The focus of this study is on the key events that individual children may experience in the public child welfare service system. This report discusses the importance of this type of research, the issues that can be addressed with the information produced, an initial set of analyses addressing key questions in child welfare and an agenda for future
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The report analyzes the experiences of welfare "cyclers" (those who received welfare benefits during three or more discrete spells during a four-year observation period) using five MDRC studies of welfare reform initiatives during the mid- to late-1990s. Overall, cyclers constituted a relatively small portion of the welfare caseload (9 percent). C
An Examination of Issues Related to How HCBS Programs Operate Within Fixed Budgets and to the Administrative Linkages Between Eligibility Determination, Needs Assessment and Care Planning Functions
This paper reports the findings of an exploratory study to document and analyze selected best practices related to state-administered home and community-based services (HCBS) programs.
Public Financing of Home and Community Services for Children and Youth with Serious Emotional Disturbances: Selected State Strategies
Strengthening the financing of intensive home and community services for youth with serious emotional disorders (SEDs) brings into play a complex set of policy issues, regulatory constraints, and payment mechanisms. This report presents critical background information on these topics. It describes important system-of-care principles that have sh
This report is one in a series produced under the National Evaluation of the DOL Welfare-to-Work (WtW) Grants Program. This study examines the extent to which former welfare recipients, if they were to experience a job loss, are likely to have monetary eligibility for Unemployment Insurance (UI).
Programs to help the hard to employ move into jobs and become self-sufficient have become increasingly important in the context of time-limited public assistance under the welfare reforms of 1996. The Welfare-to-Work (WtW) grants program provided states and local areas with flexible funding for programs to help the hard to employ move into employm
Evaluation of the District of Columbia's Demonstration Program,Managed Care System for Special Needs Children: Final Report
U.S. Department of Health and Human Services Evaluation of the District of Columbia's Demonstration Program, "Managed Care System for Disabled and Special Needs Children": Final Report
The purpose of this paper was to provide a synthesis and critique of current research on Medicaid spenddown. The primary goal was to ask what these studies could tell us about the extent to which persons incurred catastrophic expenses in nursing homes. A corollary goal was to examine how the data and research methods used in the various studies af
A Profile of Medicaid Institutional and Community-Based Long-Term Care Service Use and Expenditures Among the Aged and Disabled Using MAX 2002
This report examines how person-level data in the Medicaid Analytic eXtract (MAX) data system can be used to better understand Medicaid long-term care service use and expenditures, and to evaluate the utility of MAX data for further study of long-term care.
Expenditures for health care in the United States continue to rise and are estimated to reach $1.66 trillion in 2003. Much of these costs can be attributed to the diagnosis and treatment of chronic diseases and conditions such as diabetes, obesity, cardiovascular disease and asthma. A much smaller amount is spent on preventing these conditions. Th
Head Start programs provide comprehensive child development, educational, health, nutritional, social and other services to predominantly low income preschool children and their families. In recognition of the important role parents play in their child's development, Head Start programs are required to provide for the direct participation of paren
Pathway to the Future: How Workforce Development and Quality Jobs Can Promote Quality Care Conference Package
This document is the information package given to the attendees of the conference “Pathway to the Future: How Workforce Development and Quality Jobs Can Promote Quality Care.” The held in Washington, D.C. on May 23-25, 2004, and was sponsored by the U.S. Department of Health and Human Services and the U.S. Department of Labor.
Beyond Fair Hearings: How Five States Help Medicaid Managed Care Beneficiaries Resolve Disputes with Health Plans
U.S. Department of Health and Human Services Beyond Fair Hearings: How Five States Help Medicaid Managed Care Beneficiaries Resolve Disputes with Health Plans Beth Stevens, Nancy Archibald and Leslie Foster Mathematica Policy Research, Inc. November 2001 http://aspe.hhs.gov/daltcp/reports/2001/fairhear.pdf (126 PDF pages)
This paper provides an overview of public financing of long-term care services for the elderly under Medicare, Medicaid and other public programs. Recent program data on public spending for both nursing home and home care services are presented, as well as selected data on recent expenditure trends, particularly under Medicare and Medicaid. Long-t
Although the current difficulties in developing an adequate system of long-term care are extensive, they pale in comparison to the challenges ahead as the "baby boomers" come of age. To explore these issues this paper reports the results of research predicting disability among older people through the year 2020, focusing on the policy issues and c
Robert L. Mollica, KerenBrown Wilson, Barbara S. Ryther and Heather Johnson Lamarche LTC Resource Center University of Minnesota National Academy for State Health Policy May 1995
The Office of the Assistant Secretary for Planning and Evaluation (ASPE), in close collaboration with the Health Resources and Services Administration (HRSA), contracted with NORC to conduct an assessment of information technology use in ambulatory care health centers whose funding is administered by HRSA's Bureau of Primary Healthcare (BPHC).
The repeal of many provisions of the 1988 Medicare Catastrophic Coverage Act was due to subjective impressions about the usefulness to many elderly persons of the services covered by the law and to the omission of long-term care services. In the wake of the repeal of the Act, many legislators have promised that the issue of catastrophic health car
This study describes policies and practices in Connecticut, Minnesota, and Texas designed to coordinate the child support enforcement program, Medicaid, and SCHIP in order to secure and sustain appropriate health care coverage for child support-eligible children. Based on the findings from site visits to the three states, the report documents both