US Health Care: A Look Ahead to 2025

A look back, a look ahead.

A look back and a look ahead.

The author reviews a series of predictions made more than two decades ago regarding nursing and nursing administration. These concerned the work of nursing, the workers involved in nursing, the environment surrounding practice, and the nurse's role. While many of the forecasts were right on target, others fell short of the mark; both are discussed in light of the challenges facing nurse adminis...

Projecting US primary care physician workforce needs: 2010-2025.

PURPOSE We sought to project the number of primary care physicians required to meet US health care utilization needs through 2025 after passage of the Affordable Care Act. METHODS In this projection of workforce needs, we used the Medical Expenditure Panel Survey to calculate the use of office-based primary care in 2008. We used US Census Bureau projections to account for demographic changes ...

Accountable Care Growth In 2014: A Look Ahead

On December 23, 2013, the Centers for Medicare and Medicaid Services announced 123 new Medicare Shared Savings Program [1] (MSSP) Accountable Care Organizations (ACOs). This represents the fourth round of MSSP participants, which, coupled with the Pioneer ACOs, brings the number of Medicare ACOs to 366. Some of these organizations were already known to be ACOs, including those that transferred ...

A look-ahead Schur Algorithm

The classical Schur algorithm computes the LDL T factorization of a symmetric Toeplitz matrix in O(n 2) operations, but requires that all the principal minors of the matrix be nonsingular. Look-ahead schemes have been proposed to deal with matrices that have exactly singular principal minors 9], 11]. Unfortunately, these algorithms cannot be extended to matrices that have ill-conditioned princi...