Reports

This project addressed transition events associated with people entering and exiting poverty using data from the Survey of Income and Program Participation (SIPP) and the Panel Study of Income Dynamics (PSID). The study found that poverty entries and exits changed over the past two decades, with an increase in both poverty entries and exits (i.e., "cycling") in the mid 1990s.

The Medicare and Medicaid programs distribute extra payments to hospitals that treat a disproportionate share of indigent patients. The disproportionate share hospital (DSH) payment policies differ substantially between the two programs and, under Medicaid, across states as well.

Submitted to:Department of Health and Human ServicesAssistant Secretary for Planning and Evaluation Submitted by: Westat Chapin Hall Center for Children James Bell Associates

by: Signe-Mary McKernan and Caroline Ratcliffe The Urban Institute Prepared for:U.S. Department of Health and Human ServicesOffice of the Assistant Secretary for Planning and Evaluation Contract # HHS-100-99-0003

PrefaceThe Medicare and Medicaid programs distribute extra payments to hospitals that treat a disproportionate share of indigent patients. The disproportionate share hospital (DSH) payment policies differ substantially between the two programs and, under Medicaid, across states as well.

I. Project Background and Goals The 1996 Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) authorized the Temporary Assistance for Needy Families (TANF) program. PRWORA stated four broad goals for TANF:

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

This report presents research to assist states and counties in studying their current Temporary Assistance for Needy Families (TANF) caseloads.

Prepared by: Martha Kovac, Robin Dion, Jason Markesich, and Donna Pavetti Mathematica Policy Research, Inc. Prepared for:

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

Contents Three general program models for delivering services to the hard-to-employ were implemented in programs in the study sites. WtW grantees focus on the most disadvantaged, as specified in congressionally established provisions, but most programs have faced difficulties enrolling eligible in

The Welfare-to-Work (WtW) grants program is one of several major federally funded initiatives to help welfare recipients and other low-income parents move into employment. In 1997, the Balanced Budget Act authorized the U.S. Department of Labor to award $3 billion in WtW grants to states and local organizations.

Pamela A. Holcomb and Terri S. Thompson The Urban Institute This report was prepared under contract #HHS-100-95-0021 between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and the Urban Institute.

This paper--which is one of a series of Appendices which will be included in the demonstration's final report-- begins with a description of Wisconsin's Homecoming Project, followed by a summary of the program's results.

The purpose of this study is to explore the extent to which changes in medication use account for improvements in functioning among older Americans.

The objective of this report is to summarize the findings from the quantitative and qualitative methods used to answer the key study questions. The report provides a description of the states, agencies, and patients that participated in the study.

This report examines the costs of selected Dept. of Labor Welfare-to-Work (WtW) grantees as part of the HHS evaluation of the WtW program. The main objectives of the WtW cost analysis were to understand the cost structure of these programs and factors that influenced their costs.

The report presents findings from the process and implementation analysis component of the evaluation, and describes the service delivery operations of programs funded with WtW grants in eleven study sites.

by: Irma Perez-Johnson, Debra Strong, and Michelle Van Noy With Contributions by: Charles Nagatoshi Submitted to: Department of Health and Human Services Office of the Assistant Secretary for Planning and Evaluation Project Officer: Alana Landey

By: Demetra Smith Nightingale Nancy Pindus John Trutko (The Urban Institute) With Contributions by Michael Egner

Prepared under contract to ASPE, with funding from ACF by: Freya Sonenstein, Karin Malm, and Amy Billing The Urban Institute

U.S. Department of Health and Human Services The Contribution of Medication Use to Recent Trends in Old-Age Functioning

U.S. Department of Health and Human Services

Issue Papers on Foster Care and Adoption Adoption Dynamics: The Impact of the Adoption and Safe Families Act by Fred H. Wulczyn Chapin Hall Center for Children at the University of Chicago August, 2002

U.S. Department of Health and Human Services

  by: Charles J. Lieberman, Vanessa Lindler, and Margaret OBrien-Strain Submitted to: U.S. Department of Health and Human Services Assistant Secretary for Planning and Evaluation Submitted by: The SPHERE Institute

This paper builds on the prior work by replicating and expanding the analysis of material hardship, including the role of help from family and friends.

This paper adds a longitudinal perspective to the analysis of marriage and economic well-being and uses several techniques to control for the selectivity into marriage.

This paper reviews the rich literature on this topic.

This paper examines the types of union formation among families and their relationship to well-being.

This paper — which is one of a series of Appendices included in the demonstration's final report — describes a case study of the Michigan Nursing Home Transition Demonstration program.

With rapidly rising health care costs, reforms are needed to make high-quality, affordable health care more widely available. A critical element for providing real relief for both patients and physicians is comprehensive reform of our current medical liability system.

This report examines the consequences to medical innovation and overall health posed by attempts to contain drug expenditures by implementing government controls.

EXECUTIVE SUMMARY Americans are living longer and healthier lives. By the year 2030, the number of Americans over the age of 65 is projected to double to 70 million. The life expectancy of the average American is increasing, and the rates of mortality, morbidity, and disability among Americans over age 65 have steadily decreased.

Prepared by: Robert Lerman Urban Institute and American University This four-paper series examines the economic returns to marriage. Findings from the papers are synthesized in a Summary by Kelleen Kaye, senior analyst at the U.S. Department of Health and Human Services.

Submitted by: Gayle Hamilton Manpower Demonstration Research Corporation Submitted to:U.S. Department of Health and Human ServicesAdministration for Children and FamiliesOffice of the Assistant Secretary for Planning and Evaluation

Barbara Coleman, Wendy Fox-Grage and Donna Folkemer National Conference of State Legislatures This report was prepared under contract #HHS-100-97-0015 between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and George Washington University. George Washington University.

U.S. Department of Health and Human Services

Regular physical activity, fitness, and exercise are critically important for the health and well being of people of all ages. Research has demonstrated that virtually all individuals can benefit from regular physical activity, whether they participate in vigorous exercise or some type of moderate health-enhancing physical activity.

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Department of Health and Human Services Office of the Assistant Secretary for Public Affairs Provides discussion and estimates of several Congressional proposals on prescription drug costs for Medicare beneficiaries.

Contents Parenting Family Formation Fertility Conclusion The great majority of Americans will become parents at some point in their lives.

This report compares the medication use of Medicare beneficiaries living in nursing homes and assisted living facilities. Descriptions of Medicare use include mean number of drug mentions per month of stay (scheduled and PRN drugs), and prevalence and duration of therapy by major drug classes.

U.S. Department of Health and Human Services