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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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The SSRC Library includes resources which may be available only via journal subscription. The SSRC may be able to provide users without subscription access to a particular journal with a single use copy of the full text.  Please email the SSRC with your request.

The SSRC Library collection is constantly growing and new research is added regularly. We welcome our users to submit a library item to help us grow our collection in response to your needs.


  • Individual Author: Zogg, Cheryl K.; Scott, John W.; Metcalfe, David; Gluck, Abbe R.; Curfman, Gregory D.; Davis, Kimberly A.; Dimick, Justin B.; Haider, Adil H.
    Reference Type: Journal Article
    Year: 2019

    Importance Trauma is a leading cause of death and disability for patients of all ages, many of whom are also among the most likely to be uninsured. Passage of the Patient Protection and Affordable Care Act was intended to improve access to care through improvements in insurance. However, despite nationally reported changes in the payer mix of patients, the extent of the law’s impact on insurance coverage among trauma patients is unknown, as is its success in improving trauma outcomes and promoting increased access to rehabilitation.

    Objective To use rigorous quasi-experimental regression techniques to assess the extent of changes in insurance coverage, outcomes, and discharge to rehabilitation among adult trauma patients before and after Medicaid expansion and implementation of the remainder of the Patient Protection and Affordable Care Act.

    Design, Setting, and Participants Quasi-experimental, difference-in-difference analysis assessed adult trauma in patients aged 19 to 64 years in 5 Medicaid expansion (Colorado,...

    Importance Trauma is a leading cause of death and disability for patients of all ages, many of whom are also among the most likely to be uninsured. Passage of the Patient Protection and Affordable Care Act was intended to improve access to care through improvements in insurance. However, despite nationally reported changes in the payer mix of patients, the extent of the law’s impact on insurance coverage among trauma patients is unknown, as is its success in improving trauma outcomes and promoting increased access to rehabilitation.

    Objective To use rigorous quasi-experimental regression techniques to assess the extent of changes in insurance coverage, outcomes, and discharge to rehabilitation among adult trauma patients before and after Medicaid expansion and implementation of the remainder of the Patient Protection and Affordable Care Act.

    Design, Setting, and Participants Quasi-experimental, difference-in-difference analysis assessed adult trauma in patients aged 19 to 64 years in 5 Medicaid expansion (Colorado, Illinois, Minnesota, New Jersey, and New Mexico) and 4 nonexpansion (Florida, Nebraska, North Carolina, and Texas) states.

    Interventions/Exposure Policy implementation in January 2014.

    Main Outcomes and Measures Changes in insurance coverage, outcomes (mortality, morbidity, failure to rescue, and length of stay), and discharge to rehabilitation.

    Results A total of 283 878 patients from Medicaid expansion states and 285 851 patients from nonexpansion states were included (mean age [SD], 41.9 [14.1] years; 206 698 [36.3%] women). Adults with injuries in expansion states experienced a 13.7 percentage point increase in discharge to rehabilitation (95% CI, 7.0-7.8; baseline: 14.7%) that persisted across inpatient rehabilitation facilities (4.5 percentage points), home health agencies (2.9 percentage points), and skilled nursing facilities (1.0 percentage points). There was also a 2.6 percentage point drop in failure to rescue and a 0.84-day increase in length of stay. Rehabilitation changes were most pronounced among patients eligible for rehabilitation coverage under the 2-midnight (8.4 percentage points) and 60% (10.2 percentage points) Medicaid payment rules. Medicaid expansion increased rehabilitation access for patients with the most severe injuries and conditions requiring postdischarge care (eg, pelvic fracture). It mitigated race/ethnicity-, age-, and sex-based disparities in which patients use rehabilitation.

    Conclusions and relevance This multistate assessment demonstrated significant changes in insurance coverage and discharge to rehabilitation among adult trauma patients that were greater in Medicaid expansion than nonexpansion states. By targeting subgroups of the trauma population most likely to be uninsured, rehabilitation gains associated with Medicaid have the potential to improve survival and functional outcomes for more than 60 000 additional adult trauma patients nationally in expansion states. (Author abstract)

  • Individual Author: Hahn, Heather
    Reference Type: Report
    Year: 2019

    Work-related requirements—such as employment, job search, job training, or community engagement activities—are currently a condition of eligibility for some safety net programs. Temporary Assistance for Needy Families (TANF), the Supplemental Nutrition Assistance Program (SNAP), housing assistance and Medicaid each include work-related requirements in some states or localities for some beneficiaries. Recent proposals would expand or introduce new work requirements in these and other safety net programs, which offer vital supports for families to meet their basic needs.

    For parents, meeting work requirements to gain or maintain eligibility for safety net programs and access to vital supports is not as straightforward as simply engaging in the required work activities. Parents must not only understand what the requirements are, but be able to access the necessary training and supports to meet the requirements and document their compliance. If they qualify for an exemption, they must learn how to document this as well. Agencies administering safety net programs must be able...

    Work-related requirements—such as employment, job search, job training, or community engagement activities—are currently a condition of eligibility for some safety net programs. Temporary Assistance for Needy Families (TANF), the Supplemental Nutrition Assistance Program (SNAP), housing assistance and Medicaid each include work-related requirements in some states or localities for some beneficiaries. Recent proposals would expand or introduce new work requirements in these and other safety net programs, which offer vital supports for families to meet their basic needs.

    For parents, meeting work requirements to gain or maintain eligibility for safety net programs and access to vital supports is not as straightforward as simply engaging in the required work activities. Parents must not only understand what the requirements are, but be able to access the necessary training and supports to meet the requirements and document their compliance. If they qualify for an exemption, they must learn how to document this as well. Agencies administering safety net programs must be able to efficiently process each case.

    This report illustrates and explores the complex pathways parents who are subject to work requirements must navigate to maintain their access to the safety net. Some pathways may lead families to maintain their access to benefits, while others could lead them to lose access to benefits for which they are still eligible. (Edited author abstract)

     

  • Individual Author: Self-Sufficiency Research Clearinghouse
    Reference Type: SSRC Products
    Year: 2019

    This set of selections focuses on adult obesity. SSRC Selections highlight research, evaluation reports, and other publications that inform the field about key issues in, and effective practices for, fostering economic self-sufficiency.

     

    This set of selections focuses on adult obesity. SSRC Selections highlight research, evaluation reports, and other publications that inform the field about key issues in, and effective practices for, fostering economic self-sufficiency.

     

  • Individual Author: Hill, Terrence D.; Jorgenson, Andrew
    Reference Type: Journal Article
    Year: 2018

    We test whether income inequality undermines female and male life expectancy in the United States. We employ data for all 50 states and the District of Columbia and two-way fixed effects to model state-level average life expectancy as a function of multiple income inequality measures and time-varying characteristics. We find that state-level income inequality is inversely associated with female and male life expectancy. We observe this general pattern across four measures of income inequality and under the rigorous conditions of state-specific and year-specific fixed effects. If income inequality undermines life expectancy, redistribution policies could actually improve the health of states. (Author abstract)

    We test whether income inequality undermines female and male life expectancy in the United States. We employ data for all 50 states and the District of Columbia and two-way fixed effects to model state-level average life expectancy as a function of multiple income inequality measures and time-varying characteristics. We find that state-level income inequality is inversely associated with female and male life expectancy. We observe this general pattern across four measures of income inequality and under the rigorous conditions of state-specific and year-specific fixed effects. If income inequality undermines life expectancy, redistribution policies could actually improve the health of states. (Author abstract)

  • Individual Author: Hoagwood, Kimberly Eaton; Atkins, Marc; Kelleher, Kelly; Peth-Pierce, Robin; Olin, Serene; Burns, Barbara; Landsverk, John; Horwitz, Sarah McCue
    Reference Type: Journal Article
    Year: 2018

    At a time when the prevalence of mental disorders in children and adolescents, particularly in those living at a low income, is increasing dramatically and only 2% of children using publicly funded services receive evidence-based services, it is timely to ask whether federal funding for research on the delivery of effective services, the structure of systems, and the development and implementation of effective interventions is keeping pace. It is even more critical to ask this question when faced with near-certain cuts to programs that provide mental health services (e.g., Medicaid, Supplemental Security Income) and a safety net (e.g., Earned Income Tax Credit, Supplemental Nutrition Assistance Program) for many low-income families. (Author abstract)

    At a time when the prevalence of mental disorders in children and adolescents, particularly in those living at a low income, is increasing dramatically and only 2% of children using publicly funded services receive evidence-based services, it is timely to ask whether federal funding for research on the delivery of effective services, the structure of systems, and the development and implementation of effective interventions is keeping pace. It is even more critical to ask this question when faced with near-certain cuts to programs that provide mental health services (e.g., Medicaid, Supplemental Security Income) and a safety net (e.g., Earned Income Tax Credit, Supplemental Nutrition Assistance Program) for many low-income families. (Author abstract)

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