This article examines whether availability of in-person professional interpreter services during emergency department visits affects satisfaction of limited English proficient patients and their health providers, using a randomized controlled trial.

The Cash and Counseling Demonstration gives Medicaid beneficiaries who are eligible for personal care services a consumer-directed allowance in lieu of traditional agency services. Using survey and Medicaid claims data on 2,008 adult applicants randomly assigned to treatment or control groups,...

Communication between patients and providers is critical in hospital emergency departments, but most interpretive services for non-English speakers—often provided via telephone or ad hoc by untrained bilingual staff or family member(s)—vary in quality. This issue brief identifies...

Evaluations of the patient-centered medical home, a model that redesigns primary care, should account for clustering of patients within practices. This paper describes why and how to do this, and what samples of patients and practices are needed for studies to achieve adequate statistical power.

This issue brief provides a concise description for decision makers of why and how to commission effective evaluations of patient-centered medical home demonstrations. The authors discuss what outcomes to assess, why to include comparison practices, and the importance of accounting for clustering.

A growing number of Medicaid beneficiaries receiving disability-related assistance in their homes hire workers and manage the services themselves under consumer-directed care. Although consumer direction clearly benefits beneficiaries, it is sustainable only if workers are satisfied with their...