Background: Long-term care services are funded primarily by Medicaid long-term services and support in the United States, where eligibility is based on care needs of the individual with intellectual and developmental disability alone. Impact of Medicaid waiver services on self-reported caregiver needs is not well understood. Method: Caregivers (n…

Customer relationship management (CRM) is a core business strategy for most organizations. In today's global economy, it is essential for organizations to find ways of increasing their productivity. This article discusses the operations management's decision of customer relationships management. It is vital for a business to motivate its employees…

A recent survey of 41 different state boards of education revealed that officials from 28 states indicate that they are experiencing teacher shortages. The shortages in some states are significant. While the teacher shortage in many states is tied to different factors, one frequently cited reason for leaving the teaching profession is low pay.…

Background: Health self-efficacy (the confidence to take care of one's health) is a key component in ensuring that individuals are active partners in their health and health care. The purpose of this study was to determine the association between financial hardship and health self-efficacy among African American men and to determine if unmet…

Financial barriers can substantially delay medical care seeking. Using patient narratives provided by 252 colorectal cancer patients, we explored the experience of financial barriers to care seeking. Of the 252 patients interviewed, 84 identified financial barriers as a significant hurdle to obtaining health care for their colorectal cancer…

This paper examines the debate in the U.S. Senate over the reasons why state governments have decreased funding for higher education. One side believes that federal mandates on states to pay for Medicaid have forced them to reduce spending on higher education. The other side believes that states unwisely reduced taxes, which decreased their…

Allison G. Armentrout, an adjunct instructor at Stark State College, does not get paid by the hour. She earns $4,600 to teach two English composition courses. But now she carefully tracks how many hours she works on an electronic time sheet. During a recent week, she spent three hours preparing for her lectures, close to six hours in the…

This article examines issues on health care costs and describes measures taken by public districts to reduce spending. As in most companies in America, health plan designs in public districts are being changed to reflect higher out-of-pocket costs, such as higher deductibles on visits to providers, hospital stays, and prescription drugs. District…

Purpose: To examine the impact of an experimental consumer-choice voucher benefit on the selection of independent and agency personal assistance services (PAS) providers among rural and urban Medicare beneficiaries with disabilities. Methods: The Medicare Primary and Consumer-Directed Care Demonstration enrolled 1,605 Medicare beneficiaries in 19…

Purpose: To evaluate the impact of a multicomponent health promotion and disease self-management intervention on physical function and health care expenditures among Medicare beneficiaries. To determine if these outcomes vary by urban or rural residence. Design and Methods: We analyzed data from a 22-month randomized controlled trial of a health…

The Ohio State Teacher Retirement System (STRS) provides retirement, survivor, and disability benefits to public school (K-12) teachers, college and university professors employed by state institutions, and the spouses and eligible dependents of these employees. In doing so, it operates much like other state retirement systems. The money to…

Includes four articles that discuss a distributed architecture for managing metadata that promotes interoperability between digital libraries; the use of electronic print (e-print) by physicists; the development of digital libraries; and a collaborative project between two library consortia in Ohio to provide digital versions of Sanborn Fire…

Updated reimbursement literature and sought to remedy some significant limitations in prior reports. Provides a model for conducting future studies of this nature. Updating of reimbursement experience through survey of Ohio counselors has yielded important success-rate data. (JBJ)

Data supplied by 18 of the 30 largest school districts in Ohio illustrate that (1) health care benefits have increased drastically; (2) cost-shifting is an efficacious method for reducing health care benefit costs; and (3) costs increase at a lower rate when cost-shifting is adopted. (18 references). (MLF)

Directors (N=203) of mental-health agencies responded to a survey designed to examine their level of acceptance and satisfaction with licensed professional counselors (LPC) in Ohio. Responses suggest a preference for hiring social workers over counselors; starting salaries were similar for both groups with comparable educational levels.…