This paper seeks to understand the impact of the Medicare Rural Hospital Flexibility (Flex) Program on hospital choice and consumer welfare for rural residents. The Flex Program created a new class of hospital, the Critical Access Hospital (CAH), which receives more generous Medicare reimbursements in return for limits on capacity and length of stay. We find that conversion to CAH status result...

FLEX is a new scalable \locality aware" solution for achieving both load balancing and eecient memory usage on a cluster of machines hosting several web sites 1, 2]. FLEX allocates the sites to diierent machines in the cluster based on their traac characteristics. Here, we propose a set of new methods and algorithms (Simple+, Advanced, and Advanced+) to improve the allocation of the web sites t...

This study was conducted by the Flex Monitoring Team with funding from the federal Office of Rural Health Policy (PHS Grant No. U27RH01080) Introduction This report focuses on evidence-based pneumonia Quality Improvement (QI) programs and strategies that are applicable to critical access hospitals (CAHS). The Flex Monitoring Team prepared this report as part of a larger project, whose purpose i...

introduction: the purpose of this in-vitro study was to compare shaping ability of niti rotary mtwo and flexmaster with stainless steel hand k-flexofile in curved root canals of extracted teeth. materials and methods: mesiobuccal canals of 45 mandibular molar teeth were balanced into three groups of 15 each, with respect to the schneider angle, canal access angle, height, dis-tance and radius o...

BACKGROUND The novel Femtosecond lenticule extraction (FLEx) procedure has been considered safe, predictable, and effective in treating myopia and myopic astigmatism, with few complications. However, an enhancement procedure after FLEx may be required in some cases, but has not been reported in detail. CASE PRESENTATION A 24-year-old woman who had undergone bilateral FLEx with the VisuMax fem...

This study investigated the potential influence of proximal sensory feedback on voluntary distal motor activity in the paretic upper limb of hemiparetic stroke survivors and the potential effect of voluntary distal motor activity on proximal muscle activity. Ten stroke subjects and 10 neurologically intact control subjects performed maximum voluntary isometric flexion and extension, respectivel...

Abstract The redistribution of the transmit power among different GPS signal components is called flex power, and it implemented on modernized satellites starting with Block IIR-M. purpose to increase protection against jamming. It has been mostly active since beginning 2017 in modes visible carrier-to-noise density ratio (C/N 0 ) observations as stepwise changes. Especially after 2020, changed...

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