Social and Behavioral Sciences Commons^™

Diagnosing Market Inefficiency: The Impact Of Consolidation In The Private Health Insurance Market On Healthcare Costs In The United States, Zachary Ising

West Chester University Doctoral Projects

This study presents a critical analysis of the relationship between the market concentration of private health insurance companies and per capita healthcare costs in the United States. It explores the hypothesis that consolidation within the private health insurance sector, driven by frequent mergers and acquisitions, contributes to a dysfunctional healthcare system characterized by high consumer costs. The study investigates the degree of market concentration in the health insurance sector from 2017 to 2020, focusing on healthcare costs per capita as the dependent variable, and employing independent variables such as market data of health insurers, the Herfindahl-Hirschman Index (HHI), and the …

Beyond The City-County Divide: Race, Referenda, And Representation In Consolidated Governments, Christopher Johnson Acuff

Doctoral Dissertations

Despite an abundance of research on the impacts of city-county consolidation, the majority of studies to date have focused on outcomes related to efficiency, effectiveness, and economic development. However, two areas which have gone relatively unexplored, particularly from a quantitative perspective, relate to the impact of consolidation on minority representation, as well as the determinants of successful referenda often required in establishing these forms of government. The existing literature on representation is sparse, and often relies on anecdotes or a small number of individual examples. Further, while several in-depth studies have attempted to assess the factors which contribute to successful …

Feasibility Study Of Consolidating Public Safety Answering Points In Highland Heights, Lyndhurst, Mayfield Heights, Mayfield Village And Richmond Heights, Ohio, Daila Shimek, Kyle Johnson, Eugene Kramer, Charles Post

All Maxine Goodman Levin School of Urban Affairs Publications

This study found that – based on certain configurations of communities and cost considerations – it is economically viable to consolidate public safety answering points (PSAPs) in Highland Heights, Lyndhurst, Mayfield Heights, Mayfield Village and Richmond Heights, Ohio. When comparing 2012 staffing and noncapital costs to estimated staffing and noncapital costs for a consolidated PSAP, the consolidated PSAP would provide an estimated collective reduction in staffing and noncapital costs of ranging from $775,400 to $1.19 million. When comparing 2012 staffing and noncapital costs to estimated staffing and noncapital costs for a consolidated PSAP – plus costs for additional staff to …

Feasibility Study Of Consolidating Public Safety Answering Points In Highland Heights, Lyndhurst, Mayfield Heights, Mayfield Village And Richmond Heights, Ohio, Daila Shimek, Kyle Johnson, Eugene L. Kramer, Charles Post

Daila Shimek

This study found that – based on certain configurations of communities and cost considerations – it is economically viable to consolidate public safety answering points (PSAPs) in Highland Heights, Lyndhurst, Mayfield Heights, Mayfield Village and Richmond Heights, Ohio. When comparing 2012 staffing and noncapital costs to estimated staffing and noncapital costs for a consolidated PSAP, the consolidated PSAP would provide an estimated collective reduction in staffing and noncapital costs of ranging from $775,400 to $1.19 million. When comparing 2012 staffing and noncapital costs to estimated staffing and noncapital costs for a consolidated PSAP – plus costs for additional staff to …

Feasibility Study Of Consolidating Public Safety Answering Points In Berea, Broadview Heights, Brook Park, North Royalton, Olmsted Falls, Seven Hills, And Strongsville, Ohio, Daila Shimek, Kyle Johnson, Eugene L. Kramer

Daila Shimek

This study found that – based on selected configurations of communities and specific cost considerations – it is economically viable to consolidate public safety answering points (PSAPs) in Berea, Broadview Heights, Brook Park, North Royalton, Olmsted Falls, Seven Hills, and Strongsville. When comparing 2012 staffing and noncapital costs to estimated staffing and noncapital costs for a consolidated PSAP, the consolidated PSAP would provide an estimated collective reduction in costs ranging from $117,500 to $1.72 million. The analysis also revealed that consolidation is legally feasible. It would also offer improved service by ensuring all dispatchers are certified professionals and would provide …

Feasibility Study Of Consolidating Public Safety Answering Points In South Euclid, Beachwood, Euclid, Shaker Heights, And University Heights, Ohio, Daila Shimek, Kyle Johnson, Eugene L. Kramer, Nathaniel Neider

Daila Shimek

The study conducted by the Center for Public Management (PM) found that, for two of three scenarios analyzed, it is legally, technologically, and financially feasible to consolidate public safety answering points (PSAPs) in South Euclid, Beachwood, Euclid, Shaker Heights, and University Heights, Ohio. Of the scenarios found feasible, the study estimates a decrease in costs ranging from almost $687,700 to $1.1 million, depending upon the configuration of the PSAP. When factoring in capital costs, the savings ranges from $555,000 to $898,000, but lead to an increase in costs of $189,000 in a PSAP dispatching for police only. At the local …

Feasibility Study For Consolidation Of Public Safety Answering Points In Perry County Ohio, Daila Shimek, Kyle Johnson, Eugune L. Kramer, Patrick Johnson, Nat Neider

Daila Shimek

This report provides an assessment of the feasibility of consolidation of the public safety answering points (PSAPS’s) in Perry County, Ohio and the Village of New Lexington (in Perry County), Ohio. The report describes the methodology used to assess the feasibility of consolidating these PSAPs. The findings are that consolidation of PSAPs and dispatch services among the participating entities would not be feasible if the decision is made purely on costs. However, a consolidated PSAP would reduce the duplication of services and redundant capital projects. This in turn would free up funds to maintain and replace capital items as they …

Confronting Fiscal Stress In Municipal Governments: Support By Michigan Residents For Eight Common Strategies, Jered Carr

Working Group on Interlocal Services Cooperation

This report discusses findings from a survey of 660 randomly selected Michigan residents in winter 2007. The survey examined attitudes of Michigan residents toward eight strategies to resolving situations where current revenues are inadequate to support local services at past levels. The strategies examined fall into two broad categories. The first set (tax increases, state and federal aid) seeks to increase local revenues available to support services at previously existing levels and quality. The second set of strategies focus on reducing the costs of providing services with the objective of maintaining previous levels at a lower cost. This set includes …

Public Journalism, The Second Level Of Agenda-Setting And Public Policy: The Role Of The Daily Press Newspaper In Creating, Framing And Fostering The Issues Of Regionalism And Consolidation On The Virginia Peninsula, 1944-1996, Shannon O'Bier Jackson

Theses and Dissertations in Urban Services - Urban Management

This study uses quantitative content analysis, with qualitative elite interviewing as a supplemental tool, to investigate the role of the Daily Press newspaper in creating, framing and fostering the locally controversial issues of regionalism and consolidation on the Virginia Peninsula from 1944-1996.

The investigation supports earlier findings regarding the second-level of Agenda-setting in terms of the newspaper's ability to cumulatively create "the pictures in our heads" of events or issues. The dissertation suggests that by selecting thematically related attributes over time, the newspaper acts to transmit issue salience, but that the potential impact of the "picture in our heads" is …