Concurs with earlier research showing that most low-income households live close to grocery stores or supermarkets although those in rural areas may be much farther away. Also examines attitudinal data related to shopping patterns and shows that many engage in careful shopping to stretch their...

Identifies how impact evaluations are encouraged and resisted in Latin America and the Caribbean. Drawing on case studies from work in El Salvador, Jamaica, and Mexico, the authors outline best practices for successfully designing and implementing a high quality impact evaluation.

Patients in Medicare HMOs who experience strokes are more likely to be discharged to nursing homes and less likely to go to rehabilitation facilities following the acute event. However, they have similar survival patterns compared with comparable patients in FFS settings after adjusting for...

Finds that (1) the transition to managed care in Tennessee neither improved nor adversely affected most perinatal outcomes, and (2) the expansion of Medicaid coverage to uninsured women did not improve perinatal outcomes relative to those for women not enrolled in TennCare. Variation in outcomes...

A synthesis of findings from all components of the evaluation concludes that each of the five states, by introducing managed care, have enhanced the potential for improving the quality of care delivered to Medicaid beneficiaries. In addition, the coverage expansions yielded much better...

Telemedicine may hold promise for reducing access barriers for chronically ill Medicare beneficiaries. To evaluate the effectiveness of home telemedicine, Congress mandated a two-phase demonstration to improve primary care for Medicare beneficiaries with diabetes living in medically underserved...

Summary for publication National Evaluation of Healthy Start Year 2 Annual Report