|
| |
Indicators of Welfare Dependence: Annual Report to Congress, 2007
(Report)
|
Organization(s): ASPE |
The Welfare Indicators Act of 1994 requires the Secretary of Health and Human Services to prepare an annual report to Congress on indicators welfare dependence. The Indicators of Welfare Dependence report is prepared within the Office of Human Services Policy and delivered to Congress each spring. As mandated under the Congressional act, the report addresses the rate of welfare dependency, the degree and duration of welfare recipiency and dependence, and predictors of welfare dependence. Further, analyses of means-tested assistance in the report include benefits under the Temporary Assistance for Needy Families (TANF) program; the Food Stamp Program, and the Supplemental Security Income (SSI) program. The report also includes risk factors related to economic security, employment, and nonmarital births, as well an appendix with data related to the above programs. |
Published: July, 2007 |
Availability:
Full HTML Version
Full PDF Version
Research Brief
PDF Research Brief
Executive Summary
PDF Executive Summary
|
| |
Green Book
(Website)
Background Material and Data on Programs within the Jurisdicition of the Committee on Ways and Means |
Author(s): Committee on Ways and Means |
Organization(s): Committee on Ways and Means of the U.S. House of Representatives |
The Green Book is compiled by the staff of the Committee on Ways and Means of the U.S. House of Representatives from many sources and provides program descriptions and historical data on a wide variety of social and economic topics, including Social Security, employment, earnings, welfare, child support, health insurance, the elderly, families with children, poverty, and taxation. It has become a standard reference work for those interested in the direction of social policy in the United States. This web site contains links to editions available electronically. |
Published: June, 2003 |
Availability:
Full HTML Version
|
| |
Indicators of Welfare Dependence: Annual Report to Congress, 2006
(Report)
|
Organization(s): ASPE |
The Welfare Indicators Act of 1994 requires the Secretary of Health and Human Services to prepare an annual report to Congress on indicators welfare dependence. The Indicators of Welfare Dependence report is prepared within the Office of Human Services Policy and delivered to Congress each spring. As mandated under the Congressional act, the report addresses the rate of welfare dependency, the degree and duration of welfare recipiency and dependence, and predictors of welfare dependence. Further, analyses of means-tested assistance in the report include benefits under the Temporary Assistance for Needy Families (TANF) program; the Food Stamp Program, and the Supplemental Security Income (SSI) program. The report also includes risk factors related to economic security, employment, and non-marital births, as well an appendix with data related to the above programs. |
Published: August, 2006 |
Availability:
Full HTML Version
Full PDF Version
Executive Summary
PDF Executive Summary
|
| |
Summary of Immigrant Eligibility Restrictions Under Current Law
(Issue Brief)
|
Author(s): David Nielsen |
Organization(s): ASPE |
Summarizes the provisions of the Personal Responsibility and Work Opportunities Act (PRWORA) as well as other recent legislation that restrict the program eligibility of immigrants. |
Published: October, 2004 |
Availability:
Full HTML Version
|
| |
Using MSIS Data to Analyze Medicaid Eligibility and Managed Care Enrollment Patterns in 1999
(Report)
|
Author(s): Marilyn Ellwood and Megan Kell |
Organization(s): Mathematica Policy Research |
In this report, the new MSIS enrollment data are utilized to provide detailed information on Medicaid eligibility patterns and managed care participation in calendar year 1999. A series of 14 tables were constructed for each of the 50 states and the District of Columbia, and then summarized at the national level. A separate File Listing gives the user the ability to go directly to the section or set of tables they are interested in. The data show that Medicaid eligibility and managed care enrollment vary dramatically across states. For example, Tennessee, for example, enrolled its entire Medicaid population in HMOs, while Alaska, Louisiana and Wyoming did not use any type of managed care for Medicaid enrollees in 1999. Overall, about 35 percent were enrolled in comprehensive managed care organizations (HMOs), and another 11 percent were enrolled in primary care case management (PCCM) plans. An additional 9 percent were enrolled in other types of prepaid health plans, such as behavioral health plans (BHPs) or dental plans, bringing the total enrollment in any kind of managed care plan to 55 percent. In terms of eligibility groups, about 69 percent of AFDC children (Section 1931) and 65 percent of AFDC adults (Section 1931) were either in an HMO or a PCCM, whereas only 33 percent of SSI disabled persons and 16 percent of SSI aged persons received care in that form. [2,042 PDF pages] |
Published: February, 2003 |
Availability:
Full HTML Version
Full PDF Version
|
| |
Policy Frameworks for Designing Medicaid Buy-In Programs and Related State Work Incentive Initiatives
(Report)
|
Author(s): Allen Jensen, Robert Silverstein, Donna Folkemer and Tara Straw |
Organization(s): George Washington University |
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 policy frameworks describe the interrelationship between federal and state cash assistance programs (particularly SSI, SSDI, and state SSI supplementation programs) and health entitlements (particularly the Medicaid program). The policy frameworks are derived from the experience of the nine early implementation states--Alaska, Connecticut, Iowa, Maine, Minnesota, Nebraska, Oregon, Vermont and Wisconsin. |
Published: May, 2002 |
Availability:
Full HTML Version
Executive Summary
|
| |
SSI Enrollees in TennCare: Room for Improvement
(Report)
|
Author(s): Steven S. Hill, Judith Wooldridge, Anne Ciemnecki, Karen CyBulski, Barbara Kolln, Michael Sinclair and Craig Thornton |
This report uses TennCare as a case study to learn whether mainstreaming people with disabilities in Medicaid managed care meets their needs. It compares the experiences of children and adults; people with diverse disabling conditions, including physical/sensory disabilities, mental illness, and mental retardation; people living in urban and rural areas of the state; and people in different managed care plans. The report seeks to answer the key questions: (1) Do SSI recipients have better or worse experiences in TennCare than do other TennCare enrollees? (2) Do SSI adults and children and SSI recipients with different types of disabling conditions have different experiences? (3) Do SSI recipients enrolled in different managed care plans have different experiences? Which managed care plan characteristics might be associated with any differences? (4) Do SSI recipients residing in urban and rural areas have different experiences? The authors use these comparisons to suggest lessons for states that are considering implementing managed care for their SSI populations and for the managed care plans that serve people with disabilities. |
Published: February, 2001 |
Availability:
|
| |
Evaluation of the District of Columbia's Demonstration Program,"Managed Care System for Special Needs Children": Final Report
(Report)
|
Author(s): Abt Associates |
Organization(s): Abt Associates |
This report summarizes evaluation of the experiences of the District of Columbia's managed care system for children and adolescents under the age of 22 who are eligible for Medicaid and who are considered disabled according to Supplemental Security Income (SSI) Program guidelines. The District of Columbia submitted a waiver-only request for a three-year demonstration project to test the efficacy of the managed care system and the operational phase of the project was initiated on December 15, 1995. The demonstration project seeks to integrate acute and long-term care services for children with disabilities into a single capacitated payment methodology and represents the first demonstration of its kind. Summary of the results from this project lists what factors go into designing, implementing, and maintaining this type of health care system; which children are willing to enter a health care system such as the one designed by this demonstration; and what kinds of experiences the organizations, providers, and clients can expect to have when a managed care system like the Demonstration is introduced. |
Published: June, 2000 |
Availability:
Full HTML Version
Executive Summary
|
| |
Risk Selection Among SSI Enrollees in TennCare
(Report)
|
Author(s): Steven C. Hill, Christopher Trenholm, Craig Thornton and Judith Wooldridge |
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 characteristics of the participating managed care plans that may have affected the choices of blind and disabled SSI beneficiaries and the nature of the payment system. Then the authors summarize processes that Tennessee used to enroll beneficiaries in managed care plans and the overall distribution of SSI beneficiaries among the plans. Next, data available for analyzing risk selection and the study's analytic approach is described. Finally, risk selection evidence is reviewed, and the paper concludes with a review of the lessons the Tennessee's experience provides for future payment and policies. |
Published: February, 1999 |
Availability:
|
| |
Evaluation of the District of Columbia's Demonstration Program,"Managed Care System for Disabled and Special Needs Children": Year One Report
(Report)
|
Author(s): Robert Coulam, Carol Irvin, Michele Teitelbaum, Laurine Thomas and Tanisha Carino |
Organization(s): Abt Associates |
This project evaluates the District of Columbia's managed care demonstration program for disabled and special needs children. The demonstration program relies on a Medicaid-financed managed care system for children in the District's Supplemental Security Income program and is offered to eligible children as an alternative to the traditional Medicaid fee-for-service system. Enhanced Medicaid benefits through the demonstration program include individual treatment plans, respite care, van transportation and taxi vouchers, care management services and limited use phones. The Medicaid payment system includes risk sharing based on 85% risk corridors (as defined by medical loss ratios) between the District's Medicaid office and the non-profit health plan operating the demonstration, a capitated payment system for the health plan, and negotiated fee schedules for providers. This evaluation considers access and cost issues, placing considerable emphasis on issues related to quality of care and satisfaction. The research design centers on three main activities: (1) analyses of the implementation of the demonstration; (2) analyses of enrollment which will describe which children enroll and disenroll in this type of system; and (3) outcomes analyses that document the experiences of the District, plan, providers, children and families. The study of the implementation of the demonstration is based on interviews, a series of site visits to the District's Medicaid office and HSCSN, and review of the documentary record. |
Published: July, 1998 |
Availability:
Full HTML Version
Executive Summary
|
|
|
See Related Projects
|
Older or Archived Products
|
|
|
Studies by Topic |
Studies by Program |
Studies by Population |
Studies by ASPE Office |
Advanced Search |
Full Text Search
|
