Public Management, Services

 
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Using Behavioral Economics to Inform the Integration of Human Services and Health Programs under the Affordable Care Act (Research Report)
Fredric Blavin, Stan Dorn, Jay Dev

Behavioral economics, which analyzes how behavior sometimes departs from the rational calculation of self-interest, can help Medicaid programs use targeted enrollment strategies more effectively by eliminating apparently modest procedural requirements, which can greatly reduce participation levels. It can also help health coverage applicants receive SNAP, even though demonstrating eligibility for health subsidies and choosing a health plan can tax many consumers' cognitive resources, making it hard to process information about SNAP. For example, health applicants could be given the option to have the state's food agency contact them later to complete a SNAP application by phone.

Posted to Web: September 15, 2014Publication Date: July 21, 2014

Examples of Promising Practices for Integrating and Coordinating Eligibility, Enrollment and Retention: Human Services and Health Programs Under the Affordable Care Act (Research Report)
Stan Dorn, Sarah Minton, Erika Huber

States and non-profit organizations have used three approaches to successfully integrate enrollment and retention of health and human services programs: 1. Streamlining one program's eligibility determination based on data from other programs. This approach has helped uninsured children receive and retain health coverage, helped low-income seniors obtain SNAP, and produced state administrative savings. 2. Coordinated administration of multiple programs. Administrative savings resulted when multiple programs integrated their systems for case records, data matching, eligibility rules engines, on-line applications, and benefit payment. 3. Coordinating enrollment. Community colleges exemplify sites for enrolling consumers into multiple health and human services at once.

Posted to Web: September 15, 2014Publication Date: July 21, 2014

Opportunities under the Affordable Care Act for Human Services Programs to Modernize Eligibility Systems and Expedite Eligibility Determination (Research Report)
Stan Dorn, Rebecca Peters

Human services programs can benefit from 90 percent federal funding for information technology investments that are complete by the end of 2015 and that: 1) build a service that helps both Medicaid and human services; or 2) build an interface that helps Medicaid use human services records to verify eligibility or "fast track" enrollment. Once the Affordable Care Act is fully phased in, Medicaid will be the country's most widely-used need-based program. Human services programs can use Medicaid records to streamline eligibility determination, despite limits on information sharing and differences between Medicaid and human services program rules, including household definitions.

Posted to Web: September 15, 2014Publication Date: July 21, 2014

Transforming Performance Measurement for the 21st Century (Research Report)
Harry P. Hatry

While substantial progress has been made in spreading performance measurement across the country and world, much of the information from performance measurement systems has been shallow. Modern technology and the considerable demand for information on progress in achieving the outcomes of public programs and policies are creating major opportunities for considerably improving the usefulness of performance information. This report provides a number of recommendations to help public and private service organizations take advantage of these opportunities, particularly for:(a) selecting appropriate performance indicators and data collection procedures; (b) analyzing and reporting the information; and (c) using the information to improve services.

Posted to Web: July 30, 2014Publication Date: July 30, 2014

Contracts and Grants between Human Service Nonprofits and Government: Comparative Analysis (Research Report)
Sarah L. Pettijohn, Elizabeth T. Boris

Government's reliance on human service nonprofits to provide services has been increasing, expanding the ability of nonprofits to achieve their missions and the ability of government to serve its constituents. This brief summarizes results from human service nonprofits in the second national study of government contracts and grants. We compare results of human service organizations in the 2013 national survey of nonprofits to the results of the survey conducted in 2010. We examine how human service organizations have managed since the recession ended and how their relationships with governments have changed.

Posted to Web: July 24, 2014Publication Date: July 24, 2014

Literature Review: Healthcare Occupational Training and Support Programs under the ACA—Background and Implications for Evaluating HPOG (Research Report)
Randall R. Bovbjerg, Erin McDonald

This report reviews the literature on the policy context of the Health Profession Opportunity Grants (HPOG) program, and the challenges and opportunities related to developing healthcare occupational training and support programs. It discusses the structure of the healthcare industry and trends in healthcare employment, implications of the Affordable Care Act (ACA) for entry-level employment in healthcare, and resulting challenges and opportunities for training programs. The report was developed as part of the HPOG Implementation, Systems and Outcome Project, which is being led by Abt Associates in partnership with the Urban Institute.

Posted to Web: June 12, 2014Publication Date: March 01, 2014

Putting Open Data to Work for Communities (Research Report)
Kathryn L.S. Pettit, Leah Hendey, Brianna Losoya, G. Thomas Kingsley

The National Neighborhood Indicators Partnership (NNIP) is a network of local organizations that collect, organize, and use neighborhood data to tackle issues in their communities. As the movement for government transparency has spread at the local level, more NNIP partners are participating in the call for governments to release data and are using open data to provide information for decisionmaking and community engagement. Local NNIP partners and open data advocates have complementary strengths and should work together to more effectively advance open government data that benefits all residents.

Posted to Web: June 12, 2014Publication Date: June 12, 2014

Case Study: Open Data in Chicago (Research Brief)
Kathryn L.S. Pettit

More and more local governments are embracing open data principles and releasing data online. The hope is that the greater transparency will engage residents, increase accountability, and spur new private uses of data. In Chicago, nongovernmental institutions have long provided data for community use and are now adapting their roles and services as new players and resources emerge. Understanding the rich local institutional and political context allows us to see the forces that shaped the impressive progress to date in open data and potential directions for the future.

Posted to Web: June 12, 2014Publication Date: June 12, 2014

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