Does managed care produce lower health care utilization and costs through better aligned financial incentives and alternative delivery methods (the “pure” HMO effect) or by attracting more healthy enrollees (enrollee selection)? The purpose of this paper is to shed new light on this fundamental question using a quasi-experimental approach that exploits the timing and county specific implementation of Medicaid managed care plans in two distinct sub-sets of Kentucky counties in the late 1990s.
This paper estimates the impact of the fundamental welfare reforms of the 1990s on the educational attainment of children in low-income families. Using data from national surveys of individuals and administrative records of school districts spanning the period from the early 1990s to the mid 2000s, we estimate the net effects of welfare reform in a difference-indifferences framework.
Poverty programs in recent decades has been transformed by the convergence of paternalistic and neoliberal approaches to administration. This has resulted in a devolution of program control to local jurisdictions. we seek to bridge this divide. Drawing on intensive field research and administrative data from the Florida Welfare Transition (WT) program, we present an empirically-grounded analysis of how organizations carry out the work of discipline in a decentralized, performancedriven policy system.
Numerous studies have confirmed that race plays an important role in shaping public preferences toward both redistribution and punishment. Likewise, studies suggest that punitive policy tools tend to be adopted by state governments in a pattern that tracks with the racial composition of state populations. Such evidence testifies to the enduring power of race in American politics, yet it has limited value for understanding how disciplinary policies get applied to individuals in implementation settings.
Welfare reform’s success encouraging employment may be affected by the federal Food Stamp program because many households receive welfare and Food Stamps. Food Stamp benefits could discourage employment because benefits are reduced proportionally with income; alternatively, it could encourage employment by increasing stability and allowing more resources to be allocated toward employment-related expenses. I examine the effects of Food Stamps on exiting welfare and becoming employed for welfare recipients.
Social policy, such as the legalization of abortion and the federal bans on lead in the 1970s, has been shown to significantly impact crime rates. With recent increases in juvenile arrests and violent crime rates, we explore whether further social policy—namely the 1996 Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) welfare reform—has had an impact on crime. Our results suggest that stricter work requirements experienced by 13 to 15 year-olds increase their violent crime activity 2 to 4 years later.
The goal of this study is to evaluate the effects of Medicaid/SCHIP eligibility and programmatic features on transitions from private insurance coverage among samples of American low-income children using monthly data from the 2001 panel of the Survey of Income and Program Participation (SIPP), a nationally representative data set. The estimation approach combines multilevel modeling and event history analysis, including a robust array of variables measuring programmatic features, individual child, family, and state attributes.
In May of 1998, the Relocation Assistance Program (RAP) was introduced in Kentucky as a means of aiding welfare recipients to achieve self-sufficiency by offering lump-sum payments to those who wished to relocate to seek or accept employment. Unlike other relocation assistance programs, this program provides moving assistance to welfare clients rather than to unemployed persons or dislocated workers. We relate this program to other relocation programs as well as to the UI bonus experiments.
Even before the advent of welfare reform, studies of low income working and welfare dependent groups showed that low wage working women are worse off than those who combine welfare with other income sources and that most used a wide variety of livelihood strategies. This is especially the case in poor rural settings where work is scarce and additional obstacles to employment such as lack of transportation and childcare are endemic.
This study contrasts partial and full family work sanctions by examining their administration in Texas, a state that initially imposed a partial benefit sanction, and then changed to full benefit sanctions. Using administrative fair hearing data, this study uses a qualitative research design to examine how full and partial sanctions may differ, and how front line workers administer both types of sanctions.
