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The SSRC Library allows visitors to access materials related to self-sufficiency programs, practice and research. Visitors can view common search terms, conduct a keyword search or create a custom search using any combination of the filters at the left side of this page. To conduct a keyword search, type a term or combination of terms into the search box below, select whether you want to search the exact phrase or the words in any order, and click on the blue button to the right of the search box to view relevant results.

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  • Individual Author: Gangopadhyaya, Anuj; Kenney, Genevieve
    Reference Type: Report
    Year: 2018

    This brief revises our earlier analysis on who could be affected by Kentucky’s Medicaid work requirements based on new information posted on Kentucky’s website. We no longer include non-SSI dual Medicare and Medicaid enrollees in our main analysis and have revised all estimates in the text, tables, and appendix accordingly. We also discuss the waiver notices and information being conveyed to Kentucky’s enrollees and update information on the other states that have received approval to implement work requirements in their Medicaid programs. (Author abstract) 

    This brief revises our earlier analysis on who could be affected by Kentucky’s Medicaid work requirements based on new information posted on Kentucky’s website. We no longer include non-SSI dual Medicare and Medicaid enrollees in our main analysis and have revised all estimates in the text, tables, and appendix accordingly. We also discuss the waiver notices and information being conveyed to Kentucky’s enrollees and update information on the other states that have received approval to implement work requirements in their Medicaid programs. (Author abstract) 

  • Individual Author: Bhatt, Chintan B. ; Beck-Sagué, Consuelo M.
    Reference Type: Journal Article
    Year: 2018

    Objectives. To explore the effect of Medicaid expansion on US infant mortality rate.

    Methods. We examined data from 2010 to 2016 and 2014 to 2016 to compare infant mortality rates in states and Washington, DC, that accepted the Affordable Care Act Medicaid expansion (Medicaid expansion states) and states that did not (non–Medicaid expansion states), stratifying data by race/ethnicity.

    Results. Mean infant mortality rate in non–Medicaid expansion states rose (6.4 to 6.5) from 2014 to 2016 but declined in Medicaid expansion states (5.9 to 5.6). Mean difference in infant mortality rate in Medicaid expansion versus non–Medicaid expansion states increased from 0.573 (P = .08) in 2014 to 0.838 in 2016 (P = .006) because of smaller declines in non–Medicaid expansion (11.0%) than in Medicaid expansion (15.2%) states. The 14.5% infant mortality rate decline from 11.7 to 10.0 in African American infants in Medicaid expansion states was more than twice that in non–Medicaid expansion states (6.6%: 12.2 to 11.4; P = .012).

    Conclusions....

    Objectives. To explore the effect of Medicaid expansion on US infant mortality rate.

    Methods. We examined data from 2010 to 2016 and 2014 to 2016 to compare infant mortality rates in states and Washington, DC, that accepted the Affordable Care Act Medicaid expansion (Medicaid expansion states) and states that did not (non–Medicaid expansion states), stratifying data by race/ethnicity.

    Results. Mean infant mortality rate in non–Medicaid expansion states rose (6.4 to 6.5) from 2014 to 2016 but declined in Medicaid expansion states (5.9 to 5.6). Mean difference in infant mortality rate in Medicaid expansion versus non–Medicaid expansion states increased from 0.573 (P = .08) in 2014 to 0.838 in 2016 (P = .006) because of smaller declines in non–Medicaid expansion (11.0%) than in Medicaid expansion (15.2%) states. The 14.5% infant mortality rate decline from 11.7 to 10.0 in African American infants in Medicaid expansion states was more than twice that in non–Medicaid expansion states (6.6%: 12.2 to 11.4; P = .012).

    Conclusions. Infant mortality rate decline was greater in Medicaid expansion states, with greater declines among African American infants. Future research should explore what aspects of Medicaid expansion may improve infant survival. (Author abstract)

     

  • Individual Author: Hahn, Heather; Rohacek, Monica; Isaacs, Julia
    Reference Type: Report
    Year: 2018

    Child care subsidies are critical for the well-being of low-income families, including parents’ economic success and children’s development. To inform state efforts to simplify access to child care subsidies and improve service delivery, this report highlights steps taken and lessons learned by five states that participated in the Work Support Strategies initiative between 2012 and 2015. These states worked to improve child care subsidy access and retention, efficiency of service delivery, quality of client service, and alignment with other benefit programs. The report also discusses the implications of these findings for implementation of the reauthorized Child Care and Development Fund. (Author abstract)

    Child care subsidies are critical for the well-being of low-income families, including parents’ economic success and children’s development. To inform state efforts to simplify access to child care subsidies and improve service delivery, this report highlights steps taken and lessons learned by five states that participated in the Work Support Strategies initiative between 2012 and 2015. These states worked to improve child care subsidy access and retention, efficiency of service delivery, quality of client service, and alignment with other benefit programs. The report also discusses the implications of these findings for implementation of the reauthorized Child Care and Development Fund. (Author abstract)

  • Individual Author: Weigensberg, Elizabeth; Cornwell, Derekh; Leininger, Lindsey; Stagner, Matthew; LeBarron, Sarah; Gellar, Jonathan; MacIntyre, Sophie; Chapman, Richard; Maher, Erin J.; Pecora, Peter J.; O'Brien, Kirk
    Reference Type: Report
    Year: 2018

    Mathematica and Casey Family Programs have published the final report from a project linking child welfare and Medicaid data to conduct analyses to understand types of high service use and to identify factors predictive of high service use among children in foster care. The study identifies distinct types of high service users and how both child welfare and Medicaid data can be used to predict which children may be likely to experience high degrees of placement instability. The study was conducted in partnership with partners in two states—Tennessee’s Department of Children’s Services and TennCare, and Florida’s Department of Children and Families, Agency for Health Care Administration, and Eckerd Kids. The goal of the project is to help child welfare, Medicaid and other service providing agencies better coordinate service delivery to prevent undesirable outcomes for children and to improve effectiveness and efficiency. (Author abstract) 

    Mathematica and Casey Family Programs have published the final report from a project linking child welfare and Medicaid data to conduct analyses to understand types of high service use and to identify factors predictive of high service use among children in foster care. The study identifies distinct types of high service users and how both child welfare and Medicaid data can be used to predict which children may be likely to experience high degrees of placement instability. The study was conducted in partnership with partners in two states—Tennessee’s Department of Children’s Services and TennCare, and Florida’s Department of Children and Families, Agency for Health Care Administration, and Eckerd Kids. The goal of the project is to help child welfare, Medicaid and other service providing agencies better coordinate service delivery to prevent undesirable outcomes for children and to improve effectiveness and efficiency. (Author abstract) 

  • Individual Author: Wheaton, Laura; Lynch, Victoria; Johnson, Martha C.
    Reference Type: Report
    Year: 2017

    This report examines the overlap in eligibility of children and nonelderly adults for Supplemental Nutrition Assistance Program (SNAP) and Medicaid/Children’s Health Insurance Program (CHIP) benefits in 2013, prior to Medicaid expansion under the Affordable Care Act. We find that over half of children eligible for one program were eligible for both, and nearly all of the remaining children were eligible for Medicaid/CHIP. A substantially smaller share of parents and nonparents were eligible for both SNAP and Medicaid/CHIP. The report also provides state-level estimates to allow calculation of state joint program participation rates. (Author abstract)

    This report examines the overlap in eligibility of children and nonelderly adults for Supplemental Nutrition Assistance Program (SNAP) and Medicaid/Children’s Health Insurance Program (CHIP) benefits in 2013, prior to Medicaid expansion under the Affordable Care Act. We find that over half of children eligible for one program were eligible for both, and nearly all of the remaining children were eligible for Medicaid/CHIP. A substantially smaller share of parents and nonparents were eligible for both SNAP and Medicaid/CHIP. The report also provides state-level estimates to allow calculation of state joint program participation rates. (Author abstract)

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