Accountable Care Organizations in Medicare and the Private Sector: A Status Update

Provides an overview of accountable care organizations - provider networks with financial incentives to slow spending growth while maintaining or improving quality of care - and their state of adoption, as well as key considerations

Long Duration Exposure Facility: A general overview

The Long Duration Exposure Facility (LDEF) is a large, low-cost, reusable, unmanned, free-flying spacecraft which accommodates technology, science, and applications experiments for long-term exposure to the space environment. The LDEF was designed and built by the NASA Langley Research Center (LaRC) for NASA's Office of Aeronautics and Space Technology. Specifically, the LDEF was designed to transport experiments into space via the Space Shuttle, to free fly in Earth orbit for an extended period, and be retrieved on a later Space Shuttle flight allowing experiments to be returned to Earth for postflight analysis in the laboratory. The LDEF with a full complement of experiments was placed in Earth orbit in April 1984 by Challenger and retrieved from orbit in January 1990 by Columbia. A general overview of the LDEF, its mission, systems, experiments, and operations is presented. Excerpts from various NASA documents are extensively used

Connecting Labor Market Institutions, Corporate Demography, and Human Resource Management Practices

With the growing attention to entrepreneurship as an engine of job creation and economic development, it is important for social scientists who are broadly interested in labor market and employment topics to focus attention on new firms and the policies and practices that surround them. The authors argue that the next generation of scholarship should pay particular attention to labor market institutions, the ecosystem of existing employers, and the human resource management practices that provide the strategic context for entrepreneurs and shape the career opportunities for workers. Remarkable variation occurs across space and time in the prevalence and performance of entrepreneurs. There are also many open questions as to the antecedents and consequences of entrepreneurship, for entrepreneurs, their communities, and their employees. The availability of new administrative data across many countries will allow for comparative cross-national studies and will provide opportunities to bring qualitative and mixed-method approaches to entrepreneurial labor market studies. This introduction and the articles in this special issue offer a path forward

DI in the outer Galaxy

We report on a deep search with the Westerbork Synthesis Radio Telescope towards the galactic anticenter for the 327 MHz hyperfine transition of DI. This is a favorable direction for a search because: (i) the HI optical depth is high due to velocity crowding; (ii) the observed molecular column density is low (implying that most of the deuterium would probably be in atomic form, rather than in HD); and (iii) the stellar reprocessing should be minimal. Our observations are about a factor of two more sensitive than previous searches for DI in this direction. We detect a low significance (about 4 sigma) feature, consistent in both amplitude and center frequency with an emission feature reported previously (Blitz & Heiles 1987). If this is the DI line, then the implied N_D/N_H of 3.9+/-1.0 x 10^-5 is comparable to the inferred pre-solar deuterium abundance. Our observation is consistent with the recent low measurements of D/H towards high-redshift Lyman-limit systems. On the other hand, if the reports of high DI abundance (about 24 x 10^-5) in such systems are confirmed, then our observations imply that even in regions of reduced star formation within the outer Galaxy, the DI abundance has been reduced by a factor of about 6 from the primordial abundance.Comment: 4 page LaTeX requires l-aa.sty and psfig.sty, 1 ps figure. Accepted for publication in A&A Letter

Will the Patient-Centered Medical Home Transform the Delivery of Health Care?

Explores various definitions of the medical home model, its components, rationale, effect on primary care, issues for implementation such as costs and payment methods, evidence of effectiveness, and healthcare reform provisions promoting it