Research

State of the Union 2016: Health

The U.S. population is not just sicker, on average, than the European population, but also has a higher level of health inequality than the European population. The U.S. states that combine low self-rated health with high health inequality look strikingly similar—in terms of their health profiles—to Central and Eastern European countries.

State of the Union 2016: Income Inequality

When disposable-income inequality is measured across 20–35 years of survey data, the consistent result is that the U.S. has the highest level of disposable-income inequality among rich countries. Some countries have experienced periods of falling, as well as rising, inequality over the last three decades. The simple, but important, conclusion to draw is that rising income inequality is not inevitable. Policy and markets can both make a difference.

State of the States: Spatial Segregation

Has the Shift to Managed Care Reduced Medicaid Spending? Evidence from State and Local-Level Mandates

From 1991 to 2009, the fraction of Medicaid recipients enrolled in HMOs and other forms of Medicaid managed care (MMC) increased from 11 percent to 71 percent. This increase was largely driven by state and local mandates that required most Medicaid recipients to enroll in an MMC plan. Theoretically, it is ambiguous whether the shift from fee-for-service into managed care would lead to an increase or a reduction in Medicaid spending. This paper investigates this effect using a data set on state and local level MMC mandates and detailed data from CMS on state Medicaid expenditures.

The Supplemental Security Income (SSI) Program

The SSI program provides cash assistance to some of the nation’s most vulnerable elderly, blind, and disabled residents. In this paper, we briefly summarize the history of the SSI program and present descriptive evidence on caseload composition and trends. We discuss relevant conceptual issues and empirical evidence focused on four key issues. First, we describe the advantages and disadvantages of categorical eligibility requirements and we show that the SSI caseload has become increasingly comprised of difficult-to-verify conditions, namely pain and mental disabilities.

State of the Union: Safety Net

State of the States: Safety Net

In non-recessionary periods, the safety net provides about 38 percent of the income support needed to raise incomes up to the official poverty line. Only four states (Massachusetts, New Jersey, Rhode Island, and Washington) provide more than 60 percent of the support needed.

A New Infrastructure for Monitoring Social Mobility in the United States

The country’s capacity to monitor trends in social mobility has languished since the last major survey on U.S. social mobility was fielded in 1973. It is accordingly difficult to evaluate recent concerns that social mobility may be declining or to develop mobility policy that is adequately informed by evidence. This article presents a new initiative, dubbed the American Opportunity Study (AOS), that would allow the country to monitor social mobility efficiently and with great accuracy.

What Do We Know So Far about Multigenerational Mobility?

“Multigenerational mobility” refers to the associations in socioeconomic status across three or more generations. This article begins by summarizing the longstanding but recently growing empirical literature on multigenerational mobility. It then discusses multiple theoretical interpretations of the empirical patterns, including the one recently proposed in Gregory Clark’s book The Son Also Rises.

The E ffects of Exposure to Better Neighborhoods on Children: New Evidence from the Moving to Opportunity Experiment

The Moving to Opportunity (MTO) experiment offered randomly selected families living in high-poverty housing projects housing vouchers to move to lower-poverty neighborhoods. We present new evidence on the impacts of MTO on children's long-term outcomes using administrative data from tax returns. We find that moving to a lower-poverty neighborhood signicantly improves college attendance rates and earnings for children who were young (below age 13) when their families moved. These children also live in better neighborhoods themselves as adults and are less likely to become single parents.

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