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.
Using an alternative to classical statistics, this paper reanalyzes results from three published studies of interventions to increase employment and reduce welfare dependency. The analysis formally incorporates prior beliefs about the interventions, characterizing the results in terms of the distribution of possible effects, and generally confirms the earlier published findings.
Final Results of the Hard-to-Employ Demonstration and Evaluation Project and Selected Sites from the Employment Retention and Advancement Project
This paper examines issues related to depression severity in this study of a one-year telephone care management intervention for depressed parents who were Medicaid recipients. The original study found effects on getting treatment during the intervention but no impacts on depression severity.