Changing His Plans

Changing His Plans

Author: Jo McNally

Publisher: Harlequin

Published: 2020-09-01

Total Pages: 224

ISBN-13: 1488070032

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Is he—and his town—ready for her? Is he ready to have his mind—and heart—changed? Ambitious real estate developer Brittany Doyle wants to bring Nate Thomas’s quiet Catskills town into the twenty-first century. Nate is dead set against her proposed plan, fearing it will destroy his mountain community’s rich heritage. But the more time he spends with Brittany, the more she is winning his heart. He just hopes he’s not heading for heartbreak.


Changing Plans

Changing Plans

Author: L. A. Witt

Publisher: Independently Published

Published: 2018-10-06

Total Pages: 394

ISBN-13: 9781726795852

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*** LARGE PRINT EDITION *** From EPIC Award winning author and multiple Lambda Finalist L.A. Witt comes the re-release of three hot contemporary novellas -- Getting off the Ground, Infinity Pools, and On The List.After being stood up at the altar, compulsive over-planner Elliott Chandler decides to turn his honeymoon on Oahu into a vacation for one. Fate puts a hitch in his plans, however, when the airport is snowed in and his flight is delayed.In the terminal, the jilted groom catches the eye of another stranded traveler: the laidback and very sexy Derek Windsor. Derek breaks the ice and strikes up a conversation, and as the temperature drops outside, the heat between them rises. Pity they


Changing Health Care Systems and Rheumatic Disease

Changing Health Care Systems and Rheumatic Disease

Author: Institute of Medicine

Publisher: National Academies Press

Published: 1997-02-09

Total Pages: 253

ISBN-13: 0309056837

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Market forces are driving a radical restructuring of health care delivery in the United States. At the same time, more and more people are living comparatively long lives with a variety of severe chronic health conditions. Many such people are concerned about the trend toward the creation of managed care systems because their need for frequent, often complex, medical services conflicts with managed care's desires to contain costs. The fear is that people with serious chronic disorders will be excluded from or underserved by the integrated health care delivery networks now emerging. Responding to a request from the National Institute of Arthritis and Musculoskeletal and Skin Diseases, this book reflects the results of a workshop that focused on the following questions: Does the model of managed care or an integrated delivery system influence the types of interventions provided to patients with chronic conditions and the clinical and health status outcomes resulting from those interventions? If so, are these effects quantitatively and clinically significant, as compared to the effects that other variables (e.g., income, education, ethnicity) have on patient outcomes? If the type of health care delivery system appears to be related to patient care and outcomes, can specific organizational, financial, or other variables be identified that account for the relationships? If not, what type of research should be pursued to provide the information needed about the relationship between types of health care systems and the processes and outcomes of care provided to people with serious chronic conditions?