Goal-Oriented Patient Care â An Alternative Health Outcomes Paradigm. Article. The largest U.S. health insurer, the Centers for Medicare and Medicaid Services (CMS), has set a triple aim: better care for individuals, better health for populations, and lower costs.
Carnival in Rio De Janeiro, one of the best-known parties in the world, is also the largest carnival celebration in the world. Itâs filled with music, parades, drinking and people having fun. The carnival, a national holiday in Brazil, runs from Friday night to noon of the following Wednesday.
The city is geographically located at 22 degrees, 54 minutes south latitude and 43 degrees 12 minutes west longitude. Rio City is also the capital of the Rio de Janeiro state which lies in the south eastern region of Brazil. To the south of the city lies the Atlantic Ocean and to the east Guanabara Bay (BaÃ­a de Guanabara). The west is covered by Sepetiba Bay (BaÃ­a de Sepetiba).