Enrollee Mix, Treatment Intensity, and Cost in Competing Indemnity and HMO Plans

We examine why managed care plans are less expensive than traditional indemnity insurance plans. Our database consists of the insurance experiences of over 200,000 state and local employees in Massachusetts and their families, who are insured in a single pool. Within this group, average HMO costs are 40 percent below those of the indemnity plan. We evaluate cost differences for 8 conditions representing over 10 percent of total health expenditures. They are: heart attacks, cancers (breast, cervical, colon, prostate), diabetes (type I and II), and live births. For each condition, we identify the portions of the cost differential arising from differences in treatment intensity, enrollee mix, and prices paid for the same treatment. Surprisingly, treatment intensity differs hardly at all between the HMOs and the indemnity plan. That is, relative to their fee-for-service competitor, HMOs do not curb the use of expensive treatments. Across the 8 conditions, roughly half of the HMO cost savings is due to the lower incidence of the diseases in the HMOs. Virtually all of the remaining savings come because HMOs pay lower prices for the same treatment.

Quench dynamics and non equilibrium phase diagram of the Bose-Hubbard model

We investigate the time evolution of correlations in the Bose-Hubbard model following a quench from the superfluid to the Mott insulating phase. For large values of the final interaction strength the system approaches a distinctly non-equilibrium steady state that bears strong memory of the initial conditions. In contrast, when the final interaction strength is comparable to the hopping, the correlations are rather well approximated by those at thermal equilibrium. The existence of two distinct non-equilibrium regimes is surprising given the non-integrability of the Bose-Hubbard model. We relate this phenomena to the role of quasi-particle interactions in the Mott insulating state

Decay of superfluid currents in a moving system of strongly interacting bosons

We analyze the stability and decay of supercurrents of strongly interacting bosons on optical lattices. At the mean-field level, the system undergoes an irreversible dynamic phase transition, whereby the current decays beyond a critical phase gradient that depends on the interaction strength. At commensurate filling the transition line smoothly interpolates between the classical modulational instability of weakly interacting bosons and the equilibrium Mott transition at zero current. Below the mean-field instability, the current can decay due to quantum and thermal phase slips. We derive asymptotic expressions of the decay rate near the critical current. In a three-dimensional optical lattice this leads to very weak broadening of the transition. In one and two dimensions the broadening leads to significant current decay well below the mean-field critical current. We show that the temperature scale below which quantum phase slips dominate the decay of supercurrents is easily within experimental reach.Accepted manuscrip

Decay of super-currents in condensates in optical lattices

In this paper we discuss decay of superfluid currents in boson lattice systems due to quantum tunneling and thermal activation mechanisms. We derive asymptotic expressions for the decay rate near the critical current in two regimes, deep in the superfluid phase and close to the superfluid-Mott insulator transition. The broadening of the transition at the critical current due to these decay mechanisms is more pronounced at lower dimensions. We also find that the crossover temperature below which quantum decay dominates is experimentally accessible in most cases. Finally, we discuss the dynamics of the current decay and point out the difference between low and high currents.Comment: Contribution to the special issue of Journal of Superconductivity in honor of Michael Tinkham's 75th birthda

Anisotropic pair-superfluidity of trapped two-component Bose gases

We theoretically investigate the pair-superfluid phase of two-component ultracold gases with negative inter-species interactions in an optical lattice. We establish the phase diagram for filling $n=1$ at zero and finite temperature, by applying Bosonic Dynamical Mean-Field Theory, and confirm the stability of pair-superfluidity for asymmetric hopping of the two species. While the pair superfluid is found to be robust in the presence of a harmonic trap, we observe that it is destroyed already by a small population imbalance of the two species.Comment: 7 pages, 11 figure

Superfluid-insulator transition in a moving system of interacting bosons

We analyze stability of superfluid currents in a system of strongly interacting ultra-cold atoms in an optical lattice. We show that such a system undergoes a dynamic, irreversible phase transition at a critical phase gradient that depends on the interaction strength between atoms. At commensurate filling, the phase boundary continuously interpolates between the classical modulation instability of a weakly interacting condensate and the equilibrium quantum phase transition into a Mott insulator state at which the critical current vanishes. We argue that quantum fluctuations smear the transition boundary in low dimensional systems. Finally we discuss the implications to realistic experiments.Comment: updated refernces and introduction, minor correction