When studying Worker's Compensation (WC) claim cost experience, researchers often prefer models that relate claim characteristics and other cost drivers to the logarithm o f the claim cost, rather than to the dollar cost itself. Linear models based directly on dollars, however, are better suited to decomposing the differences in costs observed over time or between claim populations. Reconciling...

(1) A new precedent or a new point of law is involved; or (2) A question of policy is or may be involved; or (3) The United States is or may be entitled to indemnity or contribution from a third party and the Department is unable to adjust the third party claim; or (4) The compromise of a particular claim, as a practical matter, will or may control the disposition of a related claim in which th...

PURPOSE OF THE STUDY In The Loneliness of the Dying (1985), sociologist Norbert Elias claims that "aging" and "old age" have become frightening, almost taboo terms in Western society because death is increasingly made invisible in advanced societies. Years ago, death was a part of life and the dead were granted the honor of passing away in their homes, surrounded by their communities; in presen...

Previous studies have reported that tractors are responsible for high proportions of fatal and nonfatal agricultural injuries. However, many common and preventable risk factors, conditions, and associated costs related to tractor-related injuries have not been investigated. This case-based study used workers' compensation data to investigate tractor-related injuries. The objectives of this stud...

BACKGROUND Effective surveillance for infectious diseases is an essential component of public health. There are few studies estimating the cost-effectiveness of starting or improving disease surveillance. We present a cost-effectiveness analysis the Integrated Disease Surveillance and Response (IDSR) strategy in Africa. METHODOLOGY/PRINCIPAL FINDINGS To assess the impact of the IDSR in Africa...

In this paper, we present a feasibility study in automating the insurance claims processing system related to automotive sector. In automobile insurance claims processing, usually an adjuster is sent to specific location from where the claim has been registered to physically inspect the validity of the claim. Sending adjusters for each and every such claim imposes a cost factor. With the increa...

We study the problem of determining the minimum cost of super-replicating a nonnegative contingent claim when there are convex constraints on the portfolio weights. It is shown that the optimal cost with constraints is equal to the price of a related claim without constraints. The related claim is a dominating claim, i.e., a claim whose payo s are increased in an appropriate way relative to the...

Medical claims cost distributions and factors that relate to these costs were studied among 7796 employees who selected an indemnity medical plan for at least one year during 1985 to 1990. Descriptions for medical claims costs were presented for both single- and multiple-year time periods. Factors that associated with high cost status were studied by using multiple logistic regression models. E...

with increasing technology in providing health care services and specialization, health care organization requires application of costing methods for calculating income and expenses to improve the health care services and compensate the costs. for this purpose, most hospitals in the developed countries, estimated system costs based on affiliated diagnostic related groups. according to this new ...