Organizational Fragmentation and Care Quality in the U.S. Health Care System

Many goods and services can be readily provided through a series of unconnected transactions, but in health care close coordination over time and within care episodes improves both health outcomes and efficiency. Close coordination is problematic in the US health care system because the financing and delivery of care is distributed across a variety of distinct and often competing entities, each with its own objectives, obligations and capabilities. These fragmented organizational structures lead to disrupted relationships, poor information flows, and misaligned incentives that combine to degrade care quality and increase costs. We illustrate our argument with examples taken from the insurance and the hospital industries, and discuss possible responses to the problems resulting from organizational fragmentation.

Unhealthy Insurance Markets: Search Frictions and the Cost and Quality of Health Insurance

We analyze the role of search frictions in the market for commercial health insurance. Frictions increase the cost of insurance by enabling insurers to set price above marginal cost, and by creating incentives for inefficiently high levels of marketing. Frictions also lead to price dispersion for identical products and, as a consequence, to increases in the rate of insurance turnover. Our empirical analysis indicates that frictions increase prices enough to transfer 13.2% of consumer surplus from employer groups to insurers (approximately $34.4 billion in 1997), and increase employer group turnover by 64% for the average insurance policy. This heightened turnover reduces insurer incentives to invest in the future health of their policy holders. Our analysis also suggests that a publicly-financed insurance option might improve private insurance markets by reducing distortions induced by search frictions.

What is the Minnesota Cooperative Soil Survey?

This archival publication may not reflect current scientific knowledge or recommendations. Current information available from the University of Minnesota Extension: https://www.extension.umn.edu

Andreev Reflections in Micrometer-Scale Normal-Insulator-Superconductor Tunnel Junctions

Understanding the subgap behavior of Normal-Insulator-Superconductor (NIS) tunnel junctions is important in order to be able to accurately model the thermal properties of the junctions. Hekking and Nazarov developed a theory in which NIS subgap current in thin-film structures can be modeled by multiple Andreev reflections. In their theory, the current due to Andreev reflections depends on the junction area and the junction resistance area product. We have measured the current due to Andreev reflections in NIS tunnel junctions for various junction sizes and junction resistance area products and found that the multiple reflection theory is in agreement with our data

Agronomic and Animal Performance of Different Tall Fescue Varieties

The objective of the tall fescue breeding program is the development of varieties characterized by superior nutritive value (including reduced contents of perloline and loline alkaloids and minimal infestation of the fungal endophyte, Acremonium coenophialum), palatability, disease resistance, and adaptation through the utilization of intergeneric and interspecific hybrid derivatives of ryegrass and tall fescue species. Kentucky 31, Kenwell, and Kenhy were previously released from this breeding program. Johnstone tall fescue, developed cooperatively by the Kentucky Agricultural Experiment Station and USDA-ARS, was released March 1, 1982 as a new variety. Johnstone is characterized as having low levels of perloline alkaloid and the fungal endophyte (Acremonium coenophialum) and improved forage quality during summer. It is expected that seed of Johnstone will be available commercially during 1985, and a good supply be available for /\u27 spring and summer 1986 plantings

1986 Update of Agronomic and Animal Performance of Different Tall Fescue Varieties

The objective of the tall fescue breeding program at the University of Kentucky is the development of varieties characterized by superior nutritive value (including reduced levels of perloline and loline alkaloids), minimal infestation of the fungal endophyte, Acremonium coenophialum), higher palatability, improved disease resistance, and wider adaptation through the derivation of intergeneric and interspecific hybrids of ryegrass and tall fescue species. Kentucky 31, Kenwell, and Kenhy were varieties released from this breeding program. Johnstone tall fescue, developed cooperatively by the Kentucky Agricultural Experiment Station and USDA-ARS, is the most recently released variety. It is characterized as having low levels of perloline alkaloid and the fungal endophyte (Acremonium coenophialum) and improved forage quality during summer. Ample Johnstone seed should be available to meet demand during 1986

Angular position of nodes in the superconducting gap of YBCO

The thermal conductivity of a YBCO single crystal has been studied as a function of the relative orientation of the crystal axes and a magnetic field rotating in the Cu-O planes. Measurements were carried out at several temperatures below T_c and at a fixed field of 30 kOe. A four-fold symmetry characteristic of a superconducting gap with nodes at odd multiples of 45 degrees in k-space was resolved. Experiments were performed to exclude a possible macroscopic origin for such a four-fold symmetry such as sample shape or anisotropic pinning. Our results impose an upper limit of 10% on the weight of the s-wave component of the essentially d-wave superconducting order parameter of YBCO.Comment: 10 pages, 4 figure

Additional data on the population distribution of human serum albumin genes; three new variants

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/66298/1/j.1469-1809.1973.tb01829.x.pd