Extraordinary growth in managed care arrangements over the past decade has been both widely praised and criticized. Proponents and critics agree that the nature of medical practice is being profoundly altered by this growth, even if they cannot articulate the direction and consequences of this...

Looks at the characteristics and responsibilities of organizations that mediate risk and care management responsibility between managed care organizations and individual providers, finding that some are experiencing serious financial problems.

The Medicaid Buy-In program, a state Medicaid option since the late 1990s, is designed to encourage adults with disabilities to work by allowing them to buy into Medicaid when their earnings exceed standard Medicaid eligibility limits. This article describes enrollment, expenditures, and...

This article uses data from Ohio, a state that allows a wide range of organizations to authorize charter schools, to examine the relationship between type of authorizer and charter-school effectiveness.

In this article Mathematica's family support experts present final findings from a large-scale, random assignment evaluation of Building Strong Families (BSF), a program offering relationship skills education to low-income, unmarried parents who are expecting or recently had a baby. The study...

This article analyzes potential barriers in the U.S. to the patient-centered medical home model, which is considered policy shorthand for the reinvention of primary care. Barriers include developing new payment models, personnel and infrastructure funding, and methods to facilitate transforming...

There is broad consensus that family structure is inextricably linked with poverty and the well-being of children. This paper reviews the connections between poverty, family structure, and child well-being; explains the rationale for a new policy strategy focused on intervening more directly at...