A study of the impact of coin8urance on phye& ciun 2li8it8, physician expense, ancillary 8e?YJiCe8, and ancillary services eopense. When a SQ-percent coinsurance rate was introduced to the Palo Alto Group Health Plan, the members’ demand for me&al care wa8 significantly reduced, other thing8 remaining the 8ame. Th,i8 study differ8 from the preceding article in that it hold8 all other oariableo ...

The procurement as business discipline and function of equipping process has started the process of transformation from an administrative competence and necessity to a strategic capability (Kyte, 2006). To be efficient its processes have to be interoperable in the processing, semantic and technological way with other functions and processes of the business system; end to end process integration...

Statistics from the 1978 survey of the National Inventory of Family Planning Services are presented on demographic and institutional characteristics of service sites that provide medical and nonmedical family plannlng services. Data are given on the physical location of the service sites, their operating responsibility, the number of patients served, medical and ancillary services provided, and...

Public procurement can be a major source of innovation. The potential benefits of public procurement might be fully exploited through the acquisition not only of appliances which are already available in the market, but also of new appliances which are tailored to the specific needs of the local community and might be exported as well to the international markets. In this way, public procuremen...

The role of distributor system operators is experiencing a gradual but relevant change to include enhanced ancillary and energy dispatch services needed manage the increased power provided by intermittent distributed generations in medium voltage networks. In this context, paper proposes insertion, strategic points network, specific electronic systems, denoted as active nodes, which permit remo...

The size and growth of Italian healthcare spending for goods and services ask for prompt rationalization programs, with novel purchasing approaches (e-procurement), capable to provide significant reductions in purchasing and administration costs. If several interventions have not yet delivered the expected results, that’s due to lack of problem segmentation and resistance to change of public st...

Buying environmental services from private landholders using tendering mechanisms are usually subject to a budget constraint. Auction theory has mostly focused on target-constrained auctions and is not well developed for this type of auction. This paper examines the predictive capacity of a simple model developed for budget-constrained tenders, already used to design new conservation programs, ...

In this paper the problems of market monitoring and control of ancillary services of a future energy systems are presented. We envision that future system operation of electric power systems will evolve into completely unbundled ancillary service markets that are governed by spot price signals. The grid operators need to acquire ancillary services through competitive markets for control of the ...

Although official Danish policy is to increase e-procurement in all public institutions, the push is facing severe challenges. We have surveyed e-procurement in Danish local government (n=152, response of 55%). It shows a reality lacking behind the rhetoric about the “professional shopper” implicit pushed by institutions that aims for increasing e-procurement. Government has decentralized and p...

The research by Maliranta and Rouvinen based on the Finnish industrial statistics confirms that the productivity improvements in ICT services in firms correlate to organizational and process changes. These results implied a further question: Which types of process changes create the most beneficial productivity improvements in different environments? In this paper we apply the Three Viewpoint M...