Amid keen interest in helping students, young adults, and low-wage workers build the skills necessary to succeed in a technologically advanced economy, MDRC is studying a range of programs that feature employer involvement, such as career pathways from high school into college and the workforce, work-based learning, apprenticeships, and sectoral training.
Current Policy, Prominent Programs, and Evidence
This paper reviews the available evidence supporting various types of career and technical education programs, touching on both the amount of evidence available in each area and its level of rigor.
A Guide to Social Impact Bond Investing
MDRC President Gordon Berlin draws lessons from MDRC’s implementation of the first social impact bond (SIB) project in the United States, providing valuable insights into the inner workings of SIB deals and explaining the challenges and the potential of this impact investing model.
This program aimed to improve health care quality and reduce Medicaid costs for high-needs Medicaid recipients in New York by helping them use appropriate care that would reduce hospital admissions and emergency department visits. The program did not appear to reduce Medicaid costs or care from hospitals and emergency departments.
This brief essay by Gordon Berlin, first published by the Nonprofit Finance Fund, builds on MDRC’s experience as the intermediary in the nation’s first operational Social Impact Bond to describe three broad challenges facing the Pay for Success movement as it moves from promising concept to on-the-ground implementation.
Early Lessons from the New York City Social Impact Bond
A social impact bond (SIB) is an innovative way to fund promising new programs at no cost to taxpayers. This report describes the first operational SIB in the U.S., explaining how an intervention for youth incarcerated at Rikers Island was developed, how the unique financing mechanism was arranged, and how the program was adapted and implemented at full scale.
MDRC is learning what programs work best to prevent at-risk youth from getting in trouble, help juvenile offenders turn their lives around, and give reentering prisoners the chance to get a foothold in the labor market and reduce their chances of rearrest.
Managing Health Care for Medicaid Recipients with Disabilities
This program aimed to improve the quality of health care while reducing Medicaid costs by helping individuals use appropriate care that would reduce hospital admissions and emergency department visits. Like a similar pilot run by Colorado Access, which is described in a separate report, it had little effect on health care use.
This article, first published in Community Development Investment Review, proposes a vision of a social impact bond model that moves beyond just achieving cost-savings to spurring innovation, knowledge-building, rigorous evaluation, and, potentially, outcomes that achieve other socially desirable goals.
Final Report on the Colorado Access Coordinated Care Pilot Program
This pilot program aimed to improve the quality of health care while reducing Medicaid costs by helping individuals use appropriate care that would reduce hospital admissions and emergency department visits. The program had little effect on health care use, but the report suggests several ways to improve its design.