How Intense Policy Demanders Shape Postreform Politics: Evidence from the Affordable Care Act

The implementation of the Affordable Care Act (ACA) has been a politically volatile process. The ACA\u27s institutional design and delayed feedback effects created a window of opportunity for its partisan opponents to launch challenges at both the federal and state level. Yet as recent research suggests, postreform politics depends on more than policy feedback alone; rather, it is shaped by the partisan and interest-group environment. We argue that “intense policy demanders” played an important role in defining the policy alternatives that comprised congressional Republicans\u27 efforts to repeal and replace the ACA. To test this argument, we drew on an original data set of bill introductions in the House of Representatives between 2011 and 2016. Our analysis suggests that business contributions and political ideology affected the likelihood that House Republicans would introduce measures repealing significant portions of the ACA. A secondary analysis shows that intense policy demanders also shaped the vote on House Republicans\u27 initial ACA replacement plan. These findings highlight the role intense policy demanders can play in shaping the postreform political agenda

Did the HMO Revolution Cause Hospital Consolidation?

During the 1990s US healthcare markets underwent a significant transformation. Managed care rose to become the dominant form of insurance in the private sector. Also, a wave of hospital consolidation occurred. In 1990, the mean population-weighted hospital Herfindahl-Hirschman Index (HHI) in a Health Services Area (HSA) was .19. By 2000, the HHI had risen to .26. This paper explores whether the rise in managed care caused the increase in hospital concentration. We use an instrumental variables approach with 10-year differences to identify the relationship between managed care penetration and hospital consolidation. Our results strongly imply that the rise of managed care did not cause the hospital consolidation wave. This finding is robust to a number of different specifications.

An Analysis of Leading Congressional Health Care Bills, 2007-2008: Part I, Insurance Coverage

Compares coverage and cost estimates of bills to improve health coverage through private-public approaches, universal public insurance, tax changes, increased coverage for children and the disabled, expanded health savings accounts, and other strategies

Low Medicaid Spending Growth Amid Rebounding State Revenues: Results From a 50-State Medicaid Budget Survey State Fiscal Years 2006 and 2007

Examines the implementation of the new Medicare prescription drug benefit and the rate of Medicaid spending growth and enrollment in 2006. Identifies possible state level changes in eligibility requirements, program expansion, and enrollment processes

Local Industrial Conditions and Entrepreneurship: How Much of the Spatial Distribution Can We Explain?

Why are some places more entrepreneurial than others? We use Census Bureau data to study local determinants of manufacturing startups across cities and industries. Demographics have limited explanatory power. Overall levels of local customers and suppliers are only modestly important, but new entrants seem particularly drawn to areas with many smaller suppliers, as suggested by Chinitz (1961). Abundant workers in relevant occupations also strongly predict entry. These forces plus city and industry fixed effects explain between sixty and eighty percent of manufacturing entry. We use spatial distributions of natural cost advantages to address partially endogeneity concerns.Entrepreneurship, Industrial Organization, Agglomeration, Labor Markets, Input-Output Flows, Innovation, Research and Development, Patents.

Special Libraries, January 1946

Volume 37, Issue 1https://scholarworks.sjsu.edu/sla_sl_1946/1000/thumbnail.jp

Special Libraries, December 1959

Volume 50, Issue 10https://scholarworks.sjsu.edu/sla_sl_1959/1009/thumbnail.jp

Improving search engines with open Web-based SKOS vocabularies

Dissertação para obtenção do Grau de Mestre em Engenharia InformáticaThe volume of digital information is increasingly larger and even though organiza-tions are making more of this information available, without the proper tools users have great difficulties in retrieving documents about subjects of interest. Good infor-mation retrieval mechanisms are crucial for answering user information needs. Nowadays, search engines are unavoidable - they are an essential feature in docu-ment management systems. However, achieving good relevancy is a difficult problem particularly when dealing with specific technical domains where vocabulary mismatch problems can be prejudicial. Numerous research works found that exploiting the lexi-cal or semantic relations of terms in a collection attenuates this problem. In this dissertation, we aim to improve search results and user experience by inves-tigating the use of potentially connected Web vocabularies in information retrieval en-gines. In the context of open Web-based SKOS vocabularies we propose a query expan-sion framework implemented in a widely used IR system (Lucene/Solr), and evaluated using standard IR evaluation datasets. The components described in this thesis were applied in the development of a new search system that was integrated with a rapid applications development tool in the context of an internship at Quidgest S.A.Fundação para a Ciência e Tecnologia - ImTV research project, in the context of the UTAustin-Portugal collaboration (UTA-Est/MAI/0010/2009); QSearch project (FCT/Quidgest