Federally Qualified Health Centers--commonly referred to as Community Health Centers (CHCs)--serve as a safety net for people who did not gain health insurance under the Affordable Care Act (ACA), including those immigrants not eligible for Medicaid or health insurance exchange coverage. ACA-driven changes in health insurance coverage, funding, and related policy have created new challenges for...

Health insurance companies regularly exclude certain hospitals from the network of hospitals their enrollees may visit. Many healthcare insiders argue that one reason insurance companies exclude hospitals is because exclusion provides leverage in contract negotiations with hospitals. This paper formalizes and explores the implications of that story. Data from the Affordable Care Act exchanges i...

OBJECTIVE To develop a tool for estimating hospital-specific inpatient prices for major payers. DATA SOURCES AHRQ Healthcare Cost and Utilization Project State Inpatient Databases and complete hospital financial reporting of revenues mandated in 10 states for 2006. STUDY DESIGN Hospital discharge records and hospital financial information were merged to estimate revenue per stay by payer. E...

revenue management is the process of accepting or ordering which increases gained revenue by using different techniques of pricing and selling capacity. this technique has improved greatly in service sector specially passenger section. in this article, the process of selling ticket in tehran-mashhad route for ghazal passenger train is modeled by two methods: static multi class and heuristic ems...

Sports leagues constitute one of the few examples of legally operating cartels. In this paper I examine how gate revenue sharing may serve to coordinate talent investments within these cartels. I show that sharing revenues has the potential to raise cartel profits, because it decreases the incentive to invest in playing talent. Leagues consisting of teams with heterogeneous local markets should...

Background Title X of the Public Health Service Act provides funding for a range of reproductive health services, with a priority given to low-income persons. Now that many of these services are provided to larger numbers of people with low-income since the passage of the Affordable Care Act and Medicaid expansion, questions remain on the continued need for the Title X program. The current proj...

All agricultural producers face recurring risks, significant among them being production risk. Many factors contribute to production risk, including adverse weather conditions such as drought or floods, fires, insects or pests, and disease. These events can devastate a crop, significantly reducing yield and farmer revenue. Since the only way to completely avoid all production risks is to stop p...

Though fiscal policies of central governments sometimes provide modest insurance against regional income shocks, this paper shows that pro-cyclical fiscal policy among provincial governments can easily overwhelm these stabilizing effects. We examine the cyclicality of budget items among provincial governments in eight federations, showing that own-source taxes are highly pro-cyclical and contra...

The demand for hedging against price uncertainty in the presence of crop yield and revenue insurance contracts is examined for French wheat farms. The rationale for the use of options in addition to futures is first highlighted through the characterization of the first-best hedging strategy in the expected utility framework. It is then illustrated using numerical simulations. The presence of op...