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.

Looking into the Crystal Ball: Performance Management over the Next Decade

Abstract: This essay focuses on the performance management elements of public administration. It addresses both performance measurement (measurement that focuses on outcomes as well as outputs) and the use of performance information in management (called performance management). As of 2010, this “new” performance measurement has been widely touted around the world, particularly in the United States. Th e 1993 Government Performance and Accountability Act has been a major catalyst for this, bringing the big elephant—the federal government—into the movement.1

Health Status And The Cost Of Expanding Insurance Coverage

Abstract: This paper uses data on health spending and health status from the Medical Expenditure Panel Survey (MEPS) to estimate the differences in health spending across different types of insurance and across incomes that are attributable solely to health status differences. The results show that the uninsured are less costly than those on Medicaid, based on health status alone, but are more costly than those with employer-sponsored insurance. Adults and children with private nongroup coverage are also less expensive than average, because of better-than-average health. Finally, the data show that expenditures fall (health status improves) with income, regardless of type of coverage.

Determinants of Public and Private Insurance Enrollment Among Medicaid-Eligible Children

Abstract: Many Medicaid eligible children are not enrolled in Medicaid and are not covered by private insurance. In this paper, data from the 1994 and 1995 National Health Interview Survey are used to explore the role of child and family characteristics, as well as local area availability of private insurance and free or low-cost medical services, on insurance coverage for Medicaid eligible children. The study finds that increased availability of community health centers has a positive effect on the likelihood of Medicaid enrollment, while improved availability and decreased cost of employer sponsored coverage has a positive effect on private insurance. Policies that encourage offers of insurance by employers, and reduce premiums faced by workers, will increase coverage for this population. (Medical Care 2001 June; 39(6): 523-535).