Arizona State and Local Government Documents Collection

The Arizona Health Care Cost Containment System has provided home and community-based services to long-term care beneficiaries through a waiver from the Centers for Medicare and Medicaid Services since 1989. Through its Arizona Long Term Care System, AHCCCS provides comprehensive coverage for members residing in their own homes or approved alternative residential settings, such as assisted living facilities or group homes. Covered services include care such as home health nursing, attendant or personal care, and home-delivered meals. Members may designate a family member or friend to provide attendant care; after completion of training, these caregivers can be paid by AHCCCS.

The potential impact of diabetes on the Arizona Long Term Care System is of significant concern to AHCCCS. Based on this and previous studies conducted by AHCCCS, the prevalence of diabetes among ALTCS members is approximately 20 percent. With the number of Arizonans age 65 and older increasing 40 percent in the last decade, the proportion of ALTCS members with diabetes is likely to increase as well.

This report includes data on preventive health and chronic disease management services provided to members enrolled with nine publicly and privately operated managed care organizations, referred to as Contractors, that contract with AHCCCS to provide services under the AHCCCS ACUTE-care program. Performance measure results for services provided through the Department of Economic Security’s Division of Developmental Disabilities are reported in a separate section of the report. Results should be viewed as indicators of utilization of services, rather than absolute rates. These data allow AHCCCS and its Contractors to identify areas for improvement and implement interventions to increase the use of preventive and evidence based chronic disease management services.

The Arizona Health Care Cost Containment System (AHCCCS) is the State's Medicaid and KidsCare program offering the following behavioral health services: Title XIX (Medicaid) Acute and Long Term Care, Acute Care, Arizona Long Term Care Services (ALTCS), Federal Emergency Services Program (FESP), and Title XXI (KidsCare).

For more information concerning comprehensive medical services and additional information regarding behavioral health services refer to the AHCCCS Medical Policy Manual.

This manuscript discusses the ongoing debate surrounding the involvement of the Canadian Wheat Board in international trade. The paper outlines a simple test of the ability of the CWB to price discriminate among export markets for the 1980/81 to 1994/95 period. The study finds evidence of the ability of the CWB to price discriminate. It also shows that the magnitude and significance of price discrimination increased during the operation of the U.S. Export Enhancement Program from 1985/86 to 1994/95.

In 1995/96, the government of Turkey imposed an export tax of 20 cents/kg on Aegean cotton and an ad-valorem import duty of one percent on non-aegean cotton. The simulation results for the Aegean market indicate that consumers gained $44.5 million in consumer surplus because the export tax reduced the purchase price of Aegean cotton. The Turkish government extracted export tax revenue equal to $11.6 million, but provided water, fertilizer, and credit subsidies equal to $22.2 million. Producers lost $35 million in producer surplus due to the lower domestic price caused by the export tax. However, while these numbers represent large transfers from producers to consumers, the net inefficiency due to government distortions amount to only $1.14 million in the Aegean market. Adding this number to the dead-weight loss of only $790,000 obtained from the non-Aegean market simulation, the net inefficiency caused by government intervention in Turkish raw cotton markets was only $1.93 million in 1995/96. If one considers that cotton producers in Turkey realized gross revenue of over $1.4 billion across all markets in 1995/96, the results of the analysis seems to indicate that the income transfer associated with Turkish government programs is not very inefficient.

This paper provides a methodology that can be used to weigh the costs and benefits of precision agriculture in the measurement and application of variable-rate production technology. Empirical estimates of the economic value of precision farming in the form of variable-rate fertilizer application to corn fields in the mid-western United States are calculated and compared to the current cost of investing in this technology. The results of this study indicate that the use of precision technology in the application of fertilizer for corn production in the United States is not profitable over a relatively wide range of corn prices, nitrogen prices, and agronomic differences in soil characteristics.