The Urban Institute and partners Weber Shandwick and American Institutes for Research have developed a new collection of outreach and educational materials for the Centers for Medicare and Medicaid Services (CMS) called Living Well, to help Medicaid and Children’s Health Insurance Program (CHIP) beneficiaries understand their preventive benefits. The toolkit is intended to help state and local agencies, health clinics and other

July 30, 2015
Research Report
 

A health insurance marketplace renewal process that accounts for both enrollee convenience and the changing value of financial assistance from year to year will likely play an important role in maintaining overall enrollment and long-term sustainability for state-based marketplaces. Through marketplace enrollment data and interviews with marketplace officials, insurer representatives and navigators, this paper examines how six

July 28, 2015
Research Report
 

Although the average income of older Americans has grown rapidly over recent decades, 6.5 million adults ages 65 and older—14 percent of the older population—do not have enough income to meet their needs. Older African Americans, Hispanics, people who did not complete high school, people with disabilities, and unmarried adults are especially likely to experience financial hardship. Older low-income adults receive most of their

July 22, 2015
Research Report
 

The Housing Finance Policy Center’s latest measure of the availability of mortgage credit, the Housing Credit Availability Index (HCAI), reveals that credit availability started to slowly increase from Q3 2013 to Q1 2015, after years of post-crisis credit tightening, moving from 4.6 percent of purchase loans that are likely to default to 5.7 percent. This loosening was sparked by GSE-backed and FHA, VA and RD loans. Significant

July 21, 2015
Brief
 

This paper examines the child care arrangements of mothers who work evenings, nights, or irregular schedules rather than regular daytime hours. Low-income working mothers in nonstandard schedules show greater use of any type of child care than low–income standard-schedule mothers and are more likely to use multiple child care arrangements. Partners are important sources of child care for mothers working nonstandard hours, and

July 16, 2015
Research Report
 

The recent reauthorization of the Child Care and Development Fund (CCDF) and the passage of Workforce Innovation and Opportunity Act provide a unique opportunity to support the child care needs of low-income parents who need education and training by strengthening each system’s approach to these families and by forging partnerships between the child care and workforce development systems. This brief documents opportunities and

July 16, 2015
Brief
 

The recent reauthorization of the Child Care Development Fund and passage of the Workforce Innovation and Opportunity Act (WIOA) provide a unique opportunity to support the child care needs of low-income parents who need education and training by strengthening each system’s approach to these families and by forging partnerships between the workforce development and child care systems. This brief documents potential opportunities

July 16, 2015
Brief
 

Postsecondary education plays a vital role in generating opportunities for young people from disadvantaged backgrounds to improve their prospects, and financial aid is critical to making this education accessible. Providing information early could help overcome the lack of awareness of financial aid, limited understanding of the system, and the tendency to overestimate the price of college. This study examines approaches to

July 16, 2015
Research Report
 

The Safer Return demonstration, implemented in the high-density prisoner reentry neighborhood of Chicago, Garfield Park, was designed to promote successful reentry by addressing key individual needs, introducing system reforms, and improving local conditions. Funded by the MacArthur Foundation, the demonstration was implemented by the Safer Foundation and evaluated by Urban. This report describes the demonstration’s

July 15, 2015
Research Report
 

Performance management software can help nonprofits to measure their performance and streamline how they house, organize, and analyze their program data. But with so many options available, determining which software system best suits an organization’s unique needs can be challenging. This brief guides service-delivering nonprofits through important questions to ask themselves before entering the market for a software solution

July 15, 2015
Research Report
 

The ways that nonprofits use data are as varied as their size, population served, and mission. Technical and capacity barriers often keep nonprofits from collecting and integrating important program data into their daily work, and additional challenges keep them from communicating that data with external audiences. Mindful of the real constraints that nonprofits experience in collecting and using data, this brief provides

July 15, 2015
Brief
 

The Safer Return demonstration, funded by the MacArthur Foundation, intended to promote successful reentry by addressing key individual needs, introducing system reforms, and improving local conditions in Chicago’s Garfield Park neighborhood. To understand whether the demonstration met its intended goals, Urban designed a quasi-experimental impact evaluation that included: multiple waves of survey data from community residents,

July 15, 2015
Research Report
 

The Health Profession Opportunity Grants (HPOG) Program, established by the Affordable Care Act of 2010, funds training programs in high-demand healthcare professions, targeted to Temporary Assistance for Needy Families (TANF) recipients and other low-income individuals. In 2010, the Administration for Children and Families of the U.S. Department of Health and Human Services awarded 32 HPOG grantees in 23 states with five-year

July 10, 2015
Research Report
 

To understand how children of immigrants are faring in the United States, it is important to examine contextual factors. In this paper, we analyze family influences; specifically, differences in parenting among immigrant mothers with different national origins, focusing on mothers from Mexico, other Latin American countries, China, and other Asian countries. Using the Early Childhood Longitudinal Study, Birth Cohort, we look at

July 10, 2015
Research Report
 

Teen ACTION (Achieving Change Together in Our Neighborhood) is an after-school program developed by the New York City Department of Youth and Community Development in partnership with the Center for Economic Opportunity. The program, targeting teens in grades 7–10 in high-risk neighborhoods across New York City, aims to reduce teen pregnancy and other risky behaviors, cultivate civic engagement, and develop life and critical

July 10, 2015
Research Report
 

The Long-Term Care Financing Collaborative (LTCFC) was created in 2012 by policy experts and advocates who were looking to develop consensus solutions to the challenges of delivering and financing long-term supports and services. The Urban Institute’s Howard Gleckman was a convener. In an interim report, the LTCFC describes its principles for improving the quality of long-term supports and services and its framework for

July 9, 2015
Research Report
 

In an interim report, the Long-Term Care Financing Collaborative (LTCFC) describes key principles for designing a sustainable and affordable system of long-term care. That system recognizes the crucial roles played by families and communities in delivering this personal assistance. Among the key policy recommendations: Better integrating supports and services with medical care, greater support for family caregivers and paid

July 9, 2015
Research Report
 

This report uses data from the 2011-2013 National Health Interview Survey to compare access to care in Medi-Cal to Medicaid programs in other states. On most measures, access to care Medi-Cal was comparable to Medicaid in other states after controlling for differences in health and socioeconomic status.

July 1, 2015
Journal Article
 

This paper examines Massachusetts residents’ satisfaction with their health insurance coverage using the 2013 Massachusetts Health Reform Survey (MHRS). We find that nonelderly adults in Massachusetts are generally quite satisfied with their coverage, their network of health care practitioners, and the quality of care available with their plans. However, they are less satisfied with the financial protections afforded by their

July 1, 2015
Journal Article
 

From 1990 to 2010, inequality in the United States increased in many ways. This report shows that the income, wealth, and educational attainment of residents in the most privileged neighborhoods in the United States escalated rapidly over these two decades. Meanwhile, residents of the most disadvantaged neighborhoods gained little; many of these neighborhoods grew poorer. As a result, inequality between top and bottom

July 1, 2015
Research Report
 

In response to the financial market crisis and Great Recession, there has been a resurgence of interest in financial transaction taxes (FTTs) around the world. We estimate that a well-designed FTT could raise about $50 billion per year in the United States and would be quite progressive. We discuss the effects of an FTT on various dimensions of financial sector behavior and its ambiguous effects on economic efficiency.

June 30, 2015
Research Report
 

Prices are the major driver of why the United States spends so much more on health care than other countries do. The pricing power that hospitals have garnered recently has resulted from consolidated delivery systems and concentrated markets. New payment and delivery models being pioneered in Medicare, especially those built around accountable care organizations (ACOs), offer an opportunity to reduce pricing power, but only if

June 29, 2015
Journal Article