7,251 research outputs found

    Primary Care Activity Level 2022 - Preliminary Report by the UMass Chan Analytics Group and MassHealth

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    UMass Chan Medical School has worked with the Massachusetts Executive Office of Health and Human Services (EOHHS) since 2014 to develop risk models for MassHealth to account for how social determinants of health (SDH) and medical complexity jointly predict total health care cost.i The Primary Care Activity Level (PCAL) framework was originally developed by Ash and Ellis in 2012 to calculate risk-adjusted bundled payments for comprehensive primary care in a commercially insured population.ii It was designed to recognize patient differences in the expected cost of all services that primary care practitioners (PCPs) should be providing. Payments based on PCAL are higher for medically and/or socially complex patients than for less complex ones. In 2023 MassHealth is implementing a Primary Care Capitation program for Accountable Care Organization (ACO) primary care (PC) practices, which extends value-based payment to the provider level. Complex patients need more PC services to manage their needs than less complex patients do, yet such differences in patient complexity are not adequately reflected in fee-for-service reimbursements for primary care procedures. Here we present the development of a PCAL model that can be used to adjust primary care capitation payments based on the health status of each member; the model has been fit to MassHealth-specific data and in consideration of the state’s policy goals

    Ama and Chan

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    Ama and Chan: Bankstown Arts Centre Theatre, 4–14 May 2011, Devisors/Performers/Writers Effie Nkrumah and Alan Lao. Part stand-up, part-theatre, part-live-to-internet cooking show, Ama and Chan is a witty and savvy look at love, fusion cuisine and an unplanned flatmate. Crossing a number of political boundaries (in decidedly un-pc ways), Ama and Chan cooks up a hotpot of comedy, live music, social networking and traditional TV formats, while at the same time exploiting the pitfalls and giddy heights of YouTube. Kate Richards' design and production work was included in the video design for 'Ama and Chan', a performance work for Urban Theatre Projects Sydney

    A PC parallel port button box provides millisecond response time accuracy under Linux

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    For psychologists, it is sometimes necessary to measure people's reaction times to the nearest millisecond. This article describes how to use the PC parallel port to receive signals from a button box to achieve millisecond response time accuracy. The workings of the parallel port, the corresponding port addresses, and a simple Linux program for controlling the port are described. A test of the speed and reliability of button box signal detection is reported. If the reader is moderately familiar with Linux, this article should provide sufficient instruction for him or her to build and test his or her own parallel port button box. This article also describes how the parallel port could be used to control an external apparatus

    Dialogues on Architecture

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    Dialogues on Architecture is a series of dialogues between researchers and practitioners, who are embracing the intellectual model of high technology and are involved in its advancement and application in architecture. Dialogue #4 focuses on the technology transfer between on-and off-Earth research and its impact on society, and in particular on industry and education. The dialogue takes place between Henriette Bier (HB), Paul Chan (PC), Advenit Makaya (AM), and Angelo Cervone (AC).History, Form & AestheticsDesign & Construction ManagementSpace Systems Egineerin
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