What’s In, What’s Out: Designing Benefits for Universal Health Coverage

What’s In, What’s Out: Designing Benefits for Universal Health Coverage. Center for Global Development. Amanda Glassman, Ursula Giedion and Peter C. Smith. July 3, 2017.

What’s In, What’s Out: Designing Benefits for Universal Health Coverage argues that the creation of an explicit health benefits plan—a defined list of services that are and are not available—is an essential element in creating a sustainable system of universal health coverage. With contributions from leading health economists and policy experts, the book considers the many dimensions of governance, institutions, methods, political economy, and ethics that are needed to decide what’s in and what’s out in a way that is fair, evidence-based, and sustainable over time. [Note: contains copyrighted material].

[PDF format, 378 pages, 5.48 MB].

Meet The Out-Of-Work: Local Profiles of Jobless Adults And Strategies to Connect Them to Employment

Meet The Out-Of-Work: Local Profiles of Jobless Adults And Strategies to Connect Them to Employment. Brookings Institution. Martha Ross and Natalie Holmes. June 22, 2017

Even in the midst of a prolonged economic expansion with a low national unemployment rate, jobs are not always available and not everyone who wants work can find it. Both job availability and demographics vary markedly around the country, yielding diverse local populations wanting and/or needing work.

This analysis aims to deepen understanding of out-of-work Americans, and support local officials in their efforts to help these individuals find jobs. The authors provide a unique perspective on adults ages 25-64 who are out of work in each of 130 large cities and counties across the United States, using cluster analysis to segment the out-of-work population into distinct groups based on factors such as educational attainment, age, work history, disability, English language proficiency, and family status. They present detailed information on these groups accompanied by information on appropriate and effective workforce development programs in order to help local officials, funders, and other stakeholders develop, strengthen, or diversify strategies to connect their residents to employment. [Note: contains copyrighted material].

[PDF format, 48 pages, 2.87 MB].

We’ll Live to 100 – How Can We Afford It?

We’ll Live to 100 – How Can We Afford It? World Economic Forum. May 26, 2017.

This paper addresses the challenges facing retirement systems, including the impact of ageing societies, and quantifies the size of the savings shortfall. It provides recommendations for system design and actions for policy-makers to ensure we can adjust to societies in which living to 100 is commonplace and affordable for all. The paper is accompanied by the Case Studies in Retirement System Reform which presents 12 examples of pension reform from governments, pension funds and companies around the world. [Note: contains copyrighted material].

[PDF format, 24 pages, 1.68 MB].

Case Studies in Retirement System Reform

Case Studies in Retirement System Reform. World Economic Forum. May 26, 2017.

The challenges of providing ageing societies with a financially secure retirement are well known. In most countries, standards of living and healthcare advancements are allowing people to live longer. While this should be celebrated, the implications for the financial systems designed to meet retirement needs, which are already under severe strain in many nations, must be considered.
Besides increasing life expectancies and lower birth rates, additional factors are increasing the strain on global retirement systems such as lack of easy access to pensions, inadequate savings rates, long-term low growth environment and low levels of financial literacy.

This handbook presents 12 case studies on the approaches that governments, pension funds and companies have taken to address the challenges that their own retirement systems face. It highlights initiatives undertaken and lessons learned to guide those seeking future pension reforms. The handbook accompanies the white paper We’ll Live to 100 – How Can We Afford It? [Note: contains copyrighted material].

[PDF format, 60 pages, 3.36 MB].

Federal Health Centers: An Overview

Federal Health Centers: An Overview. Congressional Research Service, Library of Congress. Elayne J. Heisler. May 19, 2017

The federal Health Center Program is authorized in Section 330 of the Public Health Service Act (PHSA) (42 U.S.C. §254b) and administered by the Health Resources and Services Administration (HRSA) within the Department of Health and Human Services. The program awards grants to support outpatient primary care facilities that provide care to primarily low-income individuals or individuals located in areas with few health care providers.

Federal health centers are required to provide health care to all individuals, regardless of their ability to pay, and to be located in geographic areas with few health care providers. These requirements make health centers part of the health safety net—providers that serve the uninsured, the underserved, or those enrolled in Medicaid. Data compiled by HRSA demonstrate that health centers serve the intended safety net population, as the majority of patients are uninsured or enrolled in Medicaid. Some research also suggests that health centers are cost-effective; researchers have found that patients seen at health centers have lower health care costs than those served in other settings. In general, research has found that health centers, among other outcomes, improve health, reduce costs, and provide access to health care for populations that may otherwise not obtain health care.

[PDF format, 38 pages, 1 MB].

Staying Power: Considering the U.S. Government’s Global Nutrition Coordination Plan

Staying Power: Considering the U.S. Government’s Global Nutrition Coordination Plan. Center for Strategic & International Studies. Kimberly Flowers, Carol Conragan. May 17, 2017

This report explores the implications of the U.S. Global Nutrition Coordination Plan (GNCP) for the technical leadership, focus, resource stewardship, partnership strategy, and data/funding transparency of the U.S. Agency for International Development (USAID). How can USAID contribute to the stated goal of developing “a process to gather and report interagency information on annual U.S. government nutrition resource expenditures”? And who is ultimately accountable for the actions dictated by the GNCP?

The GNCP is an impressive volunteer effort, but it is too soon to tell whether it will become a worthwhile, whole-of-government practice. Positive aspects of the plan include good timing with growing U.S. government backing for global nutrition programs and bipartisan support on Capitol Hill; a lauded, whole-of-government approach; a seat at the nutrition table for smaller agencies; a strong community of practice through complementarity of expertise and jointly shared administrative actions; increased global nutrition program support through designated points of contact at U.S. posts abroad; and built-in flexibility to expand (or contract) the plan’s mandate as global priorities evolve. This report makes recommendations in both technical and management domains to buttress GNCP’s ultimate success, which has become increasingly critical in the context of dwindling resources for development assistance. [Note: contains copyrighted material].

[PDF format, 44 pages, 1.86 MB].

Paid family and medical leave: An issue whose time has come

Paid family and medical leave: An issue whose time has come. Brookings Institution. June 6, 2017

The U.S. is the only developed nation without a national paid family leave policy. Though a handful of states have created their own policies—including California, New Jersey, Rhode Island, New York, and the District of Columbia—the plans have a lack of public awareness and low take-up rates. And while some private employers offer paid family leave policies, employer-provided paid leave is concentrated among high-income workers; a majority of those below media income received no pay while on leave.

In “Paid family and medical leave: An issue whose time has come”, the joint AEI-Brookings Working Group on Paid Family Leave—a group comprised of experts with experience in both Democratic and Republican administrations—takes a closer look at the need for federal paid family leave, highlighting the benefits and costs of providing paid leave from the perspective of workers, businesses, and society. [Note: contains copyrighted material].

[PDF format, 48 pages, 1.17 MB].