The skilled nursing facility benefit under Medicare has been difficult to administer because its intent has been subject to misinterpretation. This article describes the series of legislative and administrative actions taken to align the benefit's use with its intent. Data are presented to show the changes in utilization and program expenditures in response to the actions taken. The 1988 clarif...

Skilled action typically requires that individuals guide their activities toward some goal. In skilled action, do so excellently. We not understand well what this capacity to consists in. paper I provide a case study of how shift visual attention. Their attention goal (partly) in an empirically discovered sub-system – the executive system. argue we can explain by appealing operation sub-system....

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In this article, analyses are made of home health and skilled nursing facility (SNF) use for the period 1982-90 using Medicare records linked to data on community and institutional residents from the National Long-Term Care Surveys (NLTCSs) of 1982, 1984, and 1989. The combined survey and administrative data analyses are performed to ascertain how the chronic health and functional characteristi...

The seismic refraction technique provides a simplified characterization of relatively large volumes of the subsurface in 2-dimensional (distance and depth) profiles. Compression wave (p-wave) velocities, the typical measured geologic material parameter, are a function of the moduli of the various unsaturated material masses in the subsurface profile. In saturated media, p-wave velocities are in...

one of the key issues of migration concerns women’s migration. this article, examines the conditions of skilled immigrant women in ehran. qualitative method is used to collect the necessary data for this tudy. the research also conducts in-depth interview with 25 immigrate women residing in tehran. the results of the research show that migration decisions depend on multiple factors including la...