Factors affecting Medicaid funding and implications for health care providers

This paper details several factors that affect Medicaid, the federal program that provides health care reimbursement for millions of low-income Americans. The research presents many challenges to sustaining an equitable welfare system that also produces positive health outcomes. Growing levels of poverty have resulted in increased enrollment in the Medicaid program and projections indicate a continuation of this trend. A decrease in the supply of physicians along with an aging population creates new obstacles to health care access. The Patient Protection and Affordable Care Act (PPACA) introduces additional complexities by expanding Medicaid enrollment, increasing regulatory requirements and reducing payments to health care providers through rate cuts and penalties.Department of Political ScienceMedicaid -- Health care -- Structures and organizations -- Administrative law and regulation -- Reports and projections -- Expectations and challenges.Thesis (M.P.A.

Hodge filtered complex bordism

We construct Hodge filtered cohomology groups for complex manifolds that combine the topological information of generalized cohomology theories with geometric data of Hodge filtered holomorphic forms. This theory provides a natural generalization of Deligne cohomology. For smooth complex algebraic varieties, we show that the theory satisfies a projective bundle formula and \A^1-homotopy invariance. Moreover, we obtain transfer maps along projective morphisms.Comment: minor revision; final version accepted for publication by the Journal of Topolog

Algorithm 830: Another Visit With Standard and Modified Givens Transformations and A Remark on Algorithm 539

First we report on a correction and improvement to the Level 1 Blas routine srotmg for computing the Modified Givens Transformation (MG). We then, in the light of the performance of the code on modern compiler/hardware combinations, reconsider the strategy of supplying separate routines to compute and apply the transformation. Finally, we show that the apparent savings in multiplies obtained by using MG rather than the Standard Givens Transformation (SG) do not always translate into reductions in execution time