This article examines the impacts of the Youth Transition Demonstration, an initiative of the Social Security Administration (SSA) to improve employment outcomes for youth with disabilities.

This paper examines the effect of government child support enforcement (CSE) on marital dissolution. By raising the financial obligation of the absent father to the single mother under divorce, CSE generally lowers the wife's cost of divorce. On the other hand, it raises the husband's cost....

The recent report produced by Vice President Gore's committee on government efficiency highlights the importance of streamlining government operations. But often there are trade-offs between administrative streamlining and accomplishing substantive program objectives. This article examines these...

Using findings from four demonstrations, we examine estimates of the effect on household food expenditures of converting food stamps into a cash transfer. We provide arguments for why the estimate produced by one of the demonstrations should be regarded as an outlier. The disparity in the...

Reviews Tennessee's experience setting, monitoring, and updating capitation rates for Medicaid managed behavioral health care and draws lessons for other states. Finds that the initial behavioral health rate was inadequate, primarily because of the way available information was used, rather than...

A study recently published concluded that populations with different types of public health insurance have rates of receiving treatment for a substance use disorder that range from two to four times greater than the privately insured. The study was funded by the Substance Abuse and Mental Health...

With higher payments and expanded private-plan authority, Medicare Advantage (MA) has caused the market to grow. One in three Medicare beneficiaries with Part D now gets this coverage through MA. Analysis of the sources of and reasons for enrollment growth suggest a troubling report card....

Looks at the characteristics and responsibilities of organizations that mediate risk and care management responsibility between managed care organizations and individual providers, finding that some are experiencing serious financial problems.

The backlash against managed care has pressured plans to reexamine approaches to controlling utilization and managing members' health care needs, but how much has really changed? Interviews with health plans and others in 12 nationally representative markets suggest that the changes are significant.