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This paper examines risk selection among managed care plans for Supplemental Security Income (SSI) beneficiaries in Tennessee's Medicaid managed care program, TennCare, focusing in particular on TennCare's first two years (starting January 1994 and ending January 1996). Analysis starts with a review of the TennCare program, especially the characte

This guide provides practical advice to help program managers and evaluators understand, design, and perform cost-effectiveness (CE) evaluations of community public health prevention programs. Each chapter of the guide provides advice for addressing specific components of a CE analysis. The guide focuses on common concerns about how best to design

This report summarizes the results of a special experiment in the collection (from 347 mothers) of detailed current and retrospective child care information carried out in conjunction with the 1989 (11th round) wave of the National Longitudinal Survey of Youth. It addresses a number of child care data quality and evaluation issues, and provides so

This document contains brief summaries of recommendations for survey items to be included in the Survey of Persons with Mental Retardation and Developmental Disabilities. The domains covered by these recommendations are based on the core set identified in consultation with the Technical Advisory Group and HHS. [49 PDF pages]

After discusion about the possible approaches for conducting the international analysis, the International Collaborative Effort on Age research team concluded that the initial step in analysis should be to establish the 'context' of the research on outcomes of nursing home care. The purpose of this report is to describe the context of nursing home

In spite of the growth in federal programs affecting the developmentally disabled, there is little comprehensive information about this population. The Survey of Income and Program Participation (SIPP) is one available source of information. SIPP is a nationally representative longitudinal survey of the adult civilian non-institutionalized populat

The activities of daily living (ADLs) are the basic tasks of everyday life. Reported estimates of the size of the elderly population with ADL disabilities differ substantially across national surveys. Differences in which ADL items are being measured and in what constitutes a disability account for much of the variation. Other likely explanations

This report provides policy frameworks to assist stakeholders design and implement Medicaid Buy-In programs and related work incentive initiatives to enhance the level of economic self-sufficiency of persons with significant disabilities. Of particular focus are the design decisions affecting enrollment, costs, and a state's fiscal exposure. The p

This study investigates factors associated with changes in the child care arrangements of Aid to Families with Dependent Children (AFDC) recipients. To conduct the study, the authors interviewed a sample of AFDC recipients in 1984 and 1985, examined welfare case records, and developed models predicting AFDC mothers' transitions into and out of chi

The study of family strengths has been pursued by researchers from a variety of disciplines, including psychiatry, sociology, psychology, and family/marriage counseling. This paper will present an overview of this growing literature, focusing on four topics: the definition of strong families; the characteristics of strong families as identified by

This report analyzed the 1984 Medicaid experience of all children passing the Supplemental Security Income (SSI) disability test in California, Georgia, and Michigan to determine the enrollment, utilization, and expenditure patterns of these children. The study estimated the proportion of Medicaid expenditures attributable to SSI-related disabled

This paper was prepared as part of the Project to Design a Survey of Persons with Developmental Disabilities. The overall purpose of this project was to develop a national survey design that would provide data on a nationally representative sample of persons. This paper was conducted to develop a National Survey of Mentally Retarded and Developmen

When women who receive welfare benefits are compared with other women, both poor and non-poor, in the NLSY and other national sample surveys, welfare mothers are notably different from non-poor mothers. At the same time, these data show that there is considerable diversity within the welfare population. In particular, compared to short-term recipi

This analysis compares predictors of institutional residency in 1977 and 1985 among two national cohorts of individuals who responded to national surveys of nursing home and community-dwelling elderly persons. A state-level analysis of change in predictors of state nursing home use rates for 1976 and 1986 was also conducted using aggregate state

This study was designed to provide comprehensive information about future long-term care needs in the U.S. Using data from the U.S. Decennial Census of Population and Housing, National Long-Term Care Survey and National Nursing Home Survey, the study developed detailed projections of the need for long-term care among the elderly in the years 2000,

The evaluation of Cash and Counseling is the first to use a randomized design to compare service use and quality under traditional versus consumer-directed approaches to Medicaid supportive services. As part of the evaluation, this paper presents results for the children and parents who participated in Florida's Cash and Counseling demonstration

This report analyzed the Medicaid experience of children in California who had at least $25,000 in claims in 1983. The study analyzed their enrollment in claims experience over the period 1980-1986 in order to determine whether these children remain high cost over a number of years, and whether their eligibility changes over time. [35 PDF pages]

This report analyzes the Medicaid experience of children and young adults with total annual Medicaid claims of $25,000 or more in California, Georgia, Michigan and Tennessee in order to better understand service utilization patterns and how they vary by age and other characteristics. An important part of the study involved analysis of the eligibil