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This report presents findings on the characteristics and employment barriers of families receiving TANF benefits in South Carolina's Family Independence (FI) Program. The study included in-depth telephone interviews with 1,120 case heads of families receiving TANF benefits in South Carolina during June 2002, in a research design stratified to incl

The purpose of this study was to evaluate the current system of financing for graduate medical education (GME) and to assess the strengths and weaknesses of alternative methods for GME financing. In completing the project researchers from RAND performed a literature review and held discussions with experts in the United States and abroad. The stud

The Office of the Assistant Secretary for Planning and Evaluation sponsored an expert meeting to advise DALTCP on policy issues and available data related to several populations of persons with disabilities: working age adults, children, persons age 65 and older, and special populations (e.g., persons with developmental disabilities, persons with

This project had two major goals: (1) To describe the workings of a successful, large-scale, case disability allowance program from an administrative perspective. The Veterans Administration (VA) allowance program is described in detail, to provide a benchmark for future research and program design. (2) To examine the question whether recipients o

The Outcome-Based Quality Improvement (OBQI) program provides reports to all Medicare-certified home health agencies so that they can identify potential quality problems and devise appropriate strategies to address them. There are 41 OBQI quality measures. A data-driven "stepwise" approach currently is used to risk adjust the OBQI indicators wit

As states seek to improve supportive services, policymakers need to know whether consumer-directed programs deliver quality care — that which satisfies consumers' preferences and does not harm their health. The need for evidence grows daily, as states respond to federal Systems Change grants and other initiatives spurred by the Supreme Court's 1

This project examines the Medicare Advantage (MA) products available in 2006, how they compare to past offerings when only local MA options were authorized, initial plan decisions and experiences under the new competitive bidding process, and how well available offers and enrollment meet Congress's overall objectives in enacting the Medicare Presc

Many children with special health care needs depend on the health and supportive services provided by Medicaid. It is important that policymakers have a sound understanding of these children's patterns of health care use, especially given the shift to managed care. Previous studies of children on Medicaid with severe disability and/or chronic illn

This Primer is designed to encourage use of the Medicaid program in a manner that minimizes reliance on institutions and maximizes community integration in a cost-effective manner. Its intended audience is policymakers and others who wish to understand how Medicaid can be used — and is being used — to expand access to a broad range of home a

This paper describes research to estimate the rates of nursing home admissions and to identify the determinants of long and short stays in nursing homes. The research employed data available from the 1982 and 1984 National Long-Term Care Surveys. Hence, the results are both nationally representative and indicative of nursing home use patterns by t

This paper synthesizes findings on current and future trends in child care usage patterns among employed mothers of preschoolers (less than 6 years old). It summarizes the types, duration, and expenditures on arrangements using the Current Population Surveys (1958, 1965, 1977 and 1982), the National Survey of Family Growth (1982), and the Survey o