Outlines how a school district saved money by dropping its health carrier and became self-insuring. (IRT)

Systems-based practice (SBP) is rarely taught or evaluated during medical school, yet is one of the required competencies once students enter residency. We believe Texas A&M College of Medicine students learn about systems issues informally, as they care for patients at a free clinic in Temple, TX. The mandatory free clinic rotation is part of…

Background: There is evidence that persons with an intellectual disability (ID) face barriers to primary care; however, this has not been extensively studied at the population level. Rates of hospitalisation for ambulatory care sensitive conditions are used as an indicator of access to, and quality of, primary care. The objective of the study was…

Background: Medicare beneficiaries incur 27%-30% of lifetime charges in the last year of life; most charges occur in the last quarter. Factors associated with high end-of-life Medicare charges include less advanced age, non-white race, absence of advance directive, and urban residence. Methods: We analyzed Medicare hospital charges in the last…

Risk management encompasses far more than an insurance program alone. The basic elements consist of--(1) elimination or reduction of exposure to loss, (2) protection from exposure to loss, (3) assumption of risk loss, and (4) transfer of risk to a professional carrier. This survey serves as a means of evaluating the methods of application of these…

In November The Canadian Teachers' Federation (CTF), as part of the pre-budget consultation process, made a submission to the House of Commons Standing Committee on Finance. Entitled "Supporting Education... Building Canada: Child Poverty and Schools" the brief outlined why teachers saw child poverty as such an important issue to be…

"Green" is the new mantra for many institutions. School districts as well as colleges and universities across the country are constantly searching for new ways to reduce energy use, waste and the harmful greenhouse gas emissions emitted into the environment. In fact long before "carbon footprint" became a common phrase, educational institutions…

Cooperatives are systems organized along key principles to balance the distribution of wealth across organizational members. The cooperative movement has an extensive history and has contributed to the design and operation of a large variety of endeavors that seek to maximize returns to a maximum number of stakeholders. While cooperatives are…

Typically, Federal entitlement statutes reflect a traditional program approach, with separate program funds attached to the legislative intent. The Part C provisions of Public Law (PL) 99-457, the Individuals with Disabilities Education Act (IDEA), however, were envisioned by Congress in an unprecedented manner. Part C legislation was designed to…

In the past two months, nearly 100 colleges have started exploring a financial concept that seems almost too good to be true: collecting hundreds of millions of dollars for long-term capital needs by taking out life-insurance policies on wealthy alumni. The idea started with Oklahoma State University, which said this spring that it had secured…

Opportunity NYC-Family Rewards, an experimental, privately funded, conditional cash transfer (CCT) program to help families break the cycle of poverty, was the first comprehensive CCT program in a developed country. Launched in 2007 by New York City's Center for Economic Opportunity (CEO), Family Rewards offered cash assistance to low-income…

Objective: Little is known about racial/ethnic differences in the receipt of treatment for major depression in adolescents. This study examined differences in mental health service use in non-Hispanic white, black, Hispanic, and Asian adolescents who experienced an episode of major depression. Method: Five years of data (2004-2008) were pooled…

Intimate partner violence (IPV) has been associated with stress, but few studies have examined the effect of natural disaster on IPV. In this study, the authors examine the relationship between experience of Hurricane Katrina and reported relationship aggression and violence in a cohort of 123 postpartum women. Hurricane experience is measured…

The most important development in the administration of school district insurance programs is the establishment of the risk management concept. (Author)

The text of a Senate Committee on Small Business hearing on the cost and availability of liability insurance for small business is presented in this document. The crisis faced by small business with skyrocketing insurance rates is described in statements by Senators Lowell Weicker, Jr., Robert Kasten, Jr., Dale Bumpers, Paul Trible, Jr., James…