Reports

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This brief presents findings on family life during and after a father’s incarceration based on qualitative interviews conducted as part of the Multi-site Family Study on Incarceration, Parenting and Partnering (MFS-IP).

Family conflict is a key driver of youth homelessness, and most programs serving youth experiencing homelessness use some form of family intervention to address conflict and help reconnect youth when appropriate.

Since the early 1970s, the Office of the Assistant Secretary for Planning and Evaluation (ASPE) has used the Transfer Income Model (TRIM) to assess how social welfare programs affect family incomes and poverty. TRIM began as a tool to analyze proposed reforms to the nation’s cash welfare program during the Nixon administration.

New analysis of data from HUD's Family Options Study of adolescents’ experiences in shelter with their families and 20 months later shows that most adolescents continued to live with their families, and some continued to experience housing instability or live in overcrowded situations.

   

Differential response (DR) is an increasingly common model for how child protective services agencies address reports of child maltreatment. Differential response systems seek to be less adversarial than traditional child protective services by separating incoming referrals into two (or more) tracks.

 

This paper highlights the characteristics and experiences of the approximately 2.3 million U.S. children who live with neither biological nor adoptive parents, but instead live with relatives or non-relatives in foster care or less formal arrangements outside the foster care system.

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This is a follow-up to three earlier evaluation reports on the Balancing Incentive Program. The Balancing Incentive Program, legislated in the 2010 Affordable Care Act (ACA), offered states temporary enhanced federal financial participation for Medicaid home and community-based services (HCBS).

Understanding what supports strong relationship quality among formerly incarcerated men and their partners could have an impact on individual, interpersonal, and community safety and wellbeing.

The purpose of this issue brief is to highlight the importance of health insurance coverage for criminal justice involved individuals, particularly the importance of the expansion in Medicaid coverage made available through the Affordable Care Act.

Many community-based organizations serving men coming out of the criminal justice system recognize that their clients have serious physical, mental, and behavioral health needs.

This fact sheet explores eligibility for health care coverage, including through Medicaid and the Children’s Health Insurance Program (CHIP), for youth experiencing or at risk of homelessness. It provides information on subpopulations of youth who are likely to be eligible for health care coverage, which services are covered, and how to enroll.

New analysis of data from HUD's Family Options Study of families' experiences in shelter and 20 months later shows that families experiencing homelessness are generally connected to public benefits at similar rates to other families in deep poverty.

Brenda C. Spillman, Eva H. Allen, Nicole Lallemand, and Emily Hayes Urban Institute Printer Friendly Version in PDF Format (78 PDF pages)

This report presents findings from the first four years of the five-year evaluation of Medicaid health homes, a new integrated care model authorized in Social Security Act Section 1945 and created by Section 2703 of the Affordable Care Act. The model is designed to target high-need, high-cost beneficiaries with chronic conditions or serious mental illness.

ABSTRACT

This project studied the delivery of Medicare and Medicaid-funded services to dually eligible beneficiaries aged 65 and older in Minnesota. It compared fully-integrated managed care to service delivery when Medicare and Medicaid-funded services are delivered independently.

Across the country, state and local officials are increasingly focused on improving health outcomes for people living with mental illness or substance use disorders.

The Centers for Disease Control and Prevention’s (CDC’s) Communities Putting Prevention to Work (CPPW) program funded 44 communities and states under the American Recovery and Reinvestment Act (ARRA) to implement community-based tobacco and obesity prevention interventions.

In this Issue Brief, we examine spending growth through 2014, the first year the Affordable Care Act’s coverage provisions were in effect, and 2015, where possible. We provide detailed cost growth trends for Medicare and the private insurance market. We also estimate the effect of recently introduced specialty drugs on current and future spending growth.

Understanding what supports strong relationships formerly incarcerated men and their children could have an impact on individual, interpersonal, and community safety and well-being.

The dataset provides the total number of Qualified Health Plan selections by ZIP Code and county for the 38 states that use the HealthCare.gov platform, including the Federally-facilitated Marketplaces, State Partnership Marketplaces, and supported State-based Marketplaces, during the Marketplace’s third Open Enrollment Period (based on data for the period November 1, 2015 – February 1, 2016).

This Addendum contains detailed State-level tables highlighting cumulative enrollment-related information for the Health Insurance Marketplaces (Marketplaces) during the 2016 Open Enrollment period for all 50 states and the District of Columbia (11-1-15 to 1-31-16, including Special Enrollment Period (SEP) activity through 2-1-16).

During the third open enrollment period, the Health Insurance Marketplaces (“the Marketplaces”) continue to play an important role in fulfilling one of the Affordable Care Act’s central goals: reducing the number of uninsured Americans by providing affordable, high-quality health insurance.

Key findings • Expenditures on prescription drugs are rising and are projected to continue to rise faster than overall health spending thereby increasing this sector’s share of health care spending.

Medicare Part B covers infusible and injectable drugs and biologics administered in physician offices and hospital outpatient departments; as well as certain other drugs required by law provided by suppliers such as pharmacies The Part B payment method provides weak incentives for physicians to consider value – that is choose the lowest cost therapy to effectively treat a patient.

Stephan Lindner Urban Institute Printer Friendly Version in PDF Format (39 PDF pages)

Older adults who have income and assets have choices should they need long-term services and supports (LTSS). In this paper we estimate the extent to which older adults could potentially use home equity to help pay for nursing home care. By estimating the relationship between home equity and care costs, we provide an upper bound on how much assistance with LTSS home equity might purchase.

In states with a county-administered Medicaid programs, counties face many decisions and challenges in implementing Medicaid expansions, from operations to outreach, enrollment and renewal.

Kathleen Farrell, BA, Tasseli McKay, MPH, Heather Beil, PhD, Lexie Grove, BA, Stephanie Kissam, MPH, Erin Mallonee, MS, and Melissa Romaire, PhD RTI International Printer Friendly Version in PDF Format (68 PDF pages)

The Office of the Assistant Secretary for Planning and Evaluation, in partnership with the Administration for Children and Families within the U.S. Department of Health and Human Services, funded Mathematica Policy Research and its partners to conduct the Learning About Infant and Toddler Early Education Services (LITES) project.

“The Office of the Assistant Secretary for Planning and Evaluation, in partnership with the Administration for Children and Families within the U.S. Department of Health and Human Services, funded Mathematica Policy Research and its partners to conduct the Learning About Infant and Toddler Early Education Services (LITES) project.

The Office of the Assistant Secretary for Planning and Evaluation, in partnership with the Administration for Children and Families within the U.S. Department of Health and Human Services, funded Mathematica Policy Research and its partners to conduct the Learning About Infant and Toddler Early Education Services (LITES) project.

It is widely accepted that reimbursement policies and practices are important considerations in the research and development (R&D) decisions of potential innovators of healthcare technologies, and the investors who finance them.

Brenda Spillman Urban Institute Printer Friendly Version in PDF Format (35 PDF pages)

Are chronically disabled elders residing in the community who use home and community-based services (HCBS) less likely to end up in a nursing home? The 2004 National Long-Term Care Survey (NLTCS), a nationally representative sample of Americans aged 65 and older, was linked to follow-up years of Medicare/Medicaid claims and other administrative data.

 

Community Health Workers (CHWs) are an emerging group of health professionals that have recently drawn increased national attention because of their potential to deliver cost-effective, high quality, and culturally competent health services within team-based care models. The apparent benefits of integrating CHWs into health care teams seem to depend on context.

The dataset provides the total number of Qualified Health Plan selections by ZIP Code for the 38 states that use the HealthCare.gov platform, including the Federally-facilitated Marketplace, State Partnership Marketplaces and supported State-based Marketplaces, during the Marketplace open enrollment period to date (November 1, 2015 – January 9, 2016).