This article assesses the participation and the financial performance of licensed health maintenance organization (HMOs) in the Medicaid market. The study found that participation by Medicaid Dominant plans has more than doubled from 11 percent in 1992 to 23 percent in 1998 while Medicaid membership in Commercial Dominant plans declined from 71 percent in 1994 to 51 percent in 1998. Both partic...

Studies on experts' understanding of the public have mainly focused on the views of scientists. We add to the literature on constructions of the public by analyzing the views of decision-makers, professional science communicators and scientists involved in 'space' communication on the public and public participation in policy. Findings show that contextual situations and roles determine the way...

The labor force is projected to reach 129 million persons in 1995, up from 114 million in 1984, according to new Bureau of Labor Statistics projections . The new middle growth projections show the labor force growing at a slower rate over the 1984-95 period than over the 1975-84 period, with the slowest growth occurring during the early 1990's . Blacks are expected to account for a larger share...

Socioscientific issues, which we encounter more and frequently, will gain much importance in the coming years. issues have many topics that individuals experience decision-making processes future. Adequate knowledge of concepts lies at basis process. The aim this study is to develop a two-tier diagnostic test identify misconceptions socioscientific validity reliability test. In scale, was devel...

This paper analyzes data from a large employer that enhanced financial incentives to encourage participation in its workplace wellness programs. It examines, first, the effect of financial incentives on wellness program participation, and second, it estimates the impact of wellness program participation on utilization of health care services and spending. The Patient Protection and Affordable C...

The Cost of Caring for Young Children This study examines the “cost burden” of child care, defined as day care expenses divided by after-tax income. Data are from the wave 10 core and child care topical modules to the 1996 Survey of Income and Program Participation. We estimate that the average child under six years of age lives in a family that spends 4.9 percent of after-tax income on day car...

RESULTS: Fifty-five participants (31 patients and 24 parents) completed all questionnaires, 98.2% preferred active involvement in therapeutic decision-making. The SDM-Q-9 scores, assessed by patients and physicians, were acceptable (mean 68 out of 100). However, the independently assessed OPTION-5 scores were significantly lower (mean 31 out of 100). In the consultations, physicians rarely aske...