This study investigates Audio over IP. A stress test was used to see what impact asymmetric latency had on the audio signal in a closed network. The study was constructed into two parts. The first part is the stress test where two AoIP solutions were tested. The two solutions where exposed in two forms of asymmetric latency. First a fixed value was used, next, a custom script was used to simulate changing values of asymmetric latency. The second part of this study involved interviews that where conducted with representatives from the audio industry that are working with audio over IP on a dayto-day usage. The goal for these interviews was to figure out what knowledge the audio industry had about asymmetric latency, if the industry had experienced problems related to latency and what general knowledge the industry has about networks. It was found in the interviews that the limitation in AoIP isn’t the technology in itself but rather missing knowledge with the people that are using the systems.

The rising cost of health care in the Philippines is a concern for the Department of Defense and TRICARE beneficiaries. The purpose of this quantitative cross-sectional research study was to determine the efficacy and acceptability of a different method to deliver health care to increase access to health care and decrease out-of-pocket costs while maintaining quality of care for TOP Standard beneficiaries who receive health care under the Philippine Demonstration. Secondary data was used to determine the acceptability of an alternative reimbursement methodology to decrease cost but maintain access to quality care. The Andersen's behavioral health care model and the Donabedian quality health care model were used to interpret the study results. A data set of 180 participants was evaluated using a cross-sectional quantitative methodology. Two Spearman correlations were used to examine the relationship between financial burden and satisfaction (r = .41, p < .001) and financial burden and confidence (r = .44, p < .001). Linear and binary regressions assessed the effects of age and gender on satisfaction with health care finder functionality when requesting a waiver (F (2,26) = 1.22, p = .313, R2 = .09). A computation of one-sample t-tests to determine the impact of a closed network, beneficiary out-of-pocket cost, and quality health care in Demonstration areas found the beneficiaries were satisfied with the demonstration. An analysis of the claims data pre and post demonstration showed a difference in the patients' out-of-pocket expenses and the acceptability and preference for a closed network. Social change was demonstrated by a decrease in the cost for TRICARE standard beneficiaries in the Philippines.