Prescription Drugs in Nursing Homes: Managing Costs and Quality in a Complex Environment

This issue brief provides a description of prescription drug use in nursing homes and a summary of policy issues in this area. It first profiles the nursing home pharmaceutical market, outlining the major trends in demographics and drug utilization, the supply chain by which drugs go from manufacturers to pharmacies to nursing home residents, and the alternative arrangements by which prescription drugs in nursing homes are financed. The paper then provides a synopsis of current policy issues, focusing in turn on cost containment and quality improvement initiatives

The James Webb Space Telescope Mission

Twenty-six years ago a small committee report, building on earlier studies, expounded a compelling and poetic vision for the future of astronomy, calling for an infrared-optimized space telescope with an aperture of at least $4m$. With the support of their governments in the US, Europe, and Canada, 20,000 people realized that vision as the $6.5m$ James Webb Space Telescope. A generation of astronomers will celebrate their accomplishments for the life of the mission, potentially as long as 20 years, and beyond. This report and the scientific discoveries that follow are extended thank-you notes to the 20,000 team members. The telescope is working perfectly, with much better image quality than expected. In this and accompanying papers, we give a brief history, describe the observatory, outline its objectives and current observing program, and discuss the inventions and people who made it possible. We cite detailed reports on the design and the measured performance on orbit.Comment: Accepted by PASP for the special issue on The James Webb Space Telescope Overview, 29 pages, 4 figure

Financing for Long-Term Services and Supports

Americans remain at risk for potentially devastating costs for LTSS that are not covered by Medicare or private health insurance. This article proposes a legislative package to finance LTSS, offering LTSS coverage in the context of existing integrated health plans. Building on current federal demonstrations, LTSS coverage would initially be integrated with Medicare Advantage plans. The goal is to provide coverage for LTSS at little or no incremental cost within the existing health insurance system, relying on well-managed home- and community-based care to reduce the use of expensive hospital and institutional care

The SPRITE CubeSat: Far-Ultraviolet Imaging Spectroscopy of Galaxies and Nebulae in a Small Technology Demonstration Package

We present an overview of the Supernova remnants/Proxies for Reionization/ and Integrated Testbed Experiment (SPRITE) CubeSat. SPRITE is a 6U CubeSat designed to carry out two science objectives while simultaneously flight testing two LUVOIR-LUMOS enabling technologies: protected eLiF mirror coatings and low-background borosilicate microchannel plate detectors. These advanced technologies allow SPRITE to reach projected far-ultraviolet sensitivities on par with previous larger NASA missions while maintaining imaging spectroscopic capability. SPRITE will spend roughly half of the projected two-year baseline mission mapping shock emission in supernova remnants in the Milky Way and Magellanic Clouds, and the other half determining the escape fraction of hydrogen ionizing radiation from 100 low-redshift starforming galaxies. In parallel with the science operations, SPRITE will execute a calibration program that will track the stability of the mirror coatings and detector over the mission lifetime. SPRITE is currently in the late design phase with an anticipated launch in 2022

The James Webb Space Telescope Mission

Twenty-six years ago a small committee report, building on earlier studies, expounded a compelling and poetic vision for the future of astronomy, calling for an infrared-optimized space telescope with an aperture of at least 4 m. With the support of their governments in the US, Europe, and Canada, 20,000 people realized that vision as the 6.5 m James Webb Space Telescope. A generation of astronomers will celebrate their accomplishments for the life of the mission, potentially as long as 20 yr, and beyond. This report and the scientific discoveries that follow are extended thank-you notes to the 20,000 team members. The telescope is working perfectly, with much better image quality than expected. In this and accompanying papers, we give a brief history, describe the observatory, outline its objectives and current observing program, and discuss the inventions and people who made it possible. We cite detailed reports on the design and the measured performance on orbit