Skip to main content
Back to Top

SSRC Library

The SSRC Library allows visitors to access materials related to self-sufficiency programs, practice and research. Visitors can view common search terms, conduct a keyword search or create a custom search using any combination of the filters at the left side of this page. To conduct a keyword search, type a term or combination of terms into the search box below, select whether you want to search the exact phrase or the words in any order, and click on the blue button to the right of the search box to view relevant results.

Writing a paper? Working on a literature review? Citing research in a funding proposal? Use the SSRC Citation Assistance Tool to compile citations.

  • Conduct a search and filter parameters as desired.
  • "Check" the box next to the resources for which you would like a citation.
  • Select "Download Selected Citation" at the top of the Library Search Page.
  • Select your export style:
    • Text File.
    • RIS Format.
    • APA format.
  • Select submit and download your citations.

The SSRC Library includes resources which may be available only via journal subscription. The SSRC may be able to provide users without subscription access to a particular journal with a single use copy of the full text.  Please email the SSRC with your request.

The SSRC Library collection is constantly growing and new research is added regularly. We welcome our users to submit a library item to help us grow our collection in response to your needs.


  • Individual Author: Zogg, Cheryl K.; Scott, John W.; Metcalfe, David; Gluck, Abbe R.; Curfman, Gregory D.; Davis, Kimberly A.; Dimick, Justin B.; Haider, Adil H.
    Reference Type: Journal Article
    Year: 2019

    Importance Trauma is a leading cause of death and disability for patients of all ages, many of whom are also among the most likely to be uninsured. Passage of the Patient Protection and Affordable Care Act was intended to improve access to care through improvements in insurance. However, despite nationally reported changes in the payer mix of patients, the extent of the law’s impact on insurance coverage among trauma patients is unknown, as is its success in improving trauma outcomes and promoting increased access to rehabilitation.

    Objective To use rigorous quasi-experimental regression techniques to assess the extent of changes in insurance coverage, outcomes, and discharge to rehabilitation among adult trauma patients before and after Medicaid expansion and implementation of the remainder of the Patient Protection and Affordable Care Act.

    Design, Setting, and Participants Quasi-experimental, difference-in-difference analysis assessed adult trauma in patients aged 19 to 64 years in 5 Medicaid expansion (Colorado,...

    Importance Trauma is a leading cause of death and disability for patients of all ages, many of whom are also among the most likely to be uninsured. Passage of the Patient Protection and Affordable Care Act was intended to improve access to care through improvements in insurance. However, despite nationally reported changes in the payer mix of patients, the extent of the law’s impact on insurance coverage among trauma patients is unknown, as is its success in improving trauma outcomes and promoting increased access to rehabilitation.

    Objective To use rigorous quasi-experimental regression techniques to assess the extent of changes in insurance coverage, outcomes, and discharge to rehabilitation among adult trauma patients before and after Medicaid expansion and implementation of the remainder of the Patient Protection and Affordable Care Act.

    Design, Setting, and Participants Quasi-experimental, difference-in-difference analysis assessed adult trauma in patients aged 19 to 64 years in 5 Medicaid expansion (Colorado, Illinois, Minnesota, New Jersey, and New Mexico) and 4 nonexpansion (Florida, Nebraska, North Carolina, and Texas) states.

    Interventions/Exposure Policy implementation in January 2014.

    Main Outcomes and Measures Changes in insurance coverage, outcomes (mortality, morbidity, failure to rescue, and length of stay), and discharge to rehabilitation.

    Results A total of 283 878 patients from Medicaid expansion states and 285 851 patients from nonexpansion states were included (mean age [SD], 41.9 [14.1] years; 206 698 [36.3%] women). Adults with injuries in expansion states experienced a 13.7 percentage point increase in discharge to rehabilitation (95% CI, 7.0-7.8; baseline: 14.7%) that persisted across inpatient rehabilitation facilities (4.5 percentage points), home health agencies (2.9 percentage points), and skilled nursing facilities (1.0 percentage points). There was also a 2.6 percentage point drop in failure to rescue and a 0.84-day increase in length of stay. Rehabilitation changes were most pronounced among patients eligible for rehabilitation coverage under the 2-midnight (8.4 percentage points) and 60% (10.2 percentage points) Medicaid payment rules. Medicaid expansion increased rehabilitation access for patients with the most severe injuries and conditions requiring postdischarge care (eg, pelvic fracture). It mitigated race/ethnicity-, age-, and sex-based disparities in which patients use rehabilitation.

    Conclusions and relevance This multistate assessment demonstrated significant changes in insurance coverage and discharge to rehabilitation among adult trauma patients that were greater in Medicaid expansion than nonexpansion states. By targeting subgroups of the trauma population most likely to be uninsured, rehabilitation gains associated with Medicaid have the potential to improve survival and functional outcomes for more than 60 000 additional adult trauma patients nationally in expansion states. (Author abstract)

  • Individual Author: Medicaid and CHIP Payment and Access Commission
    Reference Type: Report
    Year: 2018

    Using data combined from the 2013–2015 National Health Interview Surveys, this brief examines characteristics of individuals with Medicaid coverage—children and adults—in rural areas, as well as their access to care and use of services, comparing their experience to their privately insured and uninsured counterparts. We also compare access and use between Medicaid beneficiaries in urban and rural areas, and by disability. (Edited author introduction)

     

    Using data combined from the 2013–2015 National Health Interview Surveys, this brief examines characteristics of individuals with Medicaid coverage—children and adults—in rural areas, as well as their access to care and use of services, comparing their experience to their privately insured and uninsured counterparts. We also compare access and use between Medicaid beneficiaries in urban and rural areas, and by disability. (Edited author introduction)

     

  • Individual Author: Sherman, Erin ; Secrist, Amy; Gidwani, Suman; Storey, Douglas; Leifer, Jess
    Reference Type: Conference Paper
    Year: 2018

    Motivation: Baltimore City experiences one of the highest infant mortality rates in the country. Although a large percentage of pregnant women in Baltimore are Medicaid recipients, they often do not take-up pregnancy and postpartum support services that are available with an appropriate referral. Particularly for high-risk pregnancies, this can lead to adverse birth outcomes. To begin accessing these services, Medicaid-eligible patients must have a prenatal risk assessment (PRA) form filled out by their provider. Without this form, women with high risk pregnancies may not be referred to services such as insurance assistance, WIC, home visits by social workers, and smoking cessation assistance. Intervention: In collaboration with the Baltimore City Health Department (BCHD), the Johns Hopkins University Center for Communication Programs (CCP) and other partners in the B’more for Healthy Babies (BHB) initiative, a package of behavioral interventions was randomized across prenatal care practices in Baltimore. The set of interventions included the...

    Motivation: Baltimore City experiences one of the highest infant mortality rates in the country. Although a large percentage of pregnant women in Baltimore are Medicaid recipients, they often do not take-up pregnancy and postpartum support services that are available with an appropriate referral. Particularly for high-risk pregnancies, this can lead to adverse birth outcomes. To begin accessing these services, Medicaid-eligible patients must have a prenatal risk assessment (PRA) form filled out by their provider. Without this form, women with high risk pregnancies may not be referred to services such as insurance assistance, WIC, home visits by social workers, and smoking cessation assistance. Intervention: In collaboration with the Baltimore City Health Department (BCHD), the Johns Hopkins University Center for Communication Programs (CCP) and other partners in the B’more for Healthy Babies (BHB) initiative, a package of behavioral interventions was randomized across prenatal care practices in Baltimore. The set of interventions included the following components: 

    • Checklist: The PRA Checklist includes execution notes for the 3 steps required to successfully complete a PRA: talking points for speaking to a patient about the PRA, steps and specific filling number for the PRA, and fax number for faxing the PRA.
    • Feedback: Three quarterly feedback reports were used to compare how many PRAs an office completed in comparison to offices like it. They provided a visual image (smiley face or exclamation point) to indicate whether the office was doing better or worse than its peers. Additionally, practices who had not submitted any PRAs in the previous year received a report indicating that they need to submit PRAs to appropriately serve their patients.
    • Testimonials: Patient testimonials included quotes from mothers who had benefitted from services referred through the PRA. They highlighted stories of mothers and babies with positive health outcomes as a result of services like home visiting and cribs. Testimonials will be sent to all treatment offices via email at intervals of 1-2 months.
    • Information: A website was developed which provides a quiz that allows clinics to see how many of the standard PRA procedures they are/are not following. The website also has a list of behaviorally informed best practices that we developed based on site visits and advice from BHB/BCHD.

    Methodology: Data collection will occur between March-September 2018 with the primary outcome being the number of PRAs submitted by each practice. Cluster randomization is used to identify effects in 25 control clinics compared to 27 treatment clinics throughout the city. Results: The results, available by September 2018, will show whether this combination of peer comparison and informational interventions can impact providers’ PRA submission rates, referral rates to prenatal and postpartum support services, and the rate of accepted services by Medicaid-eligible women. Conclusion: The results of this experiment will determine whether social and informational efforts impact PRA take-up and increase support-service access for pregnant Medicaid-eligible women in Baltimore. (Author abstract)

  • Individual Author: Spillman, Brenda C.; Clemans-Cope, Lisa; Mallik-Kane, Kamala; Hayes, Emily
    Reference Type: Report
    Year: 2017

    Many states have expanded Medicaid eligibility to reach a wider array of vulnerable and historically uninsured populations. While Medicaid cannot pay for medical services provided in prisons or jails, people who are arrested and incarcerated can enroll in Medicaid and become eligible for benefits in the community. Given the high prevalence of mental health issues, substance abuse, and chronic health conditions among criminal justice populations, providing health care services to them could improve public health and public safety outcomes. This brief highlights initiatives in New York and Rhode Island that use the Medicaid health home model to improve continuity of care for justice-involved individuals. (Author abstract)

    Many states have expanded Medicaid eligibility to reach a wider array of vulnerable and historically uninsured populations. While Medicaid cannot pay for medical services provided in prisons or jails, people who are arrested and incarcerated can enroll in Medicaid and become eligible for benefits in the community. Given the high prevalence of mental health issues, substance abuse, and chronic health conditions among criminal justice populations, providing health care services to them could improve public health and public safety outcomes. This brief highlights initiatives in New York and Rhode Island that use the Medicaid health home model to improve continuity of care for justice-involved individuals. (Author abstract)

  • Individual Author: Katz, Michael
    Reference Type: Conference Paper
    Year: 2017

    This PowerPoint presentation from the 2017 NAWRS workshop summarizes the Work Support Strategies Initiative, an effort to improve families’ well-being by increasing enrollment in the full package of work supports. The Initiative also seeks to help states deliver benefits more effectively and efficiently and share lessons learned to inform state and federal policies.

    This PowerPoint presentation from the 2017 NAWRS workshop summarizes the Work Support Strategies Initiative, an effort to improve families’ well-being by increasing enrollment in the full package of work supports. The Initiative also seeks to help states deliver benefits more effectively and efficiently and share lessons learned to inform state and federal policies.

Sort by

Topical Area(s)

Popular Searches

Source

Year

Year ranges from 2003 to 2019

Reference Type

Research Methodology

Geographic Focus

Target Populations