Laurie Miller Nelson

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We assess the potential of increased economic competition by examining whether Medicare beneficiaries are willing to switch to physicians who agree to accept all services on assignment. Data come from a survey of Medicare beneficiaries conducted in November 1988. Our principal finding is that beneficiaries are not sensitive to price when making decisions(More)
Extraordinary growth in managed care arrangements over the past decade has been both widely praised and criticized. Proponents and critics agree that the nature of medical practice is being profoundly altered by this growth, even if they cannot articulate the direction and consequences of this change. We explore the roots of this uncertainty by examining(More)
Because of concern about the effects of prepaid care on outcomes for elderly enrollees in health maintenance organizations (HMOs), a prospective study of access to care and functional outcomes was performed. HMOs with Medicare risk contracts in January 1985 (N = 17) were selected from ten communities and were matched for comparison with ten similar(More)
This study presents new data from a 1996 national survey of Medicare risk enrollees and disenrollees designed to profile access to care in Medicare health maintenance organizations (HMOs). The findings show that expanded benefits and low (or no) premiums are major features attracting disabled Medicare beneficiaries into Medicare HMOs. We found that most(More)
We have conducted global positioning system (GPS) carrier-phase time-transfer experiments between the master clock (MC) at the U.S. Naval Observatory (USNO) in Washington, DC and the alternate master clock (AMC) at Schriever Air Force Base near Colorado Springs, Colorado. These clocks are also monitored on an hourly basis with two-way satellite(More)
Much recent research and funding have focused on building Internet-based repositories that contain collections of high-quality learning resources, often called 'learning objects.' Yet little is known about how non-specialist users, in particular teachers, find, access, and use digital learning resources. To address this gap, this article describes a case(More)
We have studied the amplitude modulation (AM) and phase modulation (PM) noise in a number of 5 MHz and 100 MHz oscillators to provide a basis for developing models of the origin of AM noise. To adequately characterize the AM noise in high performance quartz oscillators, we found it necessary to use two-channel cross-correlation AM detection. In the quartz(More)
The Health Care Financing Administration (HCFA) initiated the Medicare Competition Demonstration in 1982 in anticipation of congressional intent to establish a national program. Interim results on the 1984 service use and cost experience of the health maintenance organizations (HMOs) and competitive medical plans (CMPs) participating in the demonstrations(More)
Medicare's experience with balance billing provides valuable lessons for policy making for national or state health care reform. Medicare developed several policies to encourage physicians to become participating providers who accept Medicare-allowed charges as payment in full. Only nonparticipating physicians are permitted to bill for additional amounts(More)