The majority of physicians surveyed supported expanding health insurance coverage through both public and private options. Specifically, 62.9% supported public and private options, while only 27.3% supported private options alone. Support for a public insurance option was consistent across physician specialties, practice locations, and other characteristics. Additionally, 58.3% of physicians supported expanding Medicare to cover Americans aged 55-64. The study provides empirical data on physician views of key health reform proposals.
This document discusses trends and challenges in health information architecture. It notes the explosion of new data from electronic medical records and shifting patterns of care as more patients are managed outside hospitals. New payment models like accountable care organizations are also driving changes. Effective information architecture will be crucial for making sense of this complex and rapidly evolving healthcare system.
This document discusses efforts to improve healthcare in Camden, New Jersey, one of the poorest cities in the U.S. It describes the formation of the Camden Coalition of Healthcare Providers to coordinate care for high-cost, high-need patients through a citywide database and care management programs. The Coalition aims to reduce emergency room and hospital utilization by 20-30% through strategies like nurse-led clinics, same-day appointments, and assigning patients to medical homes for coordinated care. The document highlights lessons from Camden including focusing on high-cost patients, adapting to local needs, and standardizing processes gradually over time.
Medicare Part D Cost Sharing and Antipsychotic Drug Use in Two Medicare Advan...HMO Research Network
This study examined the impact of Medicare Part D cost-sharing on antipsychotic drug spending, out-of-pocket costs, and adherence among Medicare Advantage beneficiaries with schizophrenia. The results showed that entering the coverage gap was associated with increased out-of-pocket costs and decreased adherence for non-low income subsidy beneficiaries, while low income subsidy beneficiaries were protected from these impacts. The decrease in adherence varied between integrated and non-integrated Medicare Advantage plans. This study provides initial evidence on the effect of Medicare drug benefits on access to and quality of care for antipsychotic medications.
Physicians provided care at 69% of community health center visits from 2006-2008, while nurse practitioners saw 21% of visits, physician assistants saw 9% of visits, and certified nurse midwives saw 1% of visits. The majority of visits were by Medicaid/SCHIP-insured or uninsured patients and by patients under age 45. Nurse practitioners and certified nurse midwives saw a higher percentage of female patients aged 18-44 compared to other providers. Physicians were more likely than other providers to see patients aged 45 and over. A higher percentage of nurse practitioner and physician assistant visits included health education and counseling compared to physician visits.
Este documento describe un procedimiento de laboratorio realizado por Mercy Cabezas para determinar su grupo sanguíneo. Explica los materiales y sustancias utilizados, como antígenos A, B y O, así como el procedimiento que incluyó la extracción de sangre, mezcla con los antígenos y observación de la aglutinación. Los resultados mostraron que pertenece al grupo sanguíneo A positivo. Adicionalmente, contiene preguntas sobre los grupos sanguíneos básicos y su compatibilidad.
This study analyzed data from over 18,000 pregnant women tested for HIV between 2005-2012 at a hospital in southern Odisha, India. The overall HIV prevalence was 0.66%, declining from 1.53% in 2006 to 0.34% in 2012. Most HIV-positive women were aged 25-29, married, from rural areas with low education/socioeconomic status. The declining prevalence suggests prevention campaigns promoting condom use and safe sexual behaviors are having a positive impact.
El documento describe el virus de Epstein-Barr (VEB), un herpesvirus que causa la mononucleosis infecciosa. El VEB infecta principalmente células B del sistema linfático y puede permanecer latente de por vida. La transmisión ocurre a través de la saliva. La infección primaria suele ser asintomática, mientras que la mononucleosis infecciosa presenta síntomas como fiebre, fatiga y linfadenopatías que duran de 2 a 4 semanas. No existe un tratamiento específico para el VEB
This document discusses trends and challenges in health information architecture. It notes the explosion of new data from electronic medical records and shifting patterns of care as more patients are managed outside hospitals. New payment models like accountable care organizations are also driving changes. Effective information architecture will be crucial for making sense of this complex and rapidly evolving healthcare system.
This document discusses efforts to improve healthcare in Camden, New Jersey, one of the poorest cities in the U.S. It describes the formation of the Camden Coalition of Healthcare Providers to coordinate care for high-cost, high-need patients through a citywide database and care management programs. The Coalition aims to reduce emergency room and hospital utilization by 20-30% through strategies like nurse-led clinics, same-day appointments, and assigning patients to medical homes for coordinated care. The document highlights lessons from Camden including focusing on high-cost patients, adapting to local needs, and standardizing processes gradually over time.
Medicare Part D Cost Sharing and Antipsychotic Drug Use in Two Medicare Advan...HMO Research Network
This study examined the impact of Medicare Part D cost-sharing on antipsychotic drug spending, out-of-pocket costs, and adherence among Medicare Advantage beneficiaries with schizophrenia. The results showed that entering the coverage gap was associated with increased out-of-pocket costs and decreased adherence for non-low income subsidy beneficiaries, while low income subsidy beneficiaries were protected from these impacts. The decrease in adherence varied between integrated and non-integrated Medicare Advantage plans. This study provides initial evidence on the effect of Medicare drug benefits on access to and quality of care for antipsychotic medications.
Physicians provided care at 69% of community health center visits from 2006-2008, while nurse practitioners saw 21% of visits, physician assistants saw 9% of visits, and certified nurse midwives saw 1% of visits. The majority of visits were by Medicaid/SCHIP-insured or uninsured patients and by patients under age 45. Nurse practitioners and certified nurse midwives saw a higher percentage of female patients aged 18-44 compared to other providers. Physicians were more likely than other providers to see patients aged 45 and over. A higher percentage of nurse practitioner and physician assistant visits included health education and counseling compared to physician visits.
Este documento describe un procedimiento de laboratorio realizado por Mercy Cabezas para determinar su grupo sanguíneo. Explica los materiales y sustancias utilizados, como antígenos A, B y O, así como el procedimiento que incluyó la extracción de sangre, mezcla con los antígenos y observación de la aglutinación. Los resultados mostraron que pertenece al grupo sanguíneo A positivo. Adicionalmente, contiene preguntas sobre los grupos sanguíneos básicos y su compatibilidad.
This study analyzed data from over 18,000 pregnant women tested for HIV between 2005-2012 at a hospital in southern Odisha, India. The overall HIV prevalence was 0.66%, declining from 1.53% in 2006 to 0.34% in 2012. Most HIV-positive women were aged 25-29, married, from rural areas with low education/socioeconomic status. The declining prevalence suggests prevention campaigns promoting condom use and safe sexual behaviors are having a positive impact.
El documento describe el virus de Epstein-Barr (VEB), un herpesvirus que causa la mononucleosis infecciosa. El VEB infecta principalmente células B del sistema linfático y puede permanecer latente de por vida. La transmisión ocurre a través de la saliva. La infección primaria suele ser asintomática, mientras que la mononucleosis infecciosa presenta síntomas como fiebre, fatiga y linfadenopatías que duran de 2 a 4 semanas. No existe un tratamiento específico para el VEB
The article discusses the impacts of the COVID-19 pandemic on physiatry and rehabilitation medicine. It highlights how physiatrists played a vital role in the front lines during the pandemic by converting rehabilitation units and innovating care delivery. However, the pandemic has also caused significant disruptions and stress for medical practices through reduced patient volumes, higher costs, and threats of reimbursement cuts from insurers and governments. Moving forward, physicians are questioning the level of support they will receive from their employers and the government given the sacrifices many have made during the pandemic.
This document discusses the history of the healthcare system in the US and the changing role of physicians within that system. It notes that physicians originally had close personal relationships with patients but that hospitals and specialization led to more fragmented care. Government programs like Medicare and the rise of managed care further changed the physician role by increasing administrative duties. The document examines the current medical school curriculum, noting a lack of leadership and management training. It discusses some programs that do offer such training but notes they are electives, not mandatory. The document concludes there are gaps in preparing physicians for the changing healthcare system and future skills needed in areas like business, communication, and leadership.
This lecture provides an introduction to modern healthcare in the US. It defines key terms like health, healthcare, and healthcare systems. It describes different components of healthcare delivery including inpatient facilities like hospitals and outpatient facilities like physicians' offices. It also discusses the organization of the healthcare industry and different models of healthcare systems, ranging from public to private.
Healthcare Finance and Business Plan Thesis Paper.pdfsdfghj21
The document discusses a case study for Shasta Outpatient Clinics where the leadership is trying to determine whether adding a physician extender is needed in all three clinics or just one or two. The assignment is to complete a cost-benefit analysis using the case study data to assess the fixed costs, variable costs, and total costs of adding a physician extender to each clinic. Based on the analysis, a 1-2 page business plan must be prepared for the Vice President recommending which physician extender alternative provides the most cost benefit given the results for each clinic.
The document discusses the potential benefits of including clinical pharmacists as active members of medical teams in drug registration clinical trials. It notes that clinical pharmacist involvement in regular medical care has been shown to improve certain clinical outcomes. However, clinical pharmacists are not currently required to have an active role in registration trials, which aim to obtain the best clinical results to ensure drug safety and efficacy. The inclusion of clinical pharmacists in registration trials could help rationalize decision making and potentially improve trial results by reducing issues like undetected toxicity or suboptimal drug selection that cause patients to leave trials early. For these reasons, the document argues that regulatory agencies should require clinical pharmacist participation in new clinical trials.
This document summarizes a presentation on physician assessment and retraining through a collaboration between the KSTAR program and JPS Health Network. It provides background on physician re-entry to practice after an absence, outlines the KSTAR assessment process and mini-residency program at JPS, and shares demographic data and outcomes of the first 28 physicians who completed the program. The collaboration uses a comprehensive assessment to determine physicians' needs and place them in a 3-month mini-residency to address areas for improvement before returning to unrestricted practice. Most physicians are able to complete the program successfully and return to patient care.
This document provides biographical information about Dr. Michael Wagner and outlines the goals and context for his presentation on achieving physician buy-in for effective IT adoption. It discusses the current state of primary care including physician morale, workload burdens, and declining satisfaction with the profession. Trainees are increasingly choosing hospitalist careers over primary care due to factors like compensation and administrative burdens.
This document discusses achieving physician buy-in for effective IT adoption and engagement. It begins with biographical information about the speaker, Dr. Michael Wagner, who has experience leading IT projects in both academic and community physician practices. The presentation outlines key factors to consider for a successful IT implementation, including engaging physician leadership, understanding how invasive the new technology will be, ensuring appropriate organizational support, and addressing provider concerns. Effective project management and establishing a core implementation team are also emphasized.
The US health system is complex, relying on government, private markets, and charities. It consists of private health insurance, government programs like Medicare and Medicaid, and a public health system. Major components include private physicians and hospitals, as well as health maintenance organizations. The system faces rising costs and led to the 2010 Affordable Care Act which expanded insurance coverage.
1. Most young physicians surveyed are employees of medical groups, especially small groups with 6 or fewer physicians. Hospital-based physicians are more likely than others to be employees of large groups or hospitals.
2. Financial factors strongly influence practice arrangements, and many aspire to ownership. While generally satisfied currently, over a quarter considered changing arrangements recently due to financial issues.
3. Physicians are highly pessimistic about the future of U.S. healthcare, chiefly due to concerns about the Affordable Care Act and perceived negative government involvement. Cynicism toward perceived prioritization of money over patients was commonly expressed.
Provides an overview of wellness program trends, including a look at the role of prepaid wellness cards as a central component of employer wellness programs. We will also look at meaningful incentive thresholds and identify obstacles to program adoption.
The document discusses the changing relationship between physicians and hospitals and the need to better engage physicians in quality improvement efforts. It notes that physicians' primary focus is their own practice and quality of care for their patients, which may not align with hospitals' system-wide quality goals. Additionally, physician culture emphasizes personal responsibility, which can conflict with a systems approach to quality. The document aims to provide a framework for hospitals to develop written plans to improve physician engagement in quality and safety initiatives. It identifies several organizations that have effectively engaged physicians and achieved results as "best-in-the-world laboratories" from which lessons can be drawn.
2010 05 Hooker Cawley Leinweber PA Career Flexibilityrodhooker
1) Nearly half (49%) of physician assistants change specialties at some point in their careers, with 24% switching specialty classes.
2) Over four decades, physician assistants have demonstrated career flexibility in responding to changing healthcare needs by adapting their specialties.
3) This career flexibility could help address workforce shortages, such as in primary care, by incentivizing physician assistants to work in high-demand specialties.
2011 04 Sargen Hooker Cooper Gaps In Physician Supplyrodhooker
If current projections for training programs of advanced practice nurses and physician assistants are realized but physician residency programs are not expanded, the combined supply of advanced clinicians will be 20% less than projected demand in 2025. Increasing the number of first-year residency positions by 500 annually would narrow but not close the gap, which would remain above 15%. Efforts must be made to expand training of physicians, advanced practice nurses, and physician assistants, while also reforming clinical practice models to facilitate task sharing among a broader range of providers.
UHG Optum Case Competition 2018 PPT - Campus FinalistsBhargava Ram
The document discusses healthcare spending in the United States from 1960 to 2016. It shows that spending on hospitals, physicians and clinics, and prescription drugs has increased significantly over time. Hospital spending has increased from representing less than one-third of healthcare spending in 1960 to over one-third in 2016. Spending on prescription drugs has also increased substantially, growing from less than 5% of overall healthcare spending in 1960 to nearly 10% by 2016. Physician and clinical services spending has remained the largest category of healthcare spending over this period, ranging between 20-30% of total spending.
Infection Prevention Practices on the Healthcare Frontier: Emerging Models of...bden129
This document summarizes an educational session on infection prevention in emerging ambulatory care delivery models. It discusses trends driving the shift to outpatient care like declining inpatient volumes and growing outpatient encounters. Emerging models described include micro-hospitals, ambulatory surgery centers, and "hospital at home" programs. These models require new staffing approaches for infection prevention. The document outlines challenges for infection preventionists in these settings and resources available to assist them.
Ruthann Russo - Integrative Population Health Management - White Paper Part 2Ruthann Russo
This document discusses the value of Integrative Health Services Programs (IHSP) in healthcare system strategic planning. Key points:
- Hospital expenditures are approximately $650 billion annually and a hospital with an IHSP offering integrative health modalities could increase revenue by 5-10% depending on the patient population.
- An IHSP is a program created by a hospital or healthcare system that integrates safe and effective complementary and alternative medicine with conventional medicine to be delivered to inpatients or outpatients.
- For an IHSP, the most fundamental criteria are ensuring only safe and effective practices are included based on evidence-based research on safety and efficacy. Common safe and effective modalities include meditation,
SHRM Memphis August 2009 Frank Hone PresentationAustin Baker
Frank Hone; noted Author of "Why Healthcare Matters," delivered a very informative and fact packed presentation that described how employers can effect their bottom line in Health Care costs within their own organizations. They key to success is to take the lessons learned by pharmaceutical companies in their marketing and apply it to health care consumerism programs to engage employees to make lifestyle changes.
This document is an evidence report published by the Institute for Clinical and Economic Review (ICER) that evaluates the comparative clinical effectiveness and value of cognitive and mind-body therapies for chronic low back and neck pain. It was authored by Jeffrey Tice and others from ICER. The report assesses the clinical evidence on therapies such as cognitive behavioral therapy and mindfulness-based stress reduction and presents economic analyses of the long-term cost-effectiveness and potential budget impact of these therapies. It also incorporates input from clinical experts and stakeholders.
This document is a report on the economic benefits of worksite wellness programs. It discusses factors that influence an employer's likelihood of offering a wellness program and an employee's participation in one. It also analyzes specific wellness programs and meta-analyses of their effects. The report finds that wellness programs have been shown to reduce healthcare costs and decrease absenteeism and increase employee satisfaction, though the evidence is not conclusive due to a lack of robust data collection and analysis in many studies. The document provides an overview of worksite wellness programs and their goals of improving health and reducing costs.
The article discusses the impacts of the COVID-19 pandemic on physiatry and rehabilitation medicine. It highlights how physiatrists played a vital role in the front lines during the pandemic by converting rehabilitation units and innovating care delivery. However, the pandemic has also caused significant disruptions and stress for medical practices through reduced patient volumes, higher costs, and threats of reimbursement cuts from insurers and governments. Moving forward, physicians are questioning the level of support they will receive from their employers and the government given the sacrifices many have made during the pandemic.
This document discusses the history of the healthcare system in the US and the changing role of physicians within that system. It notes that physicians originally had close personal relationships with patients but that hospitals and specialization led to more fragmented care. Government programs like Medicare and the rise of managed care further changed the physician role by increasing administrative duties. The document examines the current medical school curriculum, noting a lack of leadership and management training. It discusses some programs that do offer such training but notes they are electives, not mandatory. The document concludes there are gaps in preparing physicians for the changing healthcare system and future skills needed in areas like business, communication, and leadership.
This lecture provides an introduction to modern healthcare in the US. It defines key terms like health, healthcare, and healthcare systems. It describes different components of healthcare delivery including inpatient facilities like hospitals and outpatient facilities like physicians' offices. It also discusses the organization of the healthcare industry and different models of healthcare systems, ranging from public to private.
Healthcare Finance and Business Plan Thesis Paper.pdfsdfghj21
The document discusses a case study for Shasta Outpatient Clinics where the leadership is trying to determine whether adding a physician extender is needed in all three clinics or just one or two. The assignment is to complete a cost-benefit analysis using the case study data to assess the fixed costs, variable costs, and total costs of adding a physician extender to each clinic. Based on the analysis, a 1-2 page business plan must be prepared for the Vice President recommending which physician extender alternative provides the most cost benefit given the results for each clinic.
The document discusses the potential benefits of including clinical pharmacists as active members of medical teams in drug registration clinical trials. It notes that clinical pharmacist involvement in regular medical care has been shown to improve certain clinical outcomes. However, clinical pharmacists are not currently required to have an active role in registration trials, which aim to obtain the best clinical results to ensure drug safety and efficacy. The inclusion of clinical pharmacists in registration trials could help rationalize decision making and potentially improve trial results by reducing issues like undetected toxicity or suboptimal drug selection that cause patients to leave trials early. For these reasons, the document argues that regulatory agencies should require clinical pharmacist participation in new clinical trials.
This document summarizes a presentation on physician assessment and retraining through a collaboration between the KSTAR program and JPS Health Network. It provides background on physician re-entry to practice after an absence, outlines the KSTAR assessment process and mini-residency program at JPS, and shares demographic data and outcomes of the first 28 physicians who completed the program. The collaboration uses a comprehensive assessment to determine physicians' needs and place them in a 3-month mini-residency to address areas for improvement before returning to unrestricted practice. Most physicians are able to complete the program successfully and return to patient care.
This document provides biographical information about Dr. Michael Wagner and outlines the goals and context for his presentation on achieving physician buy-in for effective IT adoption. It discusses the current state of primary care including physician morale, workload burdens, and declining satisfaction with the profession. Trainees are increasingly choosing hospitalist careers over primary care due to factors like compensation and administrative burdens.
This document discusses achieving physician buy-in for effective IT adoption and engagement. It begins with biographical information about the speaker, Dr. Michael Wagner, who has experience leading IT projects in both academic and community physician practices. The presentation outlines key factors to consider for a successful IT implementation, including engaging physician leadership, understanding how invasive the new technology will be, ensuring appropriate organizational support, and addressing provider concerns. Effective project management and establishing a core implementation team are also emphasized.
The US health system is complex, relying on government, private markets, and charities. It consists of private health insurance, government programs like Medicare and Medicaid, and a public health system. Major components include private physicians and hospitals, as well as health maintenance organizations. The system faces rising costs and led to the 2010 Affordable Care Act which expanded insurance coverage.
1. Most young physicians surveyed are employees of medical groups, especially small groups with 6 or fewer physicians. Hospital-based physicians are more likely than others to be employees of large groups or hospitals.
2. Financial factors strongly influence practice arrangements, and many aspire to ownership. While generally satisfied currently, over a quarter considered changing arrangements recently due to financial issues.
3. Physicians are highly pessimistic about the future of U.S. healthcare, chiefly due to concerns about the Affordable Care Act and perceived negative government involvement. Cynicism toward perceived prioritization of money over patients was commonly expressed.
Provides an overview of wellness program trends, including a look at the role of prepaid wellness cards as a central component of employer wellness programs. We will also look at meaningful incentive thresholds and identify obstacles to program adoption.
The document discusses the changing relationship between physicians and hospitals and the need to better engage physicians in quality improvement efforts. It notes that physicians' primary focus is their own practice and quality of care for their patients, which may not align with hospitals' system-wide quality goals. Additionally, physician culture emphasizes personal responsibility, which can conflict with a systems approach to quality. The document aims to provide a framework for hospitals to develop written plans to improve physician engagement in quality and safety initiatives. It identifies several organizations that have effectively engaged physicians and achieved results as "best-in-the-world laboratories" from which lessons can be drawn.
2010 05 Hooker Cawley Leinweber PA Career Flexibilityrodhooker
1) Nearly half (49%) of physician assistants change specialties at some point in their careers, with 24% switching specialty classes.
2) Over four decades, physician assistants have demonstrated career flexibility in responding to changing healthcare needs by adapting their specialties.
3) This career flexibility could help address workforce shortages, such as in primary care, by incentivizing physician assistants to work in high-demand specialties.
2011 04 Sargen Hooker Cooper Gaps In Physician Supplyrodhooker
If current projections for training programs of advanced practice nurses and physician assistants are realized but physician residency programs are not expanded, the combined supply of advanced clinicians will be 20% less than projected demand in 2025. Increasing the number of first-year residency positions by 500 annually would narrow but not close the gap, which would remain above 15%. Efforts must be made to expand training of physicians, advanced practice nurses, and physician assistants, while also reforming clinical practice models to facilitate task sharing among a broader range of providers.
UHG Optum Case Competition 2018 PPT - Campus FinalistsBhargava Ram
The document discusses healthcare spending in the United States from 1960 to 2016. It shows that spending on hospitals, physicians and clinics, and prescription drugs has increased significantly over time. Hospital spending has increased from representing less than one-third of healthcare spending in 1960 to over one-third in 2016. Spending on prescription drugs has also increased substantially, growing from less than 5% of overall healthcare spending in 1960 to nearly 10% by 2016. Physician and clinical services spending has remained the largest category of healthcare spending over this period, ranging between 20-30% of total spending.
Infection Prevention Practices on the Healthcare Frontier: Emerging Models of...bden129
This document summarizes an educational session on infection prevention in emerging ambulatory care delivery models. It discusses trends driving the shift to outpatient care like declining inpatient volumes and growing outpatient encounters. Emerging models described include micro-hospitals, ambulatory surgery centers, and "hospital at home" programs. These models require new staffing approaches for infection prevention. The document outlines challenges for infection preventionists in these settings and resources available to assist them.
Ruthann Russo - Integrative Population Health Management - White Paper Part 2Ruthann Russo
This document discusses the value of Integrative Health Services Programs (IHSP) in healthcare system strategic planning. Key points:
- Hospital expenditures are approximately $650 billion annually and a hospital with an IHSP offering integrative health modalities could increase revenue by 5-10% depending on the patient population.
- An IHSP is a program created by a hospital or healthcare system that integrates safe and effective complementary and alternative medicine with conventional medicine to be delivered to inpatients or outpatients.
- For an IHSP, the most fundamental criteria are ensuring only safe and effective practices are included based on evidence-based research on safety and efficacy. Common safe and effective modalities include meditation,
SHRM Memphis August 2009 Frank Hone PresentationAustin Baker
Frank Hone; noted Author of "Why Healthcare Matters," delivered a very informative and fact packed presentation that described how employers can effect their bottom line in Health Care costs within their own organizations. They key to success is to take the lessons learned by pharmaceutical companies in their marketing and apply it to health care consumerism programs to engage employees to make lifestyle changes.
This document is an evidence report published by the Institute for Clinical and Economic Review (ICER) that evaluates the comparative clinical effectiveness and value of cognitive and mind-body therapies for chronic low back and neck pain. It was authored by Jeffrey Tice and others from ICER. The report assesses the clinical evidence on therapies such as cognitive behavioral therapy and mindfulness-based stress reduction and presents economic analyses of the long-term cost-effectiveness and potential budget impact of these therapies. It also incorporates input from clinical experts and stakeholders.
This document is a report on the economic benefits of worksite wellness programs. It discusses factors that influence an employer's likelihood of offering a wellness program and an employee's participation in one. It also analyzes specific wellness programs and meta-analyses of their effects. The report finds that wellness programs have been shown to reduce healthcare costs and decrease absenteeism and increase employee satisfaction, though the evidence is not conclusive due to a lack of robust data collection and analysis in many studies. The document provides an overview of worksite wellness programs and their goals of improving health and reducing costs.
Similar to NEJM Doctors On Health Care Reform (20)
1. The Supreme Court affirmed a lower court ruling that found Section 3 of the Defense of Marriage Act (DOMA) unconstitutional. Section 3 defined marriage for federal purposes as between one man and one woman and denied federal benefits to same-sex couples legally married in their states.
2. The plaintiff, Edith Windsor, was legally married to her same-sex partner in Canada but was barred from claiming an estate tax exemption for surviving spouses under DOMA after her partner passed away. She paid estate taxes and sued for a refund.
3. While the plaintiff's case was pending, the Obama administration announced it would no longer defend DOMA in court. The Bipartisan Legal Advisory Group of the House
The Growth & Opportunity Project report analyzes the Republican Party's performance in the 2012 election and makes recommendations for improving future campaigns. It conducted extensive research, including over 2,600 interviews, focus groups, surveys, and listening sessions. The report's key findings are that the Party's messaging is not connecting with various demographic groups, especially minorities, women and youth. It recommends updating messaging to emphasize compassion and economic opportunity for all. The future of the Party depends on adopting a more inclusive tone and developing policies that appeal to a diverse America.
The Tredyffrin Township Democrats ran a survey in January to gauge current involvement levels and interest in future participation. 77 people responded. The survey found that 95% read the FLASH newsletter, 34% "Like" the Facebook page, 56% do not use Twitter, and over 97% vote in every election or almost every election. Regarding involvement, 43% would like to be more involved, 26% are very involved, 22% are too busy to be involved, and 8% don't know what the organization does. Comments indicated that time constraints are a major barrier to involvement for many.
This report analyzes the relationship between top tax rates and economic growth in the United States since 1945. It finds that while the top marginal tax rate has decreased from over 90% to 35% over this period, there is no conclusive evidence of a clear relationship between the tax rate reductions and economic growth. The data suggest tax rate reductions have had little association with key factors like saving, investment and productivity growth. However, tax rates appear related to rising income inequality, with higher-income groups receiving a larger share of total income as rates have declined.
President Obama outlined a plan to strengthen the middle class and grow the economy through investments in manufacturing, energy, education, and reducing the deficit. He discussed creating 1 million new manufacturing jobs and 600,000 energy jobs by expanding domestic production. The plan aims to support small businesses, improve education through recruiting teachers and funding community colleges, and cut the deficit by more than $4 trillion through tax reforms and spending cuts.
The document describes A.A.A.D.D. (Age Activated Attention Deficit Disorder), where one gets easily distracted from tasks throughout the day. It provides an example of trying to water the garden but getting distracted by other chores like washing the car, paying bills, finding checks, putting away a Pepsi, watering flowers, and more, resulting in nothing getting fully completed. In the end, the person is tired and can't remember what they did all day but feels busy, and realizes they need help for this serious problem of getting easily distracted.
The document is a summary of key findings from the 2010 U.S. Election Assistance Commission Election Administration and Voting Survey. It describes the survey methodology, including revisions made for 2010. It also summarizes some of the main results regarding how Americans voted in 2010 such as in-person, absentee, early voting, and overseas/military voting. Finally, it provides highlights about election administration topics covered in the survey such as the number of poll workers, polling places, and types of voting technologies used.
The document is a memorandum opinion from a Commonwealth Court judge regarding a request to enjoin enforcement of Pennsylvania's voter ID law. In the opinion, the judge makes two determinations: 1) that the procedures for deploying alternate voter IDs do not meet the legal requirement of liberal access, and 2) that voter disenfranchisement will likely still occur before the upcoming election. As a result, the judge orders a preliminary injunction preventing the disenfranchisement provisions of the voter ID law from being enforced. The injunction is targeted to specifically address the issues identified by the Pennsylvania Supreme Court regarding voter access and disenfranchisement.
This Supreme Court of Pennsylvania order addresses a challenge to the state's Voter ID Law. The order summarizes that: (1) while the state has a legitimate interest in requiring voter ID, the law is not being implemented according to its terms and some voters will be disenfranchised; (2) state agencies acknowledge voters will be unable to obtain IDs and elections may be impaired; and (3) the Commonwealth Court denied a preliminary injunction based on predictions that education and remedial efforts will prevent disenfranchisement, but appellants argue more time is needed for implementation. The order reviews the Commonwealth Court's denial of a preliminary injunction for abuse of discretion.
The document discusses the benefits of exercise for mental health. Regular physical activity can help reduce anxiety and depression and improve mood and cognitive functioning. Exercise causes chemical changes in the brain that may help protect against mental illness and improve symptoms.
The document summarizes the impact of Pennsylvania Governor Corbett's proposed 2012-2013 budget on services in Philadelphia. It outlines proposed cuts to health and human services ($41 million reduction), education funding, public library subsidies, aging services, and probation/parole services. Specific impacts include increased homelessness, reduced mental health and addiction treatment, closure of 400 community residential beds, and increased burdens on other city departments. The budget also eliminates funding for the Homeowners Emergency Mortgage Assistance Program.
This Pennsylvania House Resolution declares 2012 as the "Year of the Bible" in Pennsylvania. It recognizes the formative influence of the Bible on the founding of the United States and Pennsylvania. It notes that many national leaders acknowledged this influence and that applying biblical teachings can strengthen the nation during challenging times. The resolution aims to renew knowledge of and faith in God through studying and applying the teachings of the holy scriptures.
This document summarizes how millions of Americans are losing their health insurance due to the implementation of the Affordable Care Act (ACA). It discusses how a survey found that 45-50% of employers will likely drop coverage for employees after 2014 due to the law. It also provides examples of major health insurers exiting state markets, dropping certain plans, and reducing coverage options, impacting tens of thousands of individuals and small businesses. The author argues this is occurring due to onerous regulations in the ACA that are making it difficult for insurers to remain profitable and continue offering coverage.
This document is a report from the U.S. Census Bureau that summarizes key statistics on income, poverty, and health insurance coverage in the United States in 2010. It acknowledges those involved in preparing sections on income, poverty, and health insurance coverage. The report provides essential data on economic well-being and access to healthcare for Americans.
1. The document outlines President Obama's American Jobs Act, which includes proposals to cut payroll taxes for businesses and workers to encourage hiring, invest in infrastructure projects to put people back to work, reform unemployment insurance, and provide tax relief to middle class families.
2. It proposes tax cuts and credits for small businesses to hire new workers, veterans, and the long-term unemployed as well as investments in schools, transportation, and a national infrastructure bank.
3. Reforms to the unemployment system are aimed at helping the long-term unemployed transition back to work through job search assistance and flexible programs.
The letter urges President Obama to present an ambitious jobs plan that directly creates millions of jobs, including jobs in infrastructure, education, healthcare, and other areas. It argues that bold action is needed to address the 25 million Americans who are unemployed or underemployed. Specifically, it recommends including Representative Jan Schakowsky's "Emergency Jobs to Restore the American Dream Act" which would create over 2 million jobs and decrease unemployment by 1.3%. It also calls for raising taxes on the wealthy to pay for job creation and investment in economic recovery.
NIMA2024 | De toegevoegde waarde van DEI en ESG in campagnes | Nathalie Lam |...BBPMedia1
Nathalie zal delen hoe DEI en ESG een fundamentele rol kunnen spelen in je merkstrategie en je de juiste aansluiting kan creëren met je doelgroep. Door middel van voorbeelden en simpele handvatten toont ze hoe dit in jouw organisatie toegepast kan worden.
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Prescriptive analytics BA4206 Anna University PPTFreelance
Business analysis - Prescriptive analytics Introduction to Prescriptive analytics
Prescriptive Modeling
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Part 2 Deep Dive: Navigating the 2024 Slowdownjeffkluth1
Introduction
The global retail industry has weathered numerous storms, with the financial crisis of 2008 serving as a poignant reminder of the sector's resilience and adaptability. However, as we navigate the complex landscape of 2024, retailers face a unique set of challenges that demand innovative strategies and a fundamental shift in mindset. This white paper contrasts the impact of the 2008 recession on the retail sector with the current headwinds retailers are grappling with, while offering a comprehensive roadmap for success in this new paradigm.
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The Radar reflects input from APCO’s teams located around the world. It distils a host of interconnected events and trends into insights to inform operational and strategic decisions. Issues covered in this edition include:
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Cover Story - China's Investment Leader - Dr. Alyce SUmsthrill
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China’s official organizer of the Expo, CCPIT (China Council for the Promotion of International Trade https://en.ccpit.org/) has chosen Dr. Alyce Su as the Cover Person with Cover Story, in the Expo’s official magazine distributed throughout the Expo, showcasing China’s New Generation of Leaders to the World.
Storytelling is an incredibly valuable tool to share data and information. To get the most impact from stories there are a number of key ingredients. These are based on science and human nature. Using these elements in a story you can deliver information impactfully, ensure action and drive change.