A cost-benefit analysis of prior approvals for Medicaid services in New York State

1984 ◽  
Vol 18 (1) ◽  
pp. 45-51 ◽  
Author(s):  
Edward L. Hannan ◽  
Linda K. Ryan ◽  
Richard E. Van Orden
Keyword(s):  
New York ◽  
Cost Benefit Analysis ◽  
New York State ◽  
Cost Benefit ◽  
Benefit Analysis ◽  
York State

New York State Agencies: A Case Study for Analyzing the Process of Legacy System Migration: Part II

2006 ◽  
Vol 20 (1) ◽  
pp. 139-160
Author(s):  
Ingrid E. Fisher ◽  
Marianne Bradford
Keyword(s):  
New York ◽  
Relational Databases ◽  
Process Management ◽  
New York State ◽  
Cost Benefit ◽  
State Agencies ◽  
Legacy System ◽  
York State ◽  
Operational Constraints ◽  
System Migration

Part II of this case chronicles the actions and outcomes of the legacy system migrations of five New York State agencies. The case highlights the problems these agencies encountered in migrating from legacy systems to enterprise-wide systems built upon relational databases. The case also explores the additional complexities of legacy system migration under the unique legal and operational constraints of governmental entities. Investigated issues include business process management, technical and financial project feasibility, cost-benefit analyses, consultant management, and ERP implementations.

A COST-BENEFIT ANALYSIS OF MECHANICAL VENTILATION

2000 ◽  
Vol 16 (1) ◽  
pp. 148-164 ◽  
Author(s):  
Diane M. Dewar ◽  
James Lambrinos ◽  
Rajiv Mallick ◽  
Yuhong Zhong
Keyword(s):  
New York ◽  
Cost Benefit Analysis ◽  
New York State ◽  
Survival Rates ◽  
Cost Benefit ◽  
Economic Evaluations ◽  
Economic Values ◽  
Discharge Data ◽  
Mechanically Ventilated

Objective: An economic evaluation of the resources used for mechanically ventilated patients using various measures for the benefits of extending life.Methods: Regression analysis is applied to New York State discharge data for patients under DRG 475 during 1992–96 to predict age-specific survival rates and payments per life saved. Sensitivity analysis is used to compare benefits of extending life associated with different economic values of life with the payments per life saved at each age.Results: Payments per life saved decreased over time, primarily due to reduced reimbursements. Payments exceeded the age-adjusted and the quality-of-life and age-adjusted benefits for all economic values of life at ages 90 and older.Conclusions: Since the benefits of extending life associated with DRG 475 exceed the payments per life saved at most ages, economic evaluations may be best applied with psychosocial evaluations to allocate resources more ethically.

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