A Resident-Based Reimbursement System for Intermediate Care Facilities for the Mentally Retarded

In this article, the authors present a resident-based reimbursement system for intermediate care facilities for the mentally retarded (ICFs-MR), which represent a large and growing proportion of the Medicaid budget. The statistical relationship between resident disability level and the expected cost of caring for the individual is estimated, allowing for the prediction of expected resource use across the population of ICF-MR residents. The system incorporates an indirect cost rate, a base direct care rate (constant across all providers), and an individual-specific direct care rate, based on the expected cost of care

Beneficiary Survey-Based Feedback on New Medicare Informational Materials

In response to the Balanced Budget Act (BBA) of 1997, the Center for Medicare & Medicaid Services (CMS) initiated a massive information and education campaign to promote effective health plan decisionmaking. Early results suggest that the pilot version of the Medicare & You handbook and other new Medicare informational materials were viewed favorably overall. Despite their limitations, most beneficiaries found the information useful. The longer, more comprehensive materials were not perceived to be more useful than the shorter, less complicated version. Additional research is needed to determine which subgroups of beneficiaries may need more and, possibly less, information

Short GRB Host Galaxies. II. A Legacy Sample of Redshifts, Stellar Population Properties, and Implications for their Neutron Star Merger Origins

We present the stellar population properties of 69 short gamma-ray burst (GRB) host galaxies, representing the largest uniformly-modeled sample to-date. Using the Prospector stellar population inference code, we jointly fit photometry and/or spectroscopy of each host galaxy. We find a population median redshift of $z=0.64^{+0.83}_{-0.32}$ ($68\%$ confidence), including 10 new or revised photometric redshifts at $z\gtrsim1$. We further find a median mass-weighted age of $t_m=0.8^{+2.71}_{-0.53}$Gyr, stellar mass of $\log(M_*/M_\odot)=9.69^{+0.75}_{-0.65}$, star formation rate of SFR=$1.44^{+9.37}_{-1.35}M_\odot$yr$^{-1}$, stellar metallicity of $\log(Z_*/Z_\odot)=-0.38^{+0.44}_{-0.42}$, and dust attenuation of $A_V=0.43^{+0.85}_{-0.36}$~mag (68\% confidence). Overall, the majority of short GRB hosts are star-forming ($\approx84\%$), with small fractions that are either transitioning ($\approx6\%$) or quiescent ($\approx10\%$); however, we observe a much larger fraction ($\approx40\%$) of quiescent and transitioning hosts at $z\lesssim0.25$, commensurate with galaxy evolution. We find that short GRB hosts populate the star-forming main sequence of normal field galaxies, but do not include as many high-mass galaxies, implying that their binary neutron star (BNS) merger progenitors are dependent on a combination of host star formation and stellar mass. The distribution of ages and redshifts implies a broad delay-time distribution, with a fast-merging channel at $z>1$ and a decreased BNS formation efficiency at lower redshifts. If short GRB hosts are representative of BNS merger hosts within the horizon of current gravitational wave detectors, these results can inform future searches for electromagnetic counterparts. All of the data and modeling products are available on the BRIGHT website.Comment: 32 pages, 15 figures, 3 tables, accepted to Ap

Short GRB Host Galaxies I: Photometric and Spectroscopic Catalogs, Host Associations, and Galactocentric Offsets

We present a comprehensive optical and near-infrared census of the fields of 90 short gamma-ray bursts (GRBs) discovered in 2005-2021, constituting all short GRBs for which host galaxy associations are feasible ($\approx$ 60% of the total Swift short GRB population). We contribute 245 new multi-band imaging observations across 49 distinct GRBs and 25 spectra of their host galaxies. Supplemented by literature and archival survey data, the catalog contains 335 photometric and 40 spectroscopic data sets. The photometric catalog reaches $3\sigma$ depths of $\gtrsim 24-27$ mag and $\gtrsim 23-26$ mag for the optical and near-infrared bands, respectively. We identify host galaxies for 84 bursts, in which the most robust associations make up 54% (49/90) of events, while only a small fraction, 6.7%, have inconclusive host associations. Based on new spectroscopy, we determine 17 host spectroscopic redshifts with a range of $z\approx 0.15-1.6$ and find that $\approx$ 25-44% of Swift short GRBs originate from $z>1$. We also present the galactocentric offset catalog for 83 short GRBs. Taking into account the large range of individual measurement uncertainties, we find a median of projected offset of $\approx 7.9$ kpc, for which the bursts with the most robust associations have a smaller median of $\approx 4.9$ kpc. Our catalog captures more high-redshift and low-luminosity hosts, and more highly-offset bursts than previously found, thereby diversifying the population of known short GRB hosts and properties. In terms of locations and host luminosities, the populations of short GRBs with and without detectable extended emission are statistically indistinguishable. This suggests that they arise from the same progenitors, or from multiple progenitors which form and evolve in similar environments. All of the data products are available on the BRIGHT website.Comment: 53 pages, 9 figures, 6 tables, submitte

Multi-Messenger Astronomy with Extremely Large Telescopes

The field of time-domain astrophysics has entered the era of Multi-messenger Astronomy (MMA). One key science goal for the next decade (and beyond) will be to characterize gravitational wave (GW) and neutrino sources using the next generation of Extremely Large Telescopes (ELTs). These studies will have a broad impact across astrophysics, informing our knowledge of the production and enrichment history of the heaviest chemical elements, constrain the dense matter equation of state, provide independent constraints on cosmology, increase our understanding of particle acceleration in shocks and jets, and study the lives of black holes in the universe. Future GW detectors will greatly improve their sensitivity during the coming decade, as will near-infrared telescopes capable of independently finding kilonovae from neutron star mergers. However, the electromagnetic counterparts to high-frequency (LIGO/Virgo band) GW sources will be distant and faint and thus demand ELT capabilities for characterization. ELTs will be important and necessary contributors to an advanced and complete multi-messenger network.Comment: White paper submitted to the Astro2020 Decadal Surve

The Demographics, Stellar Populations, and Star Formation Histories of Fast Radio Burst Host Galaxies: Implications for the Progenitors

We present a comprehensive catalog of observations and stellar population properties for 23 highly secure host galaxies of fast radio bursts (FRBs). Our sample comprises six repeating FRBs and 17 apparent non-repeaters. We present 82 new photometric and eight new spectroscopic observations of these hosts. Using stellar population synthesis modeling and employing non-parametric star formation histories (SFHs), we find that FRB hosts have a median stellar mass of $\approx 10^{9.9}\,M_{\odot}$, mass-weighted age $\approx 5.1$ Gyr, and ongoing star formation rate $\approx 1.3\,M_{\odot}$ yr$^{-1}$ but span wide ranges in all properties. Classifying the hosts by degree of star formation, we find that 87% (20/23 hosts) are star-forming, two are transitioning, and one is quiescent. The majority trace the star-forming main sequence of galaxies, but at least three FRBs in our sample originate in less active environments (two non-repeaters and one repeater). Across all modeled properties, we find no statistically significant distinction between the hosts of repeaters and non-repeaters. However, the hosts of repeating FRBs generally extend to lower stellar masses, and the hosts of non-repeaters arise in more optically luminous galaxies. While four of the galaxies with the most clear and prolonged rises in their SFHs all host repeating FRBs, demonstrating heightened star formation activity in the last $\lesssim 100$ Myr, one non-repeating host shows this SFH as well. Our results support progenitor models with short delay channels (i.e., magnetars formed via core-collapse supernova) for most FRBs, but the presence of some FRBs in less active environments suggests a fraction form through more delayed channels.Comment: 52 pages, 32 figures, 6 tables, submitte