Urban Institute

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.

How Five Leading Safety-Net Hospitals Are Preparing For The Challenges And Opportunities Of Health Care Reform

Abstract: Safety-net hospitals will continue to play a critical role in the US health care system, as they will need to care for the more than twenty-three million people who are estimated to remain uninsured after the Affordable Care Act is implemented. Yet such hospitals will probably have less federal and state support for uncompensated care. At the same time, safety-net hospitals will need to reposition themselves in the marketplace to compete effectively for newly insured people who will have a choice of providers. We examine how five leading safety-net hospitals have begun preparing for reform. Building upon strong organizational attributes such as health information technology and system integration, the study hospitals’ preparations include improving the efficiency and quality of care delivery, retaining current and attracting new patients, and expanding the medical home model.

Early Transition Experiences of Transition-Age Child SSI Recipients New Evidence From the National Survey of Children and Families

Abstract: This article describes the challenges faced by pretransition-age (14 to 17 years) young people with disabilities receiving Supplemental Security Income (SSI) and outlines potential policy options t...

Trends In Retiree Health Insurance, 1997–2003

Abstract: Although millions of older Americans rely on employer-sponsored retiree health benefits to help pay their medical expenses, declines in this coverage have been documented. Using data from the Medical Expenditure Panel Survey, our findings reveal steady erosion in retiree health benefits since the mid-1990s. Based on this much larger survey of private establishments than previous studies have used, we conclude that in 2003 only about one-quarter of private-sector employees worked at establishments that offered health benefits to retirees, down from 32 percent in 1997. Private firms have also been passing higher shares of health insurance costs to retirees.

Conditioning Experimentation: The struggle for place-based discretion in shaping urban infrastructures

Abstract: Re-shaping infrastructure systems and social practices within urban contexts has been promoted as a critical way to address a range of contemporary economic, environmental and social challenges. Though there are many attempts to re-imagine more sustainable urban contexts the challenge remains how to achieve such change. In this context, urban experiments have emerged as a way to stage purposive infrastructure interventions and learn what works in practice. The paper integrates literatures on urban governance and urban socio-technical experiments to extend analytical understanding of urban experimentation. Through a case study of ‘sustainable transport’ experimentation in Greater Manchester, we argue that place-based priorities that inform action on sustainable urban futures are conditioned by non-place-based, particularly national, interests. Our paper makes two key contributions. First, we illustrate how the (narrow) national conditioning of place-based priorities translates in to experimentation in epis...

Recent trends in job security and stability

Abstract: In recent years, the popular press has led us to believe that downsizing and mergers are throwing unprecedented numbers of Americans out of secure jobs. In this paper, we survey current research that addresses these concerns, reconciling the sometimes disparate results of papers examining job tenure and separations, exploring the consequences of involuntary job loss, and reviewing research on trends in part-time, temporary, and contingent employment. There is no evidence of a dramatic change in job security over the last two decades. The various studies do not point to consistent losses in job security for any particular demographic group.