Tuesday, December 5, 2017

Does Paid Family Leave Reduce Nursing Home Use? The California Experience | JPAM Featured Article

Paid family leave (PFL) is intended to make it financially easier for eligible workers to take time off to care for young children or seriously ill family members. Concurrently, the receipt of informal care from family members has been shown to lower the probability of institutionalization among elderly Americans. This raises an important question: Do PFL policies influence nursing home use among older adults?

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The Performance of Performance-based Contracting in Human Services: A Quasi-experiment

August 5, 2014 10:00 AM

Performance-based contracting (PBC) is an increasingly attractive practice to public human service agencies. By attaching contract compensation to a contractor's performance achievement, PBC encourages quality services, better outcomes, and less monitoring. However, current empirical evidence on PBC's effectiveness is limited and mixed. In The Performance of Performance-based Contracting in Human Services: A Quasi-experiment, author Jiahuan Lu from the University of Maryland, uses a case study of the Indiana vocational rehabilitation program to evaluate the effectiveness of PBC on individual employment outcomes. Lu employs a quasi-experimental design over a five year period and uses a Michigan program as a control.

After using propensity score matching and difference-in-differences regressions to control for the imbalances between the two states, Lu found that PBC is significantly effective in promoting better employment results and shorter time-to-employment. The author suggests introducing relational contracting as a supplement when using PBC in the purchase of human services.

Download the full paper from APPAM's Online Paper Collection.

 

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