Health Insurance,Health Conditions,and Veteran Health Care Utilization

Abstract

The utilization of health care services by veterans has received much attention in recent years. However, the impact of the large array of factors affecting the veterans’ demand for health care services remains understudied. These factors include individual socio-demographic and economic characteristics, the availability of various sources of health insurance, and the prevalence of medical conditions. We use public data to analyze how veterans’ utilization of health care services varies with these factors. We also analyze how the reliance on VA services varies when alternative sources of health insurance are available to veterans. Based on the estimated relationships, we use a micro-simulation model to forecast future health care utilization, both inside and outside of VA.     

A bivariate pareto model and its applications to reliability

We consider a bivariate Pareto distribution, as a generalization of the Lindley-Singpurwalla model, by incorporating the influence of the operating conditions on a two-component dependent system. The properties of the model and its applications to reliability analysis are discussed. © 1993 John Wiley & Sons, Inc.     

A game with distorted information

This article considers a two-person game in which the first player has access to certain information that is valuable but unknown to the second player. The first player can distort the information before it is passed on to the second player. The purpose in distorting the information is to render it as useless as possible to the second player. Based on the distorted information received, the second player then maximizes some given objective. In certain cases he may still be able to use the distorted information, but sometimes the information has been so badly distorted that it becomes completely useless to him. © 1993 John Wiley & Sons, Inc.     

Investment in production resource flexibility: An empirical investigation of methods for planning under uncertainty

We examine several methods for evaluating resource acquisition decisions under uncertainty. Traditional methods may underestimate equipment benefit when part of this benefit comes from decision flexibility. We develop a new, practical method for resource planning under uncertainty, and show that this approach is more accurate than several commonly used methods. We successfully applied our approach to an investment problem faced by a major firm in the aviation information industry. Our recommendations were accepted and resulted in estimated annual savings in excess of $1 million (US). © 2003 Wiley Periodicals, Inc. Naval Research Logistics, 2003     

Optimal service rates of a service facility with perishable inventory items

In this paper we optimally control service rates for an inventory system of service facilities with perishable products. We consider a finite capacity system where arrivals are Poisson‐distributed, lifetime of items have exponential distribution, and replenishment is instantaneous. We determine the service rates to be employed at each instant of time so that the long‐run expected cost rate is minimized for fixed maximum inventory level and capacity. The problem is modelled as a semi‐Markov decision problem. We establish the existence of a stationary optimal policy and we solve it by employing linear programming. Several numerical examples which provide insight to the behavior of the system are presented. © 2002 Wiley Periodicals, Inc. Naval Research Logistics 49: 464–482, 2002; Published online in Wiley InterScience (www.interscience.wiley.com). DOI 10.1002/nav.10021     

Two‐stage component test plans for testing the reliability of a series system

A system reliability is often evaluated by individual tests of components that constitute the system. These component test plans have advantages over complete system based tests in terms of time and cost. In this paper, we consider the series system with n components, where the lifetime of the i‐th component follows exponential distribution with parameter λ_i. Assuming test costs for the components are different, we develop an efficient algorithm to design a two‐stage component test plan that satisfies the usual probability requirements on the system reliability and in addition minimizes the maximum expected cost. For the case of prior information in the form of upper bounds on λ_i's, we use the genetic algorithm to solve the associated optimization problems which are otherwise difficult to solve using mathematical programming techniques. The two‐stage component test plans are cost effective compared to single‐stage plans developed by Rajgopal and Mazumdar. We demonstrate through several numerical examples that our approach has the potential to reduce the overall testing costs significantly. © 2002 John Wiley & Sons, Inc. Naval Research Logistics, 49: 95–116, 2002; DOI 10.1002/nav.1051     

Dominating sets for rectilinear center location problems with polyhedral barriers

In planar location problems with barriers one considers regions which are forbidden for the siting of new facilities as well as for trespassing. These problems are important since they model various actual applications. The resulting mathematical models have a nonconvex objective function and are therefore difficult to tackle using standard methods of location theory even in the case of simple barrier shapes and distance functions. For the case of center objectives with barrier distances obtained from the rectilinear or Manhattan metric, it is shown that the problem can be solved in polynomial time by identifying a dominating set. The resulting genuinely polynomial algorithm can be combined with bound computations which are derived from solving closely connected restricted location and network location problems. © 2002 Wiley Periodicals, Inc. Naval Research Logistics 49: 647–665, 2002; Published online in Wiley InterScience (www.interscience.wiley.com). DOI 10.1002/nav.10038     

Can security vetting be extended to include the detection of financial misconduct?

An analysis of the security vetting files of 19 employees within a South African national department who had been found guilty of financial misconduct in the last five years uncovered that the existing security vetting processes did not detect the financial misconduct of which these employees have been found guilty. This research sets out to establish whether security vetting can be extended to include the detection of financial misconduct within the department and, if so, how. Moreover, if security vetting can indeed be so extended, can it possibly enhance the management of fraud risk across all South African public sector departments? Qualitative interviews were conducted with 27 employees who are key to fraud risk management and security vetting within the researched department. During the interviews, the following five themes emerged: (1) the reasons why employees commit financial misconduct; (2) why it is not detected by the security vetting process; (3) the potential alignment of the security vetting process to facilitate the detection of financial misconduct; (4) the following through on security vetting findings; and (5) sharing these findings with the internal audit and risk management functions within state departments. These themes were probed and are reported on, establishing firstly that security vetting can indeed be extended to include the detection of financial misconduct within the researched department, and secondly that it can enhance the management of fraud risk across all South African public sector departments, given the specific mandate of the State Security Agency (SSA) and the national security vetting strategy.     

Constructing a strict total order for alternatives characterized by multiple criteria: An extension

The problem of finding a strict total order for a finite set of multiple criteria alternatives is considered. Our research extends previous work by us, which considered finding a partial order for a finite set of alternatives. We merge the preference information extracted from the preference cones and corresponding polyhedral sets, with the information derived from pairwise comparisons of two alternatives, yielding a preference matrix. This preference matrix is used as input to an integer programming model to obtain a strict total order that provides a transitive ranking for the set of alternatives. © 2014 Wiley Periodicals, Inc. Naval Research Logistics 61: 155–163, 2014     

The soft power of migration – a hard task for the European union

The article studies the range of problems that have emerged due to the growing immigration from Muslim countries into the European Union (EU). While describing the functions of immigrants' communities, the authors focus on their political role in the receiving states. The study of the historical development of government–diaspora relations in three cases (the UK, France, and Germany) shows that Muslim communities' political influence does not reflect their economic and cultural role, which in the future might threaten the EU security, unless these countries develop a new approach to an “acculturation” policy.