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Warranties And Reimbursements For Family Caregivers Provide Alternative Payment Methods
The New York Times reports on a proposal for a new health care reimbursement model that offers warranties to patients, a topic also examined in a piece by Francois de Brantes in the journal, Health Affairs. Brantes and co-authors developed a model, called the Prometheus Payment, which offers set fees to providers that "cover all recommended services, treatments and procedures for specific conditions but are also "risk-adjusted" for patients who may be older or frail. The warranty is based on the costs incurred by avoidable complications. In current fee-for-service plans, all costs from these complications are covered by the third party payer, regardless. But in the Prometheus Payment model, half of the costs from avoidable complications must be paid for by the providers themselves. The result, Mr. de Brantes and his co-authors write, is a payment system that offers patients a health care warranty, since "providers win or lose financially based on their actual performance in reducing the incidence of avoidable complications.""
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Groundbreaking DKT/TOTAL Ethiopia Initiative To Promote Condoms To Housemaids Launched

DKT Ethiopia and TOTAL Ethiopia have formed a groundbreaking partnership to run a pilot project to promote condoms to housemaids and other low-income women. Housemaids are particularly vulnerable to HIV because of their gender and age as well as isolating employment conditions. Anecdotal evidence also suggests that many housemaids turn to sex work upon quitting domestic work, at which point they can be highly vulnerable to HIV. One of the few locations to reach housemaids is at kerosene sales points. The pilot, called Condoms and Kerosene, will raise the awareness of housemaids and other kerosene buyers about condoms. It will include daily condom demonstrations and distribution at the Sidist Kilo ("Lions") Total Station. The opening ceremony for the pilot took place on Saturday 9 May 2009 at Sidist Kilo ("Lions") TOTAL station, Addis Ababa. Speeches were made by the TOTAL Ethiopia MD, Bernard Lacaze, DKT Co-ordinator Ken Divelbess, Ethiopian Business Coalition Against HIV/AIDS Executive Director, Tadesse Tekallign and TOTAL Ethiopia Marketing Manager, Hervç© Huclin. Invited guests included representatives from the Ministry of Women"s Affairs and the Ministry of Education. The pilot will run for 60 days. "As with all TOTAL"s Sustainable Development Responsible Programs, this project targeting low-income vulnerable women, is addressing the needs of the communities we serve and we are proud to be partnering with DKT Ethiopia on this ground-breaking activity". Bernard Lacaze, MD, TOTAL Ethiopia "DKT strives to reach all sectors of society with condom messaging and promotion - this pilot between DKT and TOTAL has the potential to reach an as-yet unserved group." <>Ken Divelbess, Coordinator, DKT The partnership is supported by the Ethiopian Business Coalition Against HIV/AIDS (EBCA), the World Bank Institute, the Rapid Results Institute and Timret Le Hiwot (TLH). The Ethiopian Business Coalition Against HIV/AIDS (EBCA)


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