Kenneth Finegold

• U.S. Department of Health and Human Services

Importance The Patient Protection and Affordable Care Act (ACA) increased 2013 to 2014 Medicaid payment rates for qualifying primary care physicians (PCPs) and services to higher Medicare payment levels, with the goal of improving primary care access for Medicaid enrollees. Objectives To evaluate the payment increase policy and to assess whether i...

The Affordable Care Act (ACA) provides assistance to low-income consumers through both premium subsidies and cost-sharing reductions (CSRs). Low-income consumers' lack of health insurance literacy or information regarding CSRs may lead them to not take-up CSR benefits for which they are eligible. We use administrative data from 2014 to 2016 on roug...

The Medicaid data landscape is being advanced by initiatives like the Medicaid and CHIP Business Information Solutions (MACBIS) project and the Transformed Medicaid Statistical Information System (T-MSIS). These initiatives herald new and important opportunities for Medicaid researchers, offering enhanced analytics, better validation and improved p...

A growing body of literature describes how the Affordable Care Act (ACA) has expanded health insurance coverage. What is less well known is how these coverage gains have affected populations that are at risk for high health spending. To investigate this issue, we used prescription transaction data for a panel of 6.7 million prescription drug users...

Disparities by economic status are observed in the health status and health outcomes of Medicare beneficiaries. For health services and health policy researchers, one barrier to addressing these disparities is the ability to use Medicare data to ascertain information about an individual's income level or poverty, because Medicare administrative dat...

The Affordable Care Act (ACA) completed its second open enrollment period in February 2015. Assessing the law's effects has major policy implications. To estimate national changes in self-reported coverage, access to care, and health during the ACA's first 2 open enrollment periods and to assess differences between low-income adults in states that...

Open enrollment under the Affordable Care Act (ACA), the most ambitious attempt to expand health coverage in the United States in decades, began October 1, 2013. The law offers Medicaid eligibility to citizens and qualified legal immigrants with incomes at or below 138% of the federal poverty level in participating states and tax credits for privat...

Background: The Affordable Care Act (ACA) established nationwide eligibility for young adults 19 to 25 years of age to retain coverage under their parents' private health plans. We conducted a study to determine how the implementation of this provision changed rates of insurance coverage for young adults seeking medical care for major emergencies....

The Affordable Care Act’s expansion of insurance coverage is expected to increase demand for primary care services. We estimate that the national increase in demand for such services will require 7,200 additional primary care providers, or 2.5 percent of the current supply. On average, that increased demand is unlikely to prove disruptive. But when...

This interim report, the first of two reports to Congress, uses qualitative and quantitative data to document the development of the Children's Health Insurance Program (CHIP), particularly focusing on changes states have made since Congress reauthorized CHIP in 2009. The report found that CHIP and Medicaid have contributed to reducing the number a...

The Supplemental Nutrition Assistance Program (SNAP), formerly known as the Food Stamp Program (FSP), provides low-income households with electronic benefits that can be used to purchase food in grocery stores and supermarkets. People residing on Indian reservations, and households with American Indians and Alaska Natives residing off but near rese...

This article uses data from the period between 1996 and 2003 to measure how the food stamp receipt of a low-income population is affected by specific Food Stamp Program (FSP) policies, welfare policies, the minimum wage, and the Earned Income Tax Credit. It examines 27 specific program rules that are hypothesized to affect food stamp receipt. The r...

This paper uses monthly SIPP data from 1996 through 2003 and state-level policy data to measure the effects of specific food stamp and welfare policies, as well as the minimum wage and EITC, on the food stamp receipt of the low-income population. We find strong evidence that more lenient vehicle exemption policies, longer recertification periods, a...

Evaluating the effects of federalism The development of American social policy appears peculiar when compared with a stylized, Eurocentric model of the welfare state. As many scholars have noted, the United States lagged behind other industrialized states in the development of social policy. The US safety net remains incomplete, most notably in the...

Recent years have seen shifts in health insurance coverage associated with economic fluctuations and changes in health policy. The analysis presented here uses data from the National Survey of America's Families to examine changes in health insurance coverage and respondent-reported health status by race and ethnicity. The data indicate that public...

With the enactment of welfare reform in 1996, encouraging and supporting mar- riage became priorities for the federal gov- ernment and the states. Research findings that children in married families generally fare better than those in single-parent fami- lies on measures of poverty, hardship, and well-being have provided the rationale for marriage...

What should major parties out of power do to win elections? To answer that question, we need to understand what these parties do to recapture political ascendancy and whether their actual behaviour differs from their optimal behaviour. In this article, we propose a systematic, replicable method of identifying the competitive strategies that America...

Alan Brinkley's The End of Reform deserves praise as a book that is well written and has something to say. There are some books about which only one of these is true and many about which neither is true. I agree with Brinkley's conclusion and disagree with the path by which he arrives at it. Brinkley's conclusion is that the years from the recessio...

Support for reform candidates followed three distinct patterns, identified as traditional reform, municipal populist, and progressive. Whether traditional-reform and municipal-populist voters could be brought together to form a progressive coalition depended on the way experts were incorporated into city politics. The coalition that elected John Pu...

The National Labor Relations Act (NLRA) of 1935 represented a turning point in modern labor relations policy in the United States. In the December 1989 issue of this Review, Michael Goldfield examined the effects of worker insurgency and radical organization on the enactment of the new labor law and rejected theories that emphasized the autonomy of...

Thesis (Ph. D.)--Harvard University, 1985. Includes bibliographical references (leaves 416-437). Microfiche. s

President Bush's FY 2005 budget proposes converting a wide range of federal pro- grams into block grants. Block grants are fixed sums of money given to state or local governments to support program activities and administration. Compared with other grants, block grants give state and local- level recipients more flexibility in program design and im...

We estimated the number of full-year uninsured children and the share of them eligible for Medicaid or SCHIP using the TRIM3 microsimulation model. This model applies detailed state-specific rules to determine which individuals represented in the Current Population Survey (CPS) are eligible for Medicaid and/or SCHIP. Other key aspects of the model...