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Urban Institute

NonprofitWashington D.C., District of Columbia, United States
About: Urban Institute is a nonprofit organization based out in Washington D.C., District of Columbia, United States. It is known for research contribution in the topics: Medicaid & Population. The organization has 927 authors who have published 2330 publications receiving 86426 citations.


Papers
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Journal ArticleDOI
01 Aug 2002-Inquiry
TL;DR: The results show that mandatory health maintenance organization (HMO) programs have had a positive impact on both children and adults, particularly when compared to Medicaid fee-for-service plans.
Abstract: This paper uses data from the 1997 National Survey of America's Families to examine the effects of the various forms of mandatory Medicaid managed care on access and use among beneficiaries not receiving Supplemental Security Income or Medicare benefits. The results show that mandatory health maintenance organization (HMO) programs have had a positive impact on both children and adults, particularly when compared to Medicaid fee-for-service plans. We observed less dependence on emergency rooms as a usual source of care, a greater probability of visiting a doctor and, for children, greater use of preventive care. In contrast, mandatory primary care case management plans (PCCM) provided some benefits to children, but appeared to have very little impact on adult Medicaid beneficiaries. Mandatory programs that use both HMOs and PCCM produced mixed results. With the exception of mandatory HMO programs, discrepancies in access and use continue to exist between Medicaid managed care enrollees and low-income priv...

47 citations

Journal ArticleDOI
TL;DR: Enrolling more uninsured children in Medicaid and State Children's Health Insurance Programs could improve the chances that families receive advice about health behaviors and injury prevention; however, nearly half of the children who were insured for the entire year did not receive important advice from their clinicians.
Abstract: OBJECTIVE: Child health problems that are caused or exacerbated by health behaviors remain a leading cause of medical spending for children. We examined receipt of clinician advice by low-income children, comparing children who had public insurance with those who had private insurance, as well as with children who were uninsured for part or all of the year. METHODS: We used children who were aged 3 to 17 and living in families with incomes of<250% of the federal poverty level in the Medical Expenditure Panel Survey data from 2001 to 2003 to estimate linear probability models on receipt of preventive advice. The main outcome measures were receipt of clinician's advice about healthy eating, physical activity, the harmful effects of smoking in the home, proper safety restraints in a car, and use of a bicycle helmet. We also examined 2 related barriers to receiving clinician advice: whether the child had any preventive care visits in the past year and whether the child had a usual source of care other than a hospital emergency department. RESULTS: Publicly insured children were more likely than privately insured, full-year-uninsured children, and part-year-uninsured children to have had a preventive care visit in the past year, but regardless of health insurance group, many children went without preventive care. Even conditional on having had a preventive care visit, 48% did not receive clinician advice in any of the areas measured, and 41% of the overweight children were advised about neither healthy eating nor exercise in the past year. CONCLUSIONS: Enrolling more uninsured children in Medicaid and State Children's Health Insurance Programs could improve the chances that families receive advice about health behaviors and injury prevention; however, nearly half of the children who were insured for the entire year did not receive important advice from their clinicians. Language: en

46 citations

Journal ArticleDOI
TL;DR: In this paper, the authors present findings from a three-year qualitative study of the childcare choices of low-income working families, many of whom were immigrants, had limited English proficiency, were parents of children with special needs, or represented some combination of these factors.
Abstract: Regardless of their economic background, most working parents face the task of arranging childcare at some point. The decision-making process they experience is often complex, and this complexity is intensified for particular groups of families with limited financial and social resources. In this paper, we present findings from a three-year qualitative study of the childcare choices of low-income working families, many of whom were immigrants, had limited English proficiency, were parents of children with special needs, or represented some combination of these factors. The study explored families' current care arrangements, their reasons for selecting a particular form of childcare, and the characteristics of their ideal arrangements. Data were coded to identify themes in parental preferences, decision factors, and the barriers families faced in accessing their preferred care arrangements. Most significantly, the parents studied described their preferences for an environment where their children could lea...

46 citations

Journal ArticleDOI
TL;DR: The health status of HOPE VI residents is decidedly worse than that of others in assisted housing and other poor people, despite their similarity in terms of economic deprivation, and one major benefit of improving housing quality may be improved health status.
Abstract: The purpose of this study is to provide new data on the relationship between housing quality and health status for people in five HOPE VI public housing developments around the country. HOPE VI is a federal program to replace or redevelop some of the poorest quality public housing in the country. A special survey of residents of these developments was conducted while they lived in HOPE VI housing before its redevelopment. Data for these individuals provides a profile of the quality of housing and the health status of people in HOPE VI housing before its renovation, of residents of publicly assisted housing across the nation, of other people living below the federal poverty level, and of non-poor people. Previously, the lack of data sets that included both housing quality and health status measures has prevented such an analysis. We examined two indicators of health status-perceived overall health status and medically diagnosed asthma. The health status of HOPE VI residents is decidedly worse than that of others in assisted housing and other poor people, despite their similarity in terms of economic deprivation. The difference in the level of asthma prevalence, a condition that has been tied to various measures of housing quality, is especially pronounced. Our analysis indicates that one major benefit of improving housing quality may be improved health status.

46 citations

Posted Content
TL;DR: In this paper, the authors used primary data on household participants and non-participants in Grameen Bank and two similar micro-credit programs to measure the total and not-credit effects of micro credit program participation on productivity.
Abstract: Micro-credit programs provide a two-tiered approach to poverty alleviation: credit for the purchase of capital inputs to promote self-employment and non-credit services and incentives. These non-credit aspects may be an important component of the success of micro-credit programs. This paper uses primary data on household participants and non-participants in Grameen Bank and two similar micro-credit programs to measure the total and non-credit effects of micro-credit program participation on productivity. I find large positive effects of participation and the non-credit aspects of participation on self-employment profits.

46 citations


Authors

Showing all 937 results

NameH-indexPapersCitations
Jun Yang107209055257
Jesse A. Berlin10333164187
Joseph P. Newhouse10148447711
Ted R. Miller97384116530
Peng Gong9552532283
James Evans6965923585
Mark Baker6538220285
Erik Swyngedouw6434423494
Richard V. Burkhauser6334713059
Philip J. Held6211321596
George Galster6022613037
Laurence C. Baker5721111985
Richard Heeks5628115660
Sandra L. Hofferth5416312382
Kristin A. Moore542659270
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Performance
Metrics
No. of papers from the Institution in previous years
YearPapers
20232
202214
202177
202080
2019100
2018113