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Appendix Tables for Year-to-Year Variation in Small-Group Health Insurance Premiums (Data)
Linda J. Blumberg, John Holahan

This is an appendix to the brief, Year-to-Year Variation in Small-Group Health Insurance Premiums: Double-Digit Annual Increases Have Been Common Over the Past Decade. The brief can be found at http://www.urban.org/url.cfm?ID=413235

Posted to Web: September 17, 2014Publication Date: September 17, 2014

Year-to-Year Variation in Small-Group Health Insurance Premiums: Double-Digit Annual Increases Have Been Common Over the Past Decade (Policy Briefs/Timely Analysis of Health Policy Issues)
Linda J. Blumberg, John Holahan

In anticipation of next year's premium announcements and given some information already made public, concerns have surfaced about the potential for double-digit percent increases in nongroup and small-group health insurance premiums. This analysis shows that, although average annual increases in small-group premiums over the past 13 years averaged roughly 5.5 percent, double-digit average premium increases are common for states and large metropolitan areas. Large increases in one year are frequently followed by much smaller increases, or even decreases. This may be especially true as insurers and purchasers navigate the ACA's new insurance environment, moving toward a more stable equilibrium.

Posted to Web: September 17, 2014Publication Date: September 17, 2014

Factors that Influence Preventive Service Utilization among Children Covered by Medicaid and CHIP (Research Report)
Vanessa C. Forsberg, Rebecca Peters, Amanda I. Napoles, Arnav Shah, Christal Ramos, Kelly J. Devers

This environmental scan report compiles and assesses the available literature from the last 5 years on preventive health care services for child beneficiaries (including adolescents) in Medicaid and the Children's Health Insurance Program (CHIP). It addresses preventive service utilization patterns and barriers, cost and health outcomes associated with prevention, and activities designed to improve preventive service rates and outcomes. This report is intended to help inform the development and dissemination of resources for states to use in their efforts to increase the utilization of recommended preventive services by Medicaid and CHIP beneficiaries.

Posted to Web: September 17, 2014Publication Date: April 15, 2014

Factors that Influence Preventive Service Utilization among Adults Covered by Medicaid (Research Report)
Christal Ramos, Anna C. Spencer, Arnav Shah, Ashley Palmer, Vanessa C. Forsberg, Kelly J. Devers

This environmental scan report compiles and assesses the available literature from the last 5 years on preventive health care services for adult beneficiaries in Medicaid. It addresses preventive service utilization patterns and barriers, cost and health outcomes associated with prevention, and activities designed to improve preventive service rates and outcomes. This report is intended to help inform the development and dissemination of resources for states to use in their efforts to increase the utilization of recommended preventive services by Medicaid and CHIP beneficiaries.

Posted to Web: September 17, 2014Publication Date: April 15, 2014

Preparing Youth for College and Career (Research Report)
Brett Theodos, Mike Pergamit, Sara Edelstein, Taz George, Lesley Freiman

This report presents baseline and process study findings of an evaluation of the Urban Alliance high school internship program, which provides training, mentoring, and work experience to high school seniors from distressed communities in Washington, DC, Baltimore, Northern Virginia, and Chicago. The report, which focuses on the program's operations in DC and Baltimore in the 2011–12 and 2012–13 program years, explains the internship program model and its various components; describes the characteristics of youth participants; and presents findings from dozens of interviews and focus groups with program staff, youth, job mentors, and other stakeholders.

Posted to Web: September 16, 2014Publication Date: September 16, 2014

Housing Finance At A Glance: A Monthly Chartbook (Fact Sheet / Data at a Glance)
Laurie Goodman, Ellen Seidman, Jim Parrott, Sheryl Pardo, Jun Zhu, Wei Li, Bing Bai, Taz George, Maia Woluchem, Alison Rincon

The September edition of At A Glance, HFPC’s reference guide for mortgage and housing market data, includes updated indicators related to non-agency securitization, regional affordability and access to credit, and the latest GSE risk-sharing deals.

Posted to Web: September 16, 2014Publication Date: September 16, 2014

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

The State of Nonprofit Governance (Research Report)
Amy Blackwood, Nathan Dietz, Thomas H. Pollak

This report provides a snapshot of nonprofit governance policies and practices among operating public charities. Using IRS Form 990 data, we find that many public charities have good governance policies and practices in place. In 2010, more than 60 percent of organizations had a conflict of interest policy, an independent audit and a compensation review and approval process for their chief executive. We also find that organizational characteristics such as size, type of organization, government funding, age, board size and board independence all appear related to whether or not a public charity chooses to adopt these recommended practices.

Posted to Web: September 11, 2014Publication Date: September 11, 2014

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