The Workforce Investment Act (WIA) is the nation’s largest source of training and employment services. To provide greater local and state flexibility and responsiveness in administering the program, the U.S. Department of Labor (DOL) allows states to apply for waivers from federal regulations....

Seeking ways to provide culturally and linguistically appropriate health care to an increasingly diverse population is a growing policy concern. Public hearings held in Connecticut revealed that many of the state's residents with limited English proficiency (LEP) see health care providers...

Diabetes is a growing threat to the nation’s health that has serious and costly complications. This paper looks behind the $79.7 billion estimates for 2005 of medical and disability costs to the federal government cited in Mathematica’s main study. The estimates include $2.5 billion in...

This report presents the sampling design and data collection activities for round 4 (2010) of the Social Security Administration’s National Beneficiary Survey (NBS). It also provides descriptive statistics on working-age individuals receiving Supplemental Security Income and Social Security...

More than 40 percent of the nation’s physicians have access to a basic electronic health record (EHR) system; however, implementation of advanced functions for patient management and care coordination is not widespread, according to a study led by Mathematica and the Mongan Institute for...

Using data from patients surveyed after primary care provider visits, this working paper found patients had favorable perceptions of electronic health records (EHRs). Patients believed that EHRs improved the quality of care, and most were not concerned with confidentiality of records. Adopters'...

Although Medicare+Choice was conceived to bring managed care and competitive forces to bear on Medicare, ultimately it could not thrive under the conditions of the marketplace and the Balanced Budget Act of 1997. Reviews what went wrong and the lessons from the experience, concluding that M+C is...

This case study discusses trends in new Medicaid and State Children’s Health Insurance Program (SCHIP) enrollment of children in Arkansas from 1999 through 2003. Researchers found that policy changes in Arkansas destigmatized public health insurance, leading to increased enrollment in both...

This brief explores changes in Ticket to Work (TTW) participants’ work activity and benefit receipt in recent years, focusing on the role of regulatory changes in 2008 and effects of the economic recession.

State vocational rehabilitation (VR) agencies provide important employment services for people with disabilities. Yet little is known about the characteristics of individuals who have received VR services compared to the general population of people with disabilities. Using 2007 data, we found...