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Record W3016436217

Managed Care Economics

2021· article· en· W3016436217 on OpenAlex

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

aboutThe title or abstract carries a Canadian signal from the geographic lexicon.
no affNo Canadian affiliation: this work is invisible to an affiliation-only frame.
No Canadian affiliation. An affiliation-only frame, the usual design, would never have seen this work. It is one of the works that make the case for inverting the frame.

Bibliographic record

VenueStatPearls · 2021
Typearticle
Languageen
FieldEconomics, Econometrics and Finance
TopicHealthcare Policy and Management
Canadian institutionsnot available
Fundersnot available
KeywordsHealth careBusinessGross domestic productIncentiveManaged careIndemnityPurchasingPurchasing powerFinanceEconomic growthActuarial scienceEconomicsMarketing
DOInot available

Abstract

fetched live from OpenAlex

The United States is one of the largest advanced economies by gross domestic product (GDP) in terms of both nominal and purchasing power parity. Especially in healthcare, the U.S. is the leading power in state-of-art medical technology, training, and research. However, healthcare spending in the U.S is remarkably highest with scanty health outcomes and poor public service compared with the ten highest-income countries (United Kingdom, Canada, Germany, Australia, Japan, Sweden, France, the Netherlands, Switzerland, and Denmark). From 1960 to 2017, U.S. healthcare expenditure as a percentage of GDP inflated from 5.0 to 17.9 (i.e., $3.5 trillion), and average dollars spent on individuals increased from (in dollars) 146 to 10,739 respectively. Among these national healthcare expenditures, nearly 25% of spending was wasted. Early origins of the deliberate steps to change the American healthcare system through a controlled form of financing and healthcare delivery traced back to the Nixon administration during 19 century. The significant structural changes in the U.S. healthcare system started in 1970. Congress passed a bill in 1973, the Health Maintenance Organization Act, which spurred the rapid growth of Health Maintenance Organizations (HMOs), the first form of managed care. Under traditional insurance (also known as fee-for-service or indemnity insurance), insurance companies and providers operated independently without incentive, resulting in unaffordability and unrestrained delivery of services with spiraling health insurance premiums. This integration of financing and insurance was an efficient way to gain control and prompted the explosion of managed care during the 1970s and 1980s, lifting a heavy burden from employers.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: none
Teacher disagreement score0.952
Threshold uncertainty score0.999

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0010.002

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.050
GPT teacher head0.259
Teacher spread0.209 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it