Risk adjustment refers to the practice of paying health plans a premium per person (or per family) based on a formula using risk adjusters, such as age or gender, and weights on those adjusters. One role of risk adjustment is to make sure plans have an incentive to accept all potential enrollees. Another role, at least as important in our view, is to lead health plans to choose the efficient le...

INTRODUCTION Community health needs assessments (CHNA) are completed to meet varied regulatory and statutory requirements for local public health departments, tax-exempt 501(c)(3) hospitals, and Federally Qualified Health Centers. Although compliance is a motivating factor, these entities are committed to understanding the communities they serve and to developing strategies to address health ne...

The health inequities remain high in India with government and private health expenditures clearly favoring the rich, urban population and organized sector workers and the Out Of Pocket (OOP) spending as high as 80%, afflicting the poor in the worst manner. The focus of the paper is to examine the potential Community Based Health Insurance (CBHI) offers to improve the healthcare access to rural...

The present paper has determined the radioactivity concentrations, which are due to natural occurrence of radionuclides along with heavy metal concentration in water, sediment, and fish from 2 reservoirs in Ghana. Heavy metal concentrations in all samples were generally within the WHO safe limits with the average activity concentrations of 238U, 232Th, and 40K in water being respectively 0.42±0...

ntroduction: The purpose of this study was to measure the radioactivity in the agricultural soil of south-east of Shazand Refinery Complex to determine both reliable baseline data on the radiation level and the radiation dose exposure to the farmers and inhabitants of the studied area. Material and Methods: This study was conducted on 21 soil...

The present paper has determined the radioactivity concentrations, which are due to natural occurrence of radionuclides along with heavy metal concentration in water, sediment, and fish from 2 reservoirs in Ghana. Heavy metal concentrations in all samples were generally within the WHO safe limits with the average activity concentrations of 238U, 232Th, and 40K in water being respectively 0.42±0...