Improving Medicaid: Assessment of District of Columbia Agencies\u27 Claims Processes and Recommendations for Improvements in Efficiency and Customer Service

The District of Columbia Department of Health Care Finance (DHCF), like other state Medicaid agencies, is constantly challenged to improve service delivery and reimbursement for Medicaid services. In the District, several governmental agencies ( Partner Agencies ) play an instrumental role in Medicaid – either as a Medicaid provider or in operating a Medicaid program. Today, each Partner Agency may retain its own system and process for claims submission, provider enrollment, and administrative claiming as it relates to Medicaid. For these reasons, the DHCF initiated an assessment of the Medicaid claims processes for Partner Agencies. The purpose of the assessment is to identify areas of duplication and inefficiencies and recommend a solution(s) to the DHCF to improve efficiency and customer service. The central recommendation arising from this assessment is that the District of Columbia procure the services of a single administrative services organization (ASO) to perform billing, claims submittal, and related administrative functions for the identified DC agencies examined as a means of achieving greater efficiency and improved customer service

Community professionals' management of client care : a mixed-methods systematic review

This is the final draft, after peer-review, of a manuscript published in Journal of Health Services Research & Policy. The definitive version, detailed above, is available online at www.rsmjournals.com.Peer reviewedPostprin

A Review of Economic Consequences and Costs of Male Violence Against Women

[EN] This article focuses on male violence against women. As it takes place in what is often considered to be 'the private sphere' of the home, violence is difficult to prove, to measure, to prevent and easy to ignore. A multi-country study (WHO, 2005, WHO multi-country study on women's health and domestic violence against women: Summary report of initial results on prevalence, health outcomes and women's responses, Geneva, Switzerland: World Health Organization) shows that there are wide variations between countries resulting in 15 per cent to 71 per cent of women aged between 15 and 49 years saying that they have been victims of physical or sexual violence in intimate relationships. This article reviews and summarises literature that analyse types of economic costs that result from domestic violence and abuse perpetrated against women.The theoretical reflections and findings are from a research project funded by the European Commission through the Leonardo da Vinci Programme named 'Giving Hope to Victims of Abuse through Vocational Guidance', promoted and coordinated by the University Miguel Hernandez of Elche. The content of this paper does not necessarily reflect the position of the European Union or the National Agency, nor does it involve any responsibility on their part (Agreement number: 2011/3500-516610-LLp-1-2011-1-ES-LEONARDO-LMP).López-Sánchez, MJ.; Belso-Martínez, JA.; Hervás Oliver, JL. (2019). A Review of Economic Consequences and Costs of Male Violence Against Women. Indian Journal of Gender Studies. 26(3):424-434. https://doi.org/10.1177/0971521519861194S424434263Babcock, J. C., Waltz, J., Jacobson, N. S., & Gottman, J. M. (1993). Power and violence: The relation between communication patterns, power discrepancies, and domestic violence. Journal of Consulting and Clinical Psychology, 61(1), 40-50. doi:10.1037/0022-006x.61.1.40Bloch, F., & Rao, V. (2002). Terror as a Bargaining Instrument: A Case Study of Dowry Violence in Rural India. American Economic Review, 92(4), 1029-1043. doi:10.1257/00028280260344588Comijs, H. C., Pot, A. M., Smit, J. H., Bouter, L. M., & Jonker, C. (1998). Elder Abuse in the Community: Prevalence and Consequences. Journal of the American Geriatrics Society, 46(7), 885-888. doi:10.1111/j.1532-5415.1998.tb02724.xFord-Gilboe, M., Wuest, J., & Merritt-Gray, M. (2005). Strengthening Capacity to Limit Intrusion: Theorizing Family Health Promotion in the Aftermath of Woman Abuse. Qualitative Health Research, 15(4), 477-501. doi:10.1177/1049732305274590Garbarino, J., & Crouter, A. (1978). Defining the Community Context for Parent-Child Relations: The Correlates of Child Maltreatment. Child Development, 49(3), 604. doi:10.2307/1128227Grana, S. J. (2001). Journal of Family Violence, 16(4), 421-435. doi:10.1023/a:1012229011161HEISE, L. L. (1998). Violence Against Women. Violence Against Women, 4(3), 262-290. doi:10.1177/1077801298004003002Kim, J., & Gray, K. A. (2008). Leave or Stay? Journal of Interpersonal Violence, 23(10), 1465-1482. doi:10.1177/0886260508314307Krug, E. G., Mercy, J. A., Dahlberg, L. L., & Zwi, A. B. (2002). The world report on violence and health. The Lancet, 360(9339), 1083-1088. doi:10.1016/s0140-6736(02)11133-0LAMBERT, L. C., & FIRESTONE, J. M. (2000). Economic Context and Multiple Abuse Techniques. Violence Against Women, 6(1), 49-67. doi:10.1177/1077801200006001004Max, W., Rice, D. P., Finkelstein, E., Bardwell, R. A., & Leadbetter, S. (2004). The Economic Toll of Intimate Partner Violence Against Women in the United States. Violence and Victims, 19(3), 259-272. doi:10.1891/vivi.19.3.259.65767(2003). Costs of Intimate Partner Violence Against Women in the United States. PsycEXTRA Dataset. doi:10.1037/e721242007-001Reeves, C., & O’Leary-Kelly, A. M. (2007). The Effects and Costs of Intimate Partner Violence for Work Organizations. Journal of Interpersonal Violence, 22(3), 327-344. doi:10.1177/0886260506295382Roldós, M. I., & Corso, P. (2013). The Economic Burden of Intimate Partner Violence in Ecuador: Setting the Agenda for Future Research and Violence Prevention Policies. Western Journal of Emergency Medicine, 14(4), 347-353. doi:10.5811/westjem.2013.2.15697Schiamberg, L. B., & Gans, D. (1999). An Ecological Framework for Contextual Risk Factors in Elder Abuse by Adult Children. Journal of Elder Abuse & Neglect, 11(1), 79-103. doi:10.1300/j084v11n01_05(1993). World Development Report 1993. doi:10.1596/0-1952-0890-0TOLMAN, R. M., & ROSEN, D. (2001). Domestic Violence in the Lives of Women Receiving Welfare. Violence Against Women, 7(2), 141-158. doi:10.1177/1077801201007002003Wuest, J., Ford-Gilboe, M., Merritt-Gray, M., & Berman, H. (2003). Intrusion: The Central Problem for Family Health Promotion among Children and Single Mothers after Leaving an Abusive Partner. Qualitative Health Research, 13(5), 597-622. doi:10.1177/1049732303013005002Yodanis, C. L., Godenzi, A., & Stanko, E. A. (2000). The Benefits of Studying Costs: A Review and Agenda for Studies on the Economic Costs of Violence Against Women. Policy Studies, 21(3), 263-276. doi:10.1080/0144287002001953

Comment letters to the National Commission on Commission on Fraudulent Financial Reporting, 1987 (Treadway Commission) Vol. 1

https://egrove.olemiss.edu/aicpa_sop/1661/thumbnail.jp

Ancillary human health benefits of improved air quality resulting from climate change mitigation

<p>Abstract</p> <p>Background</p> <p>Greenhouse gas (GHG) mitigation policies can provide ancillary benefits in terms of short-term improvements in air quality and associated health benefits. Several studies have analyzed the ancillary impacts of GHG policies for a variety of locations, pollutants, and policies. In this paper we review the existing evidence on ancillary health benefits relating to air pollution from various GHG strategies and provide a framework for such analysis.</p> <p>Methods</p> <p>We evaluate techniques used in different stages of such research for estimation of: (1) changes in air pollutant concentrations; (2) avoided adverse health endpoints; and (3) economic valuation of health consequences. The limitations and merits of various methods are examined. Finally, we conclude with recommendations for ancillary benefits analysis and related research gaps in the relevant disciplines.</p> <p>Results</p> <p>We found that to date most assessments have focused their analysis more heavily on one aspect of the framework (e.g., economic analysis). While a wide range of methods was applied to various policies and regions, results from multiple studies provide strong evidence that the short-term public health and economic benefits of ancillary benefits related to GHG mitigation strategies are substantial. Further, results of these analyses are likely to be underestimates because there are a number of important unquantified health and economic endpoints.</p> <p>Conclusion</p> <p>Remaining challenges include integrating the understanding of the relative toxicity of particulate matter by components or sources, developing better estimates of public health and environmental impacts on selected sub-populations, and devising new methods for evaluating heretofore unquantified and non-monetized benefits.</p