plan. A closed cohort budget impact model was developed in Microsoft Excel ® to estimate current and projected costs for US payers (commercial, Medicare, Medicaid) covering smoking cessation medicines, with assumptions for coverage and smoking cessation product utilization based on current, real-world national and state-level trends for hypothetical commercial, Medicare, and Medicaid plans with 1 million covered lives. A Markov methodology with five health states captures quit attempt and relapse patterns. Results include the number of smokers attempting to quit, number of successful quitters, annual costs, and cost per-member per-month (PMPM). The projected PMPM cost of providing coverage for smoking cessation medications is $0.10 for commercial, $0.06 for Medicare, and $0.07 for Medicaid plans, reflecting a low incremental PMPM impact of covering two attempts ranging from $0.01 for Medicaid to $0.02 for commercial and Medicare payers. The projected PMPM impact of covering two quit attempts with access to all seven cessation medications at no patient cost share remains low. Results of this study reinforce that the impact of adopting the ACA requirements for smoking cessation coverage will have a limited near-term impact on health plan's budgets. Pfizer Inc.

Pew Memorial Trust policy synthesis: 2. Postretirement health benefits.

PubMed Central

Dopkeen, J C

1987-01-01

One-fourth of all those over 65 have some form of employer-provided retirement medical benefits. For these retirees and dependents, having this medical coverage may mean the difference between retirement security and ruin; but for employers, providing it could mean serious financial strain or even a threat to survival. The unfunded liability for retirement medical coverage has been variously projected from +100 billion to nearly +2 trillion. Continuing corporate concerns over the costs of health care, and recent changes in federal policies regarding Medicare and the taxation of employee benefit funds, threaten to alter the system of postretirement health benefits substantially and perhaps irrevocably for many. Employers are being forced to reassess their retiree commitments. Some corporations have undertaken to modify and even eliminate postretirement medical coverage for those over 65. These changes will affect not only the corporations involved and their retirees, but also the national and state governments to whom retirees may turn for additional assistance in meeting their health care needs. The purpose of this synthesis is to explain the issue of postretirement health benefits (PRHBs) for both public and private sector policymakers who will be most involved with this issue over the next five years. The analysis identifies the issues involved, considers the dimensions of the problem, and attempts to assess the implications for the future. PMID:3106266

Labor-force participation of older married women.

PubMed

Henretta, J C; O'Rand, A M

1980-08-01

This article utilizes the 1969, 1971, and 1973 waves of the Longitudinal Retirement History Study (LRHS) to examine stopping work by working wives of respondents. Different patterns of labor-force participation reveal that younger wives of respondents were more likely to work than were older wives. Most wives did not reenter the labor force after leaving it. The determinants of stopping or continuing work in 1969-73 for those wives who worked in 1969 were also examined. Although the patterns were somewhat different for younger wives, two factors stand out: Coverage of the wife by a private pension plan and providing for children or elderly parents have substantial effects on the probability of continuing work.

Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); TRICARE Reserve Select; TRICARE Dental Program; Early Eligibility for TRICARE for Certain Reserve Component Members. Final rule.

PubMed

2015-09-15

TRICARE Reserve Select (TRS) is a premium-based TRICARE health plan available for purchase worldwide by qualified members of the Ready Reserve and by qualified survivors of TRS members. TRICARE Dental Program (TDP) is a premium-based TRICARE dental plan available for purchase worldwide by qualified Service members. This final rule revises requirements and procedures for the TRS program to specify the appropriate actuarial basis for calculating premiums in addition to making other minor clarifying administrative changes. For a member who is involuntarily separated from the Selected Reserve under other than adverse conditions this final rule provides a time-limited exception that allows TRS coverage in effect to continue for up to 180 days after the date on which the member is separated from the Selected Reserve and TDP coverage in effect to continue for no less than 180 days after the separation date. It also expands early TRICARE eligibility for certain Reserve Component members from a maximum of 90 days to a maximum of 180 days prior to activation in support of a contingency operation for more than 30 days.

InSAR constraints on soil moisture evolution after the March 2015 extreme precipitation event in Chile.

PubMed

Scott, C P; Lohman, R B; Jordan, T E

2017-07-07

Constraints on soil moisture can guide agricultural practices, act as input into weather, flooding and climate models and inform water resource policies. Space-based interferometric synthetic aperture radar (InSAR) observations provide near-global coverage, even in the presence of clouds, of proxies for soil moisture derived from the amplitude and phase content of radar imagery. We describe results from a 1.5 year-long InSAR time series spanning the March, 2015 extreme precipitation event in the hyperarid Atacama desert of Chile, constraining the immediate increase in soil moisture and drying out over the following months, as well as the response to a later, smaller precipitation event. The inferred temporal evolution of soil moisture is remarkably consistent between independent, overlapping SAR tracks covering a region ~100 km in extent. The unusually large rain event, combined with the extensive spatial and temporal coverage of the SAR dataset, present an unprecedented opportunity to image the time-evolution of soil characteristics over different surface types. Constraints on the timescale of shallow water storage after precipitation events are increasingly valuable as global water resources continue to be stretched to their limits and communities continue to develop in flood-prone areas.

Workplace Accommodations for Pregnant Employees: Associations With Women's Access to Health Insurance Coverage After Childbirth.

PubMed

Jou, Judy; Kozhimannil, Katy B; Blewett, Lynn A; McGovern, Patricia M; Abraham, Jean M

2016-06-01

This study evaluates the associations between workplace accommodations for pregnancy, including paid and unpaid maternity leave, and changes in women's health insurance coverage postpartum. Secondary analysis using Listening to Mothers III, a national survey of women ages 18 to 45 years who gave birth in U.S. hospitals during 2011 to 2012 (N = 700). Compared with women without access to paid maternity leave, women with access to paid leave were 0.4 times as likely to lose private health insurance coverage, 0.3 times as likely to lose public health coverage, and 0.3 times as likely to become uninsured after giving birth. Workplace accommodations for pregnant employees are associated with health insurance coverage via work continuity postpartum. Expanding protections for employees during pregnancy and after childbirth may help reduce employee turnover, loss of health insurance coverage, and discontinuity of care.

Coverage Gains After the Affordable Care Act Among the Uninsured in Minnesota.

PubMed

Call, Kathleen Thiede; Lukanen, Elizabeth; Spencer, Donna; Alarcón, Giovann; Kemmick Pintor, Jessie; Baines Simon, Alisha; Gildemeister, Stefan

2015-11-01

We determined whether and how Minnesotans who were uninsured in 2013 gained health insurance coverage in 2014, 1 year after the Affordable Care Act (ACA) expanded Medicaid coverage and enrollment. Insurance status and enrollment experiences came from the Minnesota Health Insurance Transitions Study (MH-HITS), a follow-up telephone survey of children and adults in Minnesota who had no health insurance in the fall of 2013. ACA had a tempered success in Minnesota. Outreach and enrollment efforts were effective; one half of those previously uninsured gained coverage, although many reported difficulty signing up (nearly 62%). Of the previously uninsured who gained coverage, 44% obtained their coverage through MNsure, Minnesota's insurance marketplace. Most of those who remained uninsured heard of MNsure and went to the Web site. Many still struggled with the enrollment process or reported being deterred by the cost of coverage. Targeting outreach, simplifying the enrollment process, focusing on affordability, and continuing funding for in-person assistance will be important in the future.

Coverage Gains After the Affordable Care Act Among the Uninsured in Minnesota

PubMed Central

Lukanen, Elizabeth; Spencer, Donna; Alarcón, Giovann; Kemmick Pintor, Jessie; Baines Simon, Alisha; Gildemeister, Stefan

2015-01-01

Objectives. We determined whether and how Minnesotans who were uninsured in 2013 gained health insurance coverage in 2014, 1 year after the Affordable Care Act (ACA) expanded Medicaid coverage and enrollment. Methods. Insurance status and enrollment experiences came from the Minnesota Health Insurance Transitions Study (MH-HITS), a follow-up telephone survey of children and adults in Minnesota who had no health insurance in the fall of 2013. Results. ACA had a tempered success in Minnesota. Outreach and enrollment efforts were effective; one half of those previously uninsured gained coverage, although many reported difficulty signing up (nearly 62%). Of the previously uninsured who gained coverage, 44% obtained their coverage through MNsure, Minnesota’s insurance marketplace. Most of those who remained uninsured heard of MNsure and went to the Web site. Many still struggled with the enrollment process or reported being deterred by the cost of coverage. Conclusions. Targeting outreach, simplifying the enrollment process, focusing on affordability, and continuing funding for in-person assistance will be important in the future. PMID:26447912

5 CFR 870.704 - Amount of Option A.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 2 2010-01-01 2010-01-01 false Amount of Option A. 870.704 Section 870... of Option A. (a) The amount of Option A coverage an annuitant or compensationer can continue is $10,000. (b) An annuitant's or compensationer's Option A coverage reduces by 2 percent of the original...

29 CFR 825.109 - Federal agency coverage.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Regulations Relating to Labor (Continued) WAGE AND HOUR DIVISION, DEPARTMENT OF LABOR OTHER LAWS THE FAMILY AND MEDICAL LEAVE ACT OF 1993 Coverage Under the Family and Medical Leave Act § 825.109 Federal agency... Congressional Accountability Act of 1995, 2 U.S.C. 1301. (b) The Federal Executive Branch employees within the...

29 CFR 825.109 - Federal agency coverage.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Regulations Relating to Labor (Continued) WAGE AND HOUR DIVISION, DEPARTMENT OF LABOR OTHER LAWS THE FAMILY AND MEDICAL LEAVE ACT OF 1993 Coverage Under the Family and Medical Leave Act § 825.109 Federal agency... Congressional Accountability Act of 1995, 2 U.S.C. 1301. (b) The Federal Executive Branch employees within the...

29 CFR 825.109 - Federal agency coverage.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Regulations Relating to Labor (Continued) WAGE AND HOUR DIVISION, DEPARTMENT OF LABOR OTHER LAWS THE FAMILY AND MEDICAL LEAVE ACT OF 1993 Coverage Under the Family and Medical Leave Act § 825.109 Federal agency... Congressional Accountability Act of 1995, 2 U.S.C. 1301. (b) The Federal Executive Branch employees within the...

29 CFR 825.109 - Federal agency coverage.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Regulations Relating to Labor (Continued) WAGE AND HOUR DIVISION, DEPARTMENT OF LABOR OTHER LAWS THE FAMILY AND MEDICAL LEAVE ACT OF 1993 Coverage Under the Family and Medical Leave Act § 825.109 Federal agency... Congressional Accountability Act of 1995, 2 U.S.C. 1301. (b) The Federal Executive Branch employees within the...

26 CFR 54.4980B-6 - Electing COBRA continuation coverage.

Code of Federal Regulations, 2011 CFR

2011-04-01

... without children who is receiving employer-paid coverage under a group health plan voluntarily terminates... dependent child's ceasing to be a dependent child under the generally applicable requirements of the plan or a divorce or legal separation of a covered employee. The group health plan is not required to offer...

26 CFR 54.4980B-6 - Electing COBRA continuation coverage.

Code of Federal Regulations, 2012 CFR

2012-04-01

... without children who is receiving employer-paid coverage under a group health plan voluntarily terminates... dependent child's ceasing to be a dependent child under the generally applicable requirements of the plan or a divorce or legal separation of a covered employee. The group health plan is not required to offer...

26 CFR 54.4980B-6 - Electing COBRA continuation coverage.

Code of Federal Regulations, 2013 CFR

2013-04-01

... without children who is receiving employer-paid coverage under a group health plan voluntarily terminates... dependent child's ceasing to be a dependent child under the generally applicable requirements of the plan or a divorce or legal separation of a covered employee. The group health plan is not required to offer...

42 CFR 486.100 - Condition for coverage: Compliance with Federal, State, and local laws and regulations.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 5 2010-10-01 2010-10-01 false Condition for coverage: Compliance with Federal, State, and local laws and regulations. 486.100 Section 486.100 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION...

42 CFR 486.100 - Condition for coverage: Compliance with Federal, State, and local laws and regulations.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 5 2011-10-01 2011-10-01 false Condition for coverage: Compliance with Federal, State, and local laws and regulations. 486.100 Section 486.100 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION...

15 CFR 730.5 - Coverage of more than exports.

Code of Federal Regulations, 2010 CFR

2010-01-01

..., shipments from a U.S. foreign trade zone, and the electronic transmission of non-public data that will be... 15 Commerce and Foreign Trade 2 2010-01-01 2010-01-01 false Coverage of more than exports. 730.5 Section 730.5 Commerce and Foreign Trade Regulations Relating to Commerce and Foreign Trade (Continued...

46 CFR 154.1160 - Monitor coverage of system.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 5 2010-10-01 2010-10-01 false Monitor coverage of system. 154.1160 Section 154.1160 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) CERTAIN BULK DANGEROUS CARGOES SAFETY STANDARDS FOR SELF-PROPELLED VESSELS CARRYING BULK LIQUEFIED GASES Design, Construction and Equipment Firefighting System: Dry Chemical § 154.1160...

46 CFR 154.1160 - Monitor coverage of system.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 5 2011-10-01 2011-10-01 false Monitor coverage of system. 154.1160 Section 154.1160 Shipping COAST GUARD, DEPARTMENT OF HOMELAND SECURITY (CONTINUED) CERTAIN BULK DANGEROUS CARGOES SAFETY STANDARDS FOR SELF-PROPELLED VESSELS CARRYING BULK LIQUEFIED GASES Design, Construction and Equipment Firefighting System: Dry Chemical § 154.1160...

5 CFR 875.414 - Will benefits be coordinated with other coverage?

Code of Federal Regulations, 2010 CFR

2010-01-01

... SERVICE REGULATIONS (CONTINUED) FEDERAL LONG TERM CARE INSURANCE PROGRAM Coverage § 875.414 Will benefits... coordination of benefits (COB) guidelines set by the National Association of Insurance Commissioners. The total benefits from all plans that pay a long term care benefit to you should not exceed the actual costs you...

42 CFR 488.608 - Notice of alternative sanction and appeal rights: Termination of coverage.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 5 2010-10-01 2010-10-01 false Notice of alternative sanction and appeal rights..., DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) STANDARDS AND CERTIFICATION SURVEY, CERTIFICATION, AND... (ESRD) Facilities § 488.608 Notice of alternative sanction and appeal rights: Termination of coverage...

Running Head: Texas State Children’s Health Insurance Program. Proposed Solutions for the Continuance of the Texas State Children’s Health Insurance Program

DTIC Science & Technology

2009-04-01

many feel a social obligation to provide healthcare to the elderly , disabled, and children. The elderly and disabled receive health coverage...Studies have shown that children who receive healthcare are more likely to be healthier adults . The purpose of the report, Overcoming Obstacles to Health ...income families. Underprivileged adults are five times more likely to be in poor health than adults with higher incomes. Analyses of this data reflect

GAO's Estimate of the Costs of the "Parental and Medical Leave Act of 1987" (S. 249). Testimony before the Subcommittee on Children, Families, Drugs, and Alcoholism, Committee on Labor and Human Resources, United States Senate.

ERIC Educational Resources Information Center

Gainer, William J.

The General Accounting Office (GAO) estimates that the cost of S.249, the Parental and Medical Leave Act of 1987, will be, at most, 500 million dollars annually, a figure which reflects the cost of continuing health insurance coverage for employees on unpaid leave. S.249 is legislation which aims to provide to workers at firms with 15 or more…

5 CFR 890.303 - Continuation of enrollment.

Code of Federal Regulations, 2010 CFR

2010-01-01

... entitled to health benefits coverage as a Federal employee or as a family member under another enrollment... employee or family member. The former spouse must have established entitlement to the health benefits... REGULATIONS (CONTINUED) FEDERAL EMPLOYEES HEALTH BENEFITS PROGRAM Enrollment § 890.303 Continuation of...

47 CFR 80.905 - Vessel radio equipment.

Code of Federal Regulations, 2011 CFR

2011-10-01

... the coverage of an INMARSAT maritime mobile geostationary satellite in which continuous alerting is... geostationary satellite in which continuous alerting is available, an INMARSAT B, C, M, or Fleet F77 ship earth...

47 CFR 80.905 - Vessel radio equipment.

Code of Federal Regulations, 2010 CFR

2010-10-01

... the coverage of an INMARSAT maritime mobile geostationary satellite in which continuous alerting is... geostationary satellite in which continuous alerting is available, an INMARSAT B, C, M, or Fleet F77 ship earth...

Financial hardship on the path to Universal Health Coverage in the Gulf States.

PubMed

Alshamsan, Riyadh; Leslie, Hannah; Majeed, Azeem; Kruk, Margaret

2017-03-01

Countries globally are pursuing universal health coverage to ensure better healthcare for their populations and prevent households from catastrophic expenditure. The countries of the Gulf Cooperation Council (GCC) have and continue to implement reforms to strengthen their health systems. A common theme between the countries is their pursuit of universal health coverage to provide access to necessary health care without exposing people to financial hardship. Using nationally representative data from the Global Findex study, we sought to analyze the hardship faced by individuals from four high-income countries in the GCC. We estimated the weighted proportion of individuals borrowing for medical reasons and those who are not able to obtain emergency funds. We further examined variations in these outcomes by key socioeconomic factors. We found up to 11% of respondents borrowed money for medical purposes, double of that reported in other high-income countries. In contrast to affluent respondents, we found that respondents from deprived background were more likely to borrow money for medical purposes (adjusted odds ratio: 1.81, P<0.001) and expected to fail in obtaining emergency funds (adjusted odds ratio: 4.03, P<0.001). In moving forward with their reforms, GCC countries should adopt a financing strategy that addresses the health needs of poorer groups in their pursuit of universal health coverage. Copyright © 2017 Elsevier B.V. All rights reserved.

Countdown to 2015 and beyond: fulfilling the health agenda for women and children.

PubMed

Requejo, Jennifer Harris; Bryce, Jennifer; Barros, Aluisio J D; Berman, Peter; Bhutta, Zulfiqar; Chopra, Mickey; Daelmans, Bernadette; de Francisco, Andres; Lawn, Joy; Maliqi, Blerta; Mason, Elizabeth; Newby, Holly; Presern, Carole; Starrs, Ann; Victora, Cesar G

2015-01-31

The end of 2015 will signal the end of the Millennium Development Goal era, when the world can take stock of what has been achieved. The Countdown to 2015 for Maternal, Newborn, and Child Survival (Countdown) has focused its 2014 report on how much has been achieved in intervention coverage in these groups, and on how best to sustain, focus, and intensify efforts to progress for this and future generations. Our 2014 results show unfinished business in achievement of high, sustained, and equitable coverage of essential interventions. Progress has accelerated in the past decade in most Countdown countries, suggesting that further gains are possible with intensified actions. Some of the greatest coverage gaps are in family planning, interventions addressing newborn mortality, and case management of childhood diseases. Although inequities are pervasive, country successes in reaching of the poorest populations provide lessons for other countries to follow. As we transition to the next set of global goals, we must remember the centrality of data to accountability, and the importance of support of country capacity to collect and use high-quality data on intervention coverage and inequities for decision making. To fulfill the health agenda for women and children both now and beyond 2015 requires continued monitoring of country and global progress; Countdown is committed to playing its part in this effort. Copyright © 2015 Elsevier Ltd. All rights reserved.

Algorithm for Determination of Orion Ascent Abort Mode Achievability

NASA Technical Reports Server (NTRS)

Tedesco, Mark B.

2011-01-01

For human spaceflight missions, a launch vehicle failure poses the challenge of returning the crew safely to earth through environments that are often much more stressful than the nominal mission. Manned spaceflight vehicles require continuous abort capability throughout the ascent trajectory to protect the crew in the event of a failure of the launch vehicle. To provide continuous abort coverage during the ascent trajectory, different types of Orion abort modes have been developed. If a launch vehicle failure occurs, the crew must be able to quickly and accurately determine the appropriate abort mode to execute. Early in the ascent, while the Launch Abort System (LAS) is attached, abort mode selection is trivial, and any failures will result in a LAS abort. For failures after LAS jettison, the Service Module (SM) effectors are employed to perform abort maneuvers. Several different SM abort mode options are available depending on the current vehicle location and energy state. During this region of flight the selection of the abort mode that maximizes the survivability of the crew becomes non-trivial. To provide the most accurate and timely information to the crew and the onboard abort decision logic, on-board algorithms have been developed to propagate the abort trajectories based on the current launch vehicle performance and to predict the current abort capability of the Orion vehicle. This paper will provide an overview of the algorithm architecture for determining abort achievability as well as the scalar integration scheme that makes the onboard computation possible. Extension of the algorithm to assessing abort coverage impacts from Orion design modifications and launch vehicle trajectory modifications is also presented.

Estimating vaccination coverage in the absence of immunisation registers--the German experience.

PubMed

Siedler, A; Rieck, T; Reuss, A; Walter, D; Poggensee, G; Poethko-Muller, C; Reiter, S

2012-04-26

Immunisation registers are regarded as an appropriate solution to measure vaccination coverage on a population level. In Germany, a decentralised healthcare system and data protection regulations constrain such an approach. Moreover, shared responsibilities in the process of immunisation and multiple providers form the framework for public health interventions on vaccination issues. On the national level, those interventions consist mainly of conceptualising immunisation strategies, establishing vaccination programmes, and issuing recommendations. This paper provides an overview on sources and methods for collecting appropriate coverage data at national level and their public health relevance in Germany. Methods of data collection and available information on immunisations are described for three approaches: school entrance health examination, population surveys and insurance refund claim data. School entrance health examinations allow regional comparisons and estimation of trends for a specific cohort of children and for all recommended childhood vaccinations. Surveys deliver population based data on completeness and timeliness of selected vaccinations in populations defined by age or socio-demographic parameters and on knowledge and attitudes towards vaccination. Insurance refund claim data inform continuously on immunisation status (e.g. of children aged two years) or on vaccination incidence promptly after new or modified recommendations. In a complex healthcare system, the German National Public Health Institute (Robert Koch Institute, RKI) successfully compiles coverage data from different sources, which complement and validate one another. With the German approach of combining different data sources in the absence of immunisation registers, it is possible to gain solid and reliable data on the acceptance of vaccination programmes and target groups for immunisation. This approach might be of value for other countries with decentralised healthcare systems.

Mars Operational Environmental Satellite (MOES): A post-Mars Observer discovery mission

NASA Technical Reports Server (NTRS)

Limaye, Sanjay S.

1993-01-01

Mars Operational Environmental Satellite (MOES) is a Discovery concept mission that is designed to observe the global short-term weather phenomena on Mars in a systematic fashion. Even after the Mariner, Viking, and, soon, Mars Observer missions, crucial aspects of the martian atmosphere will remain unobserved systematically. Achieving a better understanding of the cycles of dust, water vapor, and ices on Mars requires detailed information about atmospheric transports of those quantities associated with the weather systems, particularly those arising in mid latitudes during fall and winter. It also requires a quantitive understanding of the processes responsible for the onset and evolution of dust storms on all scales. Whereas on Earth the system of geosynchronous and polar orbiting satellites provides continuous coverage of the weather systems, on Mars the time history of important events such as regional and global dust storms remains unobserved. To understand the transport of tracers in the martian atmosphere and particularly to identify their sources and sinks, it is necessary to have systematic global, synoptic observations that have yet to be attained. Clearly these requirements are not easy to achieve from a single spacecraft in orbit, but if we focus on specific regions of the planet, e.g., polar vs. low and mid latitudes, then it is possible to attain a nearly ideal coverage at a reasonable spatial and temporal resolution with a system of just two satellites. Mars Observer is about to yield good coverage of the polar latitudes, so we focus initially on the region not covered well in terms of diurnal coverage, and in terms of desired observations will provide the initial data for the numerical models of the martian weather and climate that can be verified only with better temporal and spatial data.

Prescribing practices amid the OxyContin crisis: examining the effect of print media coverage on opioid prescribing among physicians.

PubMed

Borwein, Alexandra; Kephart, George; Whelan, Emma; Asbridge, Mark

2013-12-01

The pain medication OxyContin (hereafter referred to as oxycodone extended release) has been the subject of sustained, and largely negative, media attention in recent years. We sought to determine whether media coverage of oxycodone extended release in North American newspapers has led to changes in prescribing of the drug in Nova Scotia, Canada. An interrupted time-series design examined the effect of media attention on physicians' monthly prescribing of opioids. The outcome measures were, for each physician, the monthly proportions of all opioids prescribed and the proportion of strong opioids prescribed that were for oxycodone extended release. The exposure of interest was media attention defined as the number of articles published each month in 27 North American newspapers. Variations in media effects by provider characteristics (specialty, prescribing volume, and region) were assessed. Within-provider changes in the prescribing of oxycodone extended release in Nova Scotia were observed, and they followed changes in media coverage. Oxycodone extended release prescribing rose steadily prior to receiving media attention. Following peak media attention in the United States, the prescribing of oxycodone extended release slowed. Likewise, following peak coverage in Canadian newspapers, the prescribing of oxycodone extended release declined. These patterns were observed across prescriber specialties and by prescriber volume, though the magnitude of change in prescribing varied. This study demonstrates that print media reporting of oxycodone extended release in North American newspapers, and its continued portrayal as a social problem, coincided with reductions in the prescribing of oxycodone extended release by physicians in Nova Scotia. Copyright © 2013 American Pain Society. Published by Elsevier Inc. All rights reserved.