Reports

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

Based on the summary report, Survey Design for TANF Caseload Project, Summary Report and Recommendations, that reviews existing survey questions and scales focused on potential barriers to employment among TANF recipients, ASPE finalized this survey instrument, the TANF Caseload Survey, for use in the six state studies.

Provides discussion and estimates of several Congressional proposals on prescription drug costs for Medicare beneficiaries.

Panel on Data and Methods for Measuring the Effects of Changes in Social Welfare Programs Edited by: Michele Ver Ploeg, Robert A. Moffitt, and Constance F. Citro Committee on National Statistics Division of Behavioral and Social Sciences and Education National Research Council

To fulfill a Presidential mandate, the Department of Health and Human Services established the New Freedom Initiative Workgroup to review efforts that have been initiated in response to the Olmstead decision, and to recommit and refocus the Administration's efforts in promoting the full participation of adults with disabilities in community life.

U.S. Department of Health and Human Services A Compendium of HHS Technical Assistance Activities Related to the Administration’s Community- Integration Initiative

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

Barbara Phillips and Barbara Schneider Mathematica Policy Research, Inc. May 2002 This report was prepared under contract #HHS-100-95-0046 between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and the University of Maryland.

U.S. Department of Health and Human Services

This study examines the impact of changes in Medicare home health policy mandated by the Balanced Budget Act (BBA) of 1997 on satisfaction with care for disabled Medicare beneficiaries. The BBA mandated major changes in home health payment requiring the implementation of a Prospective Payment System (PPS) and an Interim Payment System (IPS) prior to the implementation of PPS.

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.

This report discusses findings from case studies of nine states — Alaska, Connecticut, Iowa, Maine, Minnesota, Nebraska, Oregon, Vermont and Wisconsin — operating Medicaid Buy-In programs for working persons with disabilities. At the time of this study, approximately 13,000 persons were enrolled in the programs in these nine states.

This report describes the design and implementation of Arkansas' model of Cash and Counseling — IndependentChoices — and draws lessons from the state's experience.

This paper describes the findings from nine Case Study states. These case studies were conducted: (1) To examine early implementation experience among the states in order to gain an understanding of the programmatic, fiscal, and political context in which design decisions were made.

The use of private organizations to perform social service functions has increased dramatically in recent years. This report reviews the literature on the privatization of welfare and related services by states and localities. It is the first product of a study of privatization of welfare services.

Prepared by: Matthew Lyon Prepared for:Office of Human Services PolicyOffice of the Assistant Secretary for Planning and Evaluation U.S. Department of Health and Human Services

by: Pamela Winston, Andrew Burwick, Sheena McConnell, and Richard Roper Submitted to:Department of Health and Human ServicesOffice of the Assistant Secretary for Planning and Evaluation

General Uses of Child Indicator StudiesMairéad Reidy. Ph.D., Senior Research Associate Chapin Hall Center for Children University of Chicago, (773) 256 5174 (phone) reidy-mairead@chmail.spc.uchicago.edu

Contents Overview:  Project Objectives, Operations, and Key Concerns Overview of Technical Assistance to States Key Project Products and Publications Communicating the Results and Lessons Learned from the Child Indicators Project

U.S. Department of Health and Human Services Policy Frameworks for Designing Medicaid Buy-In Programs and Related State Work Incentive Initiatives

Barbara Phillips and Barbara Schneider Mathematica Policy Research, Inc.    

U.S. Department of Health and Human Services The Medicaid Buy-In Program: Lessons Learned From Nine "Early Implementer" States

U.S. Department of Health and Human Services Medicaid Buy-In Programs: Case Studies of Early Implementer States

U.S. Department of Health and Human Services Study of the Impact of Monitoring the Health Outcomes for Disabled Nelda McCall, Jodi Korb, Andrew Petersons and Stanley Moore Laguna Research Associates May 2002 PDF Version

Contents Evaluation of Section 510 Abstinence Education Programs Early Implementation and Operational Lessons More Lessons to Come Analysis and Reporting Plans In 1996, Congress authorized $50 million annually for five years to promote

Recent fiscal reform initiatives have attempted to address some of the seemingly chronic problems of the child welfare system in the United States. This report describes how states are implementing fiscal reforms to contain costs or improve system performance. It also identifies issues that the implementation of fiscal reforms faces and describes how well fiscal reforms appear to be working.

"Consumer-direction" is a philosophy and orientation to the delivery of home and community-based long-term care that puts informed consumers and their families in the driver's seat with respect to making choices about how best to meet their disability-related supportive service needs.

This report describes how states are implementing fiscal reforms to contain costs or improve the performance of their child welfare systems. 23 initiatives in 22 states are described. The report also identifies issues that the implementation of fiscal reforms face and describes how well fiscal reforms appear to be working.

AcknowledgmentsThis report, and its earlier editions, would not have been possible without the substantial support of the Federal Interagency Forum on Child and Family Statistics whose member agencies provided data and carefully reviewed relevant sections.

Submitted to:U.S. Department of Health and Human ServicesAssistant Secretary for Planning and Evaluation Submitted by: Westat and Chapin Hall Center for Children

Submitted by: Barbara Devaney Amy Johnson Rebecca Maynard Chris Trenholm Mathematica Policy Research, Inc Submitted to: Meredith Kelsey Office of the Assistant Secretary for Planning and Evaluation U.S. Department of Health and Human Services