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Early Skyscrapers
Health Services Research • Vol 60 • No 4
Early Effects of Pathways to Success on Utilization in Traditional Medicare
2025
ABSTRACT Objective To evaluate the early effects of Pathways to Success implementation on utilization, as measured by quarterly price‐standardized Medicare spending per beneficiary. Study Setting and Design This study was a nationwide retrospective cohort ana…
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Early Skyscrapers

Tall commercial buildings built between 1884 and 1945

The earliest stage of skyscraper design encompasses buildings built between 1884 and 1945, predominantly in the American cities of New York and Chicago. Cities in the United States were traditionally made up of low-rise buildings, but significant economic growth after the American Civil War and increasingly intensive use of urban land encouraged the development of taller buildings beginning in the 1870s. Technological improvements enabled the construction of fireproofed iron-framed structures with deep foundations, equipped with new inventions such as the elevator and electric lighting. These made it both technically and commercially viable to build a new class of taller buildings, the first of which, Chicago's 138-foot (42 m) tall Home Insurance Building, opened in 1885.

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Health Services Research • Vol 60 • No 4
Early Effects of Pathways to Success on Utilization in Traditional Medicare
2025
ABSTRACT Objective To evaluate the early effects of Pathways to Success implementation on utilization, as measured by quarterly price‐standardized Medicare spending per beneficiary. Study Setting and Design This study was a nationwide retrospective cohort analysis of Traditional Medicare beneficiaries. The primary outcome was overall utilization, as measured by adjusted quarterly price standardized spending per beneficiary. Secondary outcomes included adjusted quarterly price standardized spending by component typ…
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