MACRA 2.5: the legislation moves forward

2018 ◽  
Vol 10 (12) ◽  
pp. 1224-1228 ◽  
Author(s):  
Lauren Parks Golding ◽  
Gregory N Nicola ◽  
Sameer A Ansari ◽  
Andrew B Rosenkrantz ◽  
Ezequiel Silva III ◽  
...  
Keyword(s):  
First Year ◽  
Payment Policy ◽  
Full Implementation ◽  
Performance Reporting ◽  
Reporting Requirements ◽  
Gradual Phase ◽  
Core Components ◽  
Potential Impact ◽  
Future Physician

The Medicare and CHIP Reauthorization Act of 2015 remains the payment policy law of the land. 2017 was the first year in which performance reporting will tangibly impact future physician payments. The Centers for Medicare & Medicaid Services (CMS) considers 2017 and 2018 transitional years before full implementation in 2019. As such, 2018 increases the reporting requirements over 2017 in the form of a gradual phase-in while introducing several key changes and new elements. Indeed, it is the nature of the transition itself that led to the somewhat unique title of this manuscript, i.e., MACRA 2.5. Stakeholder feedback to the CMS regarding the program has ranged widely from the elimination of core components to expanding reporting to non-government payers. This article explores the potential impact on neurointerventional physicians.

Effects of Gender, Parental Role, and Time on Infant- and Adult-Directed Read and Spontaneous Speech

2019 ◽  
Vol 62 (11) ◽  
pp. 4001-4014
Author(s):  
Melanie Weirich ◽  
Adrian Simpson
Keyword(s):  
Parental Involvement ◽  
Gender Identity ◽  
Spontaneous Speech ◽  
First Year ◽  
Space Size ◽  
Vowel Space ◽  
Potential Impact ◽  
Phonetic Features ◽  
And Gender ◽  
Description Task

Purpose The study sets out to investigate inter- and intraspeaker variation in German infant-directed speech (IDS) and considers the potential impact that the factors gender, parental involvement, and speech material (read vs. spontaneous speech) may have. In addition, we analyze data from 3 time points prior to and after the birth of the child to examine potential changes in the features of IDS and, particularly also, of adult-directed speech (ADS). Here, the gender identity of a speaker is considered as an additional factor. Method IDS and ADS data from 34 participants (15 mothers, 19 fathers) is gathered by means of a reading and a picture description task. For IDS, 2 recordings were made when the baby was approximately 6 and 9 months old, respectively. For ADS, an additional recording was made before the baby was born. Phonetic analyses comprise mean fundamental frequency (f0), variation in f0, the 1st 2 formants measured in /i: ɛ a u:/, and the vowel space size. Moreover, social and behavioral data were gathered regarding parental involvement and gender identity. Results German IDS is characterized by an increase in mean f0, a larger variation in f0, vowel- and formant-specific differences, and a larger acoustic vowel space. No effect of gender or parental involvement was found. Also, the phonetic features of IDS were found in both spontaneous and read speech. Regarding ADS, changes in vowel space size in some of the fathers and in mean f0 in mothers were found. Conclusion Phonetic features of German IDS are robust with respect to the factors gender, parental involvement, speech material (read vs. spontaneous speech), and time. Some phonetic features of ADS changed within the child's first year depending on gender and parental involvement/gender identity. Thus, further research on IDS needs to address also potential changes in ADS.

A Novel Paradigm for Engineering Education: Virtual Internships With Individualized Mentoring and Assessment of Engineering Thinking

2015 ◽  
Vol 137 (2) ◽  
Author(s):  
Naomi C. Chesler ◽  
A. R. Ruis ◽  
Wesley Collier ◽  
Zachari Swiecki ◽  
Golnaz Arastoopour ◽  
...  
Keyword(s):  
Engineering Education ◽  
First Year ◽  
Collaborative Environment ◽  
Large Numbers ◽  
Engineering Problems ◽  
Complex Engineering ◽  
Potential Impact

Engineering virtual internships are a novel paradigm for providing authentic engineering experiences in the first-year curriculum. They are both individualized and accommodate large numbers of students. As we describe in this report, this approach can (a) enable students to solve complex engineering problems in a mentored, collaborative environment; (b) allow educators to assess engineering thinking; and (c) provide an introductory experience that students enjoy and find valuable. Furthermore, engineering virtual internships have been shown to increase students'—and especially women's—interest in and motivation to pursue engineering degrees. When implemented in first-year engineering curricula more broadly, the potential impact of engineering virtual internships on the size and diversity of the engineering workforce could be dramatic.

scholarly journals Interim Evaluation of the Tier 1 Program (Secondary 1 Curriculum) of the Project P.A.T.H.S.: First Year of the Full Implementation Phase

2008 ◽  
Vol 8 ◽  
pp. 47-60 ◽  
Author(s):  
Daniel T. L. Shek ◽  
Hing Keung Ma ◽  
Rachel C. F. Sun
Keyword(s):  
Implementation Process ◽  
First Year ◽  
Perceived Benefits ◽  
Implementation Quality ◽  
Implementation Phase ◽  
Telephone Interviews ◽  
Full Implementation ◽  
Tier 1 ◽  
Negative Comments

To understand the implementation quality of the Tier 1 Program (Secondary 1 Curriculum) of the Project P.A.T.H.S. (Positive Adolescent Training through Holistic Social Programmes) in the full implementation phase, 100 schools were randomly selected to participate in personal and/or telephone interviews regarding the quality of the implementation process of the Tier 1 Program. In the interviews, the participants described the responses of the students to the program, the perceived benefits of the program, the perceived good aspects of the program, and the areas requiring improvement, difficulties encountered in the implementation process, and perceived attributes of the worker-support scheme (“Co-Walker Scheme”). Results showed that most workers perceived that the students had positive responses to the program and the program was beneficial to the students. They also identified several good aspects in the program, although negative comments on the program design and difficulties in the implementation process were also recorded. Roughly half of the respondents had positive comments on the “Co-Walker Scheme”. In sum, the respondents generally regarded the program as beneficial to the students and they were satisfied with the Tier 1 Program (Secondary 1 Curriculum) in the full implementation phase, although some implementation difficulties were also expressed.

scholarly journals Audit of antenatal screening for syphilis and HIV in migrant and refugee women on the Thai-Myanmar border: a descriptive study

F1000Research ◽  
2015 ◽  
Vol 3 ◽  
pp. 123 ◽  
Author(s):  
Rose McGready ◽  
Joy Kang ◽  
Isabella Watts ◽  
Mary Ellen G Tyrosvoutis ◽  
Miriam B. Torchinsky ◽  
...  
Keyword(s):  
Descriptive Study ◽  
First Year ◽  
Antenatal Screening ◽  
Testing Strategies ◽  
Syphilis Testing ◽  
Increased Risk ◽  
Syphilis Screening ◽  
Potential Impact ◽  
Low Prevalence ◽  
Positive Results

Objective: The antenatal prevalence of syphilis and HIV/AIDS in migrants and refugees is poorly documented. The aim of this study was to audit the first year of routine syphilis screening in the same population and reassess the trends in HIV rates.Methods: From August 2012 to July 2013, 3600 pregnant women were screened for HIV (ELISA) and syphilis (VDRL with TPHA confirmation) at clinics along the Thai-Myanmar border.Results: Seroprevalence for HIV 0.47% (95% CI 0.30-0.76) (17/3,599), and syphilis 0.39% (95% CI 0.23-0.65) (14/3,592), were low. Syphilis was significantly lower in refugees (0.07% 95% CI 0.01-0.38) (1/1,469), than in migrants (0.61% 95% CI 0.36-1.04) (13/2,123). The three active (VDRL≥1:8 and TPHA reactive) syphilis cases with VDRL titres of 1:32 were easy to counsel and treat. Women with low VDRL titres (>75% were < 1:8) and TPHA reactive results, in the absence of symptoms and both the woman and her husband having only one sexual partner in their lifetime, and the inability to determine the true cause of the positive results presented ethical difficulties for counsellors.Conclusion: As HIV and syphilis testing becomes available in more and more settings, the potential impact of false positive results should be considered, especially in populations with low prevalence for these diseases. This uncertainty must be considered in order to counsel patients and partners accurately and safely about the results of these tests, without exposing women to increased risk for abuse or abandonment. Our findings highlight the complexities of counselling patients about these tests and the global need for more conclusive syphilis testing strategies.

scholarly journals Is mathematics created or discovered? Pre-service teachers’ perception on a classic enigma

2021 ◽  
Vol 2 (1) ◽  
pp. 23
Author(s):  
Vita Istihapsari ◽  
Rochmad Rochmad ◽  
Isnarto Isnarto
Keyword(s):  
Qualitative Research ◽  
Mathematics Education ◽  
Mathematics Teachers ◽  
Human Activities ◽  
Philosophy Of Mathematics ◽  
Structured Interview ◽  
First Year ◽  
Education Practice ◽  
Nature Of Mathematics ◽  
Potential Impact

There are many classic questions about the nature of mathematics which have been an endless debate among philosophers. One of them is about whether mathematics is created or discovered. This research aims to find out the pre-service mathematics teachers’ perception about the classical enigma of mathematics after joining the course of history and philosophy of mathematics education. It was a descriptive qualitative research involving 45 pre-service mathematics teachers in their first-year training. We collected the data using questionnaire and then deepened the findings using semi-structured interview. The results suggest that 40% of the respondents believed that mathematics is created, while the rest 60% believed that mathematics is discovered. The two claims have their basic reasoning in the perspective of the respondents. Those who believed that mathematics is created argued that mathematics exists because of human activities. Therefore, it will never be founded if it is not created first. Meanwhile, those who believed that mathematics is discovered tended to argue that whether or not there is human activities to prove the mathematics phenomena, it is already there as the God created it. Thus, human just discovered it, not create it. Both arguments are interesting and have a potential impact to the mathematics education practice.

Bankruptcies, Audit Reports, and the Reform Act

2001 ◽  
Vol 20 (1) ◽  
pp. 187-195 ◽  
Author(s):  
Marshall A. Geiger ◽  
K. Raghunandan
Keyword(s):  
Publicly Traded ◽  
Public Accounting ◽  
Securities Litigation ◽  
Publicly Traded Companies ◽  
The Public ◽  
Going Concern ◽  
Reporting Requirements ◽  
Potential Impact ◽  
Auditor Reporting ◽  
Audit Reports

The Private Securities Litigation Reform Act (Reform Act) was enacted as law in 1995 and represents a major victory for the public accounting profession. Since audit reporting for publicly traded companies that enter bankruptcy continues to be of interest to legislators and the public, the Reform Act also includes audit reporting requirements regarding the auditor's assessments of a company's ability to continue as a going concern. This study examines the potential impact of the Reform Act on auditor reporting by examining audit reports for 383 bankrupt companies during the 1991–1998 period. The results indicate that, after controlling for financial stress, company size, default status, audit reporting lag and bankruptcy filing lag, auditors were less likely to have issued prior going-concern modified audit reports for bankrupt companies after the Reform Act.

SEC adopts new disclosure and recordkeeping requirements for investment advisers

2017 ◽  
Vol 18 (1) ◽  
pp. 19-24
Author(s):  
Nathan J. Greene
Keyword(s):  
Content Type ◽  
Public Firms ◽  
Record Keeping ◽  
Performance Reporting ◽  
Reporting Requirements ◽  
Retrieval Processes ◽  
New Public ◽  
Client Data ◽  
Disclosure Rules ◽  
Investment Advisers

Purpose To alert investment advisers to changes to be implemented to the Securities and Exchange Commission’s (SEC’s) Form ADV requirements as of October 1, 2017. Form ADV is the SEC’s principal investment adviser registration form. Design/methodology/approach Explains new public disclosure reporting requirements for investment adviser separately managed accounts (SMA) businesses, assesses the new “umbrella registration rules” that will govern how related advisers are treated by Form ADV, outlines key changes to Form ADV on a provision-by-provision basis, summarizes various other technical additions to Form ADV, and examines new performance reporting record-keeping requirements. Findings The Form ADV amendments are significant. Investment advisers should be preparing for compliance ahead of the October 2017 compliance date. Information retrieval processes will need to be reviewed and tested against the new disclosure rules. Firms will want to coordinate with their clients to minimize surprises when client data (albeit on an aggregated basis) is made public. Firms that operate under umbrella registrations should check their eligibility against the new rules. Originality/value Practical and informative guidance from experienced investment adviser attorneys that consolidates the key provisions of which investment advisers should be aware under new SEC disclosure and recordkeeping requirements.

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