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This chapter simplifies the complex multi-payer healthcare reimbursement market and explains how to position your product for successful reimbursement. The best time to bring reimbursement planning into the product development process is discussed here. The U.S. healthcare system is used as a baseline and the healthcare systems of other countries are reviewed briefly. Reimbursement for devices and administered drugs is based on many factors, and this chapter shows the steps a biomedical product company can take to maximize revenues in the US Healthcare system. The basics of reimbursement – coverage, coding, and payment – are explained in simple terms with diagrams. Case studies help show how individual companies have addressed the reimbursement process for novel breakthrough technologies.
Brand-name prescription drug manufacturers use various strategies to extend their market exclusivity periods by delaying generic or biosimilar competition. Recent Congressional legislation has targeted four such tactics. We analyze these proposals and assess their likely effect on competition in the U.S. drug market.
The outcome of tasting as an embodied sensorial practice is, in the context of the gourmet shop, an assessment. This chapter offers a systematic analysis of the way not only assessments are verbally uttered, but also preceded and accompanied by facial expressions and other incarnated manifestations constituting embodied assessments. These are closely witnessed by the seller observing the customer tasting, and in some cases even anticipated by them. Assessments are a type of outcome of tasting that contrasts with outcomes, like descriptors, characterizing other activities – for example in tasting sessions participants rather search for the best word to express the tasting qualities of the sample. Even when minimal, they both address the quality of the sensed item and its coincidence with personal taste and orient to the embeddedness of the sensorial experience within the local actions and the global activity: assessing often retrospectively responds to a previous offer or proposal of the seller and prospectively orients to the closing of the purchase, in the form of a decision about buying (or not, in the case of negative assessments). Thus, assessments are followed by decision-making and often enable the seller to anticipate the latter. Assessments do not only complete the sensory experience of tasting in an intersubjective way but also demonstrate its relevance for broader activities, which reflexively also shape it.
This paper asked participants to assess four selected expert-rated Taiwan International Student Design Competition (TISDC) products using four methods: Consensual Assessment Technique (CAT), Creative Product Semantic Scale (CPSS), Product Creativity Measurement Instrument (PCMI), and revised Creative Solution Diagnosis Scale (rCSDS). The results revealed that, between experts and non-experts, the ranking results by the CAT and CPSS were the same, while the ranking results of the rCSDS were different. The CAT, CPSS, and TISDC methods provided the same results indicating that raters may return the same results on creativity assessment, and the results are not affected by the selected methods.
If it is necessary to use non-experts to assess creativity and the creativity results are expected to be the same with that of experts, asking non-expert raters to use CPSS to assess creativity and then ranking the creativity score is more reliable. The study offers a contribution to the creativity domain on deciding which methods may be more reliable from a comparison perspective.
The two design stages of The Innovation Pyramid work together to ensure that a complete and detailed design is crafted before any implementation is attempted. The second design stage focuses on Solution Formulation. Before any solution is crafted, the general group directly suffering from the root problem is segmented and a target adopter segment identified. The target adopter segment is described psychographically--based on common unmet or under-met needs, wants and/or desires – versus demographically. Personification of this group segment allows the innovation designer to fully appreciated how the adopter will interact with their innovation. Just as the root problem was gradually honed in on, so too is its solution. A general approach to resolving the target adopter's issue that the designing organization is willing and able to pursue is first identified. A detailed solution is then crafted which has attributes or features that align with the adopter's specific needs, wants and/or desires. This alignment of solution features with adopter needs is at the heart of the innovation's value proposition. The entire pathway through this second stage of design, Solution Formulation, requires multiple, iterative, non-linear steps.
We characterize the linear order types $\tau $ with the property that given any countable linear order $\mathcal {L}$, $\tau \cdot \mathcal {L}$ is a computable linear order iff $\mathcal {L}$ is a computable linear order, as exactly the finite nonempty order types.
The bridging concept between the abstract and geometric is the theory of realizations. This chapter concentrates on symmetric sets, namely, finite sets on which a group of permutations acts transitively. After a discussion of their basic properties, the concept of their realizations is introduced, with operations on them (such as blending) showing that the family of their congruences classes has the structure of a convex cone. A key idea is that of the inner product and cosine vectors of realizations, which define them up to congruence. The theory up to this point is then illustrated by some examples. It is next shown that, corresponding to the tensor product of representations, there is a product of realizations. Another fundamental notion is that of orthogonality relations for cosine vectors. The different realizations derived from an irreducible representation of the abstract group may form a subcone of the realization cone that is more than 1-dimensional. These are looked at more closely, leading to a definition of cosine matrices for the general realization domain. There follows a discussion of cuts and their relationship with duality. Cosine vectors may have entries in some subfield of the real numbers, with implications for the corresponding realizations. The chapter ends with a brief account of how representations of groups are related to realizations.
Slenderness is a concept relevant to the fields of algebra, set theory, and topology. This first book on the subject is systematically presented and largely self-contained, making it ideal for researchers and graduate students. The appendix gives an introduction to the necessary set theory, in particular to the (non-)measurable cardinals, to help the reader make smooth progress through the text. A detailed index shows the numerous connections among the topics treated. Every chapter has a historical section to show the original sources for results and the subsequent development of ideas, and is rounded off with numerous exercises. More than 100 open problems and projects are presented, ready to inspire the keen graduate student or researcher. Many of the results are appearing in print for the first time, and many of the older results are presented in a new light.
Prototyping is interwoven with nearly all product, service, and systems development efforts. A prototype is a pre-production representation of some aspect of a concept or final design. Prototyping often predetermines a large portion of resource deployment in development and influences design project success. This review surveys literature sources in engineering, management, design science, and architecture. The study is focused around design prototyping for early stage design. Insights are synthesized from critical review of the literature: key objectives of prototyping, critical review of major techniques, relationships between techniques, and a strategy matrix to connect objectives to techniques. The review is supported with exemplar prototypes provided from industrial design efforts. Techniques are roughly categorized into those that improve the outcomes of prototyping directly, and those that enable prototyping through lowering of cost and time. Compact descriptions of each technique provide a foundation to compare the potential benefits and drawbacks of each. The review concludes with a summary of key observations, highlighted opportunities in the research, and a vision of the future of prototyping. This review aims to provide a resource for designers as well as set a trajectory for continuing innovation in the scientific research of design prototyping.
Certification initiatives are product-focused, rely on standards and use sustainabilitymetrics to inform end-users on the provenance of commodities. In the metals sector, thephenomenon of formal certification programs has recently gained traction. Four initiativesare reviewed to illustrate the status and prospects of metal certification. The prime caseis the Conflict Free Smelter Program operated by the global electronics industry. Thisscheme has developed and applied standards on mineral chain-of-custody, including use ofthird-parties to audit smelters and refineries all over the world. Additional programsdiscussed are the Green Lead Project, Fair Trade and Fair Mined gold, and the ResponsibleJewellery Council. Collectively these initiatives address a variety of sustainabilitycriteria, including social, economic and environmental dimensions, but focus only onprecious and specialty metals (Au, platinum group, Pb, Sn, Ta and W). Metalscertifications programs are building capacity and infrastructure compared to matureprograms in agriculture and other commodity sectors. Opportunities and issues for growthof metals certification are considered.
The product w = u ⊗ v of two sequences u and v is a naturally defined sequence on the alphabet of pairs of symbols. Here, we study when the product w of two balanced sequences u,v is balanced too. In the case u and v are binary sequences, we prove, as a main result, that, if such a product w is balanced and deg(w) = 4, then w is an ultimately periodic sequence of a very special form. The case of arbitrary alphabets is approached in the last section. The partial results obtained and the problems proposed show the interest of the notion of product in the study of balanced sequences.
Let λ be a regular ordinal with λ≥ω1. Then we prove that (λ+1)×λ is not base-countably metacompact. This implies that base-κ-paracompactness is not an inverse invariant of perfect mappings, which answers a question asked by Yamazaki.
In this paper we give some properties of the pairwise perfectly normal spaces defined by Lane. In particular we prove that a space (X, P, Q) is pairwise perfectly normal if and only if every P(Q)–closed set is the zero of a P(Q)–l.s.c. and Q(P)–u.s.c. function. Also we characterize the pairwise perfect normality in terms of sequences of semicontinuous functions by means of a result which contains the known Tong's characterization of perfectly normal topological spaces, whose proof we modify by using the technique of binary relations.
Different methods are used to show that a finite or countable product of Lindelöf scattered spaces is Lindelöf. Also, a technique of Kunen is modified to yield results concerning the Lindelöf degree of the Gδ and Gα-topologies on the countable product of compact scattered spaces.
It is known that if a topological property of Tychonoff spaces is closed-hereditary, productive and possessed by all compact Hausdorff spaces, then each (0-dimensional) Tychonoff space X is a dense subspace of a (0-dimensional) Tychonoff space with such that each continuous map from X to a (0-dimensional) Tychonoff space with admits a continuous extension over . In response to Broverman's question [Canad. Math. Bull. 19 (1), (1976), 13–19], we prove that if for every two 0-dimensional Tychonoff spaces X and Y, if and only if , then is contained in countable compactness.
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