BACKGROUND Many countries have introduced elements of managed competition in their healthcare system with the aim to accomplish more efficient and demand-driven health care. Simultaneously, generating and reporting of comparative healthcare information has become an important quality-improvement instrument. We examined whether the introduction of managed competition in the Dutch healthcare syst...

This paper proposes a new approach to improve domain independent heuristic state space search planners for classical planning by tuning the search heuristics using macro actions of length two extracted from sample plans. This idea is implemented in the planner AltAlt and the new planner Macro-AltAlt is tested on the domains introduced for the learning track of the International Planning Competi...

We propose a capacity driven pricing mechanism for several service industries in which the customer behavior, the price demand relationship, and the competition are significantly distinct from other industries. According our observation, we found that the price demand relationship in these industries cannot be modeled by fitted curves; the customers would neither plan in advance nor purchase th...

Over the last 2 years, Medicare+Choice (M+C) plans raised premiums and reduced benefits to an unprecedented degree, arguing that these were unavoidable consequences of inadequate payments. We investigate plan premium and benefit decisions, taking advantage of a natural experiment to separate the influences of payment rates, the intensity of interplan competition, and the underlying cost of prov...

Background: The purpose of this study was to evaluate the characteristics of TomoDirect (TD) plans compared to conventional TomoHelical (TH) plans in chest wall irradiation in patients with breast cancer. Materials and Methods: TD and TH plans for only chest wall were retrospectively created for 30 patients previously treated with TH technique in our clinic. The beam angles were arranged to cov...

Planning deals with the problem of finding a partially ordered sequence of actions (plan) that transfers the world from some initial state to a desired state. Causal relations between actions play a critical role here. Introduction of explicit time and resources into planning is an important step towards modeling real-life problems. In this paper we propose a suboptimal domainindependent planni...

The current Administration supports competition as one method of helping to contain escalating costs. Proponents of competition claim many advantages to its implementation, but their claims have yet to be widely tested. Over the past several years, however, the Health Care Financing Administration has supported a number of Medicare and Medicaid demonstrations to yield information on plan partic...

Compared to optimal planners, satisficing planners can solve much harder problems but may produce overly costly and long plans. Plan quality for satisficing planners has become increasingly important. The most recent planning competition IPC-2008 used the cost of the best known plan divided by the cost of the generated plan as an evaluation metric. This paper proposes and evaluates two simple b...

Empirical evidence is thin, so one must reply on informed judgment, common sense, and theory when describing a high-quality health plan. Using this approach, a high-quality health plan would be characterized by excellence in the following areas: physician selection and development; health improvement; information systems; continuous quality improvement; cooperation with health care purchasers; ...