Policy Design, Analysis, and Evaluation Commons^™

The Double-Edged Sword Of Health Care Integration: Consolidation And Cost Control, Erin C. Fuse Brown, Jaime S. King

Indiana Law Journal

The average family of four in the United States spends $25,826 per year on health care. American health care costs so much because we both overuse and overpay for health care goods and services. The Affordable Care Act’s cost control policies focus on curbing overutilization by encouraging health care providers to integrate to pro-mote efficiency and eliminate waste, but the cost control policies largely ignore prices. This article examines this overlooked half of health care cost control policy: rising prices and the policy levers held by the states to address them. We challenge the conventional wisdom that reducing overutilization through …

Effective General Entrepreneurial Learning Programs For Sme Development, Paul Kenneth Steele

Capstone Collection

The principle objective of this paper is to reexamine the potential for impactful, general programs in education for Small and Medium Enterprise (SME) owners by assessing the success of a program called SME PRIME; conducted by AMIDEAST, Oman for six Omani entrepreneurs over a seven-month period.

General programs for entrepreneur education are produced and implemented the world over despite consistent assertions throughout academic literature that such programs are ineffective. Typical approaches to training program development and evaluation emphasize the critical role of training needs analysis. Training needs analysis is often an ignored step in the process of SME training program …

Rapid Evidence Maps As Decision Tools For Evidence-Based Policy, Mark Engelbert

Capstone Collection

The movement to make policy more evidence-based is gaining increasing influence in the field of international development. I argue that, properly understood and executed, evidence-based policy has the promise to make development efforts more effective. However, if policy decisions are to be evidence-based, there must be tools available to policymakers that provide evidence in usable formats. The research community has developed a variety of such tools, but there are some decision-making contexts for which none of the currently-available tools are ideally suited. This paper describes a new type of evidence tool, the rapid evidence map (REM), that provides users with …

Vocational Rehabilitation Outcomes For Hispanic Consumers In Traditional Settlement Areas And New Immigrant Destinations: A 17-Year Trend Analysis, Karen E. Waddle Cinnamond

Theses and Dissertations--Social Work

At the end of the 20^th century, economic and political forces converged to create an unprecedented migration of Hispanics across and within U.S. borders. Many migrated for work in new destinations like the Southeast instead of traditional regions in the Southwest. In the Southeast many communities struggled to meet the economic and social needs of its newest members of a population that grew seemingly overnight.

The state-federal vocational rehabilitation system is an important service to meet the economic and social needs of people with disabilities that impair their ability to work. Current scholarship suggests Hispanics and other minorities experience …

Competitive Food Policy Implementation In Kentucky Schools, Paula Gisler

Theses and Dissertations--Nursing

This study was designed to explore the literature on competitive food policy implementation (CFPI); examines demographic and school factors associated with CFPI; and explores the experiences of school leaders and staff in CFPI using a proposed theoretical framework to guide the research. Competitive foods are those sold in vending machines, a la carte settings, fundraisers, class parties and other venues which compete with foods offered through the national school lunch and breakfast programs. Competitive foods have traditionally been of low nutritional value and high energy density. CFPI may be effective in reducing student calorie intake and BMI. However, evaluation of …

The Impact Of State-Provided Paid Family Leave On Wages: Examining The Role Of Gender, Aimee Samantha Abrams Widdicombe

Scripps Senior Theses

The U.S. is the only OECD country that does not offer any form of federal paid parental leave. Only three states—California, New Jersey and Rhode Island—have state-provided paid leave policies; implemented in 2004, 2009 and 2014, respectively. Through descriptive statistics and difference-in-difference-in-difference regression analyses of the wages of women and men of childbearing age (19-45 years) in those three states, we assess whether the paid leave programs have effected wages, and whether these effects vary depending on gender. Our results show that wages of women of childbearing age saw negligible net effects post-policy in policy states, although statistically insignificant. On …

The Impact Of Increased Cigarette Prices On Cigarette Consumption, Bohyun Yoo

MPA/MPP/MPFM Capstone Projects

The objective of this study examines whether the way to raise cigarette prices drastically and discontinuously is effective in reducing cigarette consumption. We use monthly data for cigarette consumption to measure the price elasticity of cigarettes’ demand and adopt real cigarette prices, real individual income, education level, and unemployment rate as independent variables. We consider how consumers adjust their consumption practices in response to the increased prices. After examining the result of regression, we conclude that cigarette real price has a significant association with the reduction in cigarette consumption. If we divide the last twelve years into periods when prices …

An Implementation Analysis Of Needle Exchange Programs In Kentucky: Implementation Barriers And Facilitators Identified By Stakeholders, Samantha Jane Harris

MPA/MPP/MPFM Capstone Projects

Kentucky law authorizes county health departments to implement harm reduction needle exchange programs given that the county receives approval from all governing authorities including the local and/or district boards of health, the county government, and the city government in the jurisdiction in which the exchange is intended to operate. As of April 2016, five county health departments operate needle exchange programs and around 20 other county health departments are seeking approval from their governing authorities or beginning to discuss engaging in this process.

I conducted qualitative interviews with key stakeholders in the implementation process to determine the facilitators and barriers …

In Search Of "Real" Migrants: The Effects Of County Level Factors On Enrollment In The Migrant Education Program In Kentucky, Thomas Hatton

MPA/MPP/MPFM Capstone Projects

Migrant laborers and their families have historically faced, and continue to face, major barriers in their education. The migrant population is, according to Dr. Michael Romanowski, “the most undereducated major subgroup in the United States” (Romanowski, 2003). The lack of educational attainment among migrant families can be attributed to numerous factors: above all, the disruptive migratory lifestyle of seasonal agricultural workers (Rosenthal & Banz-Spall, 2003), but also to socioeconomic burdens, mental and physical health issues, and more recently, linguistic and cultural barriers.

The Migrant Education Program is a supplemental federal program that was created under Title 1 Part C of …

The Determinants Of Childbirth Grants Of Local Governments In South Korea, Gi-Jung Kim

MPA/MPP/MPFM Capstone Projects

Declining fertility is one of the top policy issues in South Korea. To increase the birth rate, the government of South Korea has been enacting several fertility encouragement polices. Although almost all of the birth encouragement policies have been led by the central government, a childbirth grant program was developed by primary local governments themselves. The grant levels vary significantly between local governments.

I examine what explains the differences in the childbirth grant level by analyzing twelve years (2004-2015) of panel data with a fixed-effects model. Prior studies indicate that the extent of demand for a policy and the availability …

Financial Implications Of The Medicaid Expansion For Academic Medical Centers, Madeleine Oritt

MPA/MPP/MPFM Capstone Projects

On March 23, 2010, President Obama signed into law the Patient Protection and Affordable Care Act (ACA), with the goal of reforming the United States health care system and providing insurance for millions of uninsured citizens and residents. One component of the legislation was the expansion of Medicaid eligibility, which would extend to include all individuals “under age 65 whose family income is at or below 138 percent of the federal poverty guidelines ($14,484 for an individual and $29,726 for a family of four in 2011)” (NCSL, 2015). This provision was challenged in the United States Supreme Court, which ruled …

Across The States: Do Long Term Services & Supports Policies Affect The Number Of Nursing Home Residents With Low-Care Needs?, Mary Otis

MPA/MPP/MPFM Capstone Projects

Long term care for the elderly has been steadily gaining salience in the public policy realm for many years. The federal government has been vigorously studying and exploring solutions, including the Centers for Medicare and Medicaid Services’ (CMS) efforts to expand access to home and community-based services (HCBS) in order to reduce dependence on institutional care. These federal efforts include various incentive programs and policies recently offered under the Affordable Care Act. However, data on the strength of each state’s long term services and supports system has not been easily accessible until recently. The report “Raising Expectations: A State Scorecard …

From Bail Bondsmen To Risk Assessments: Assessing Kentucky's Pretrial Release Approaches, Ismaila Ceesay

MPA/MPP/MPFM Capstone Projects

As one of only four states that ban bail bond companies, Kentucky is an experiment in the “laboratory of democracy,” which is made even more interesting because the state has tried three different approaches to pretrial release—the Pre-1976 approach, the 1976 to 2011 approach, and the 2011 to present approach. An assessment of these approaches show s how state actions and inaction can affect the right to pretrial release and underscores the importance of adopting appropriate state pretrial release policies.

Why Are We Still Listening To This Dead British Guy: An Analysis Of Emergency Liquidity Assistance In Germany During The Sovereign Debt Crisis, Nia R. Gillenwater

Scripps Senior Theses

Germany’s position of power within the European Union disguises how impacted the German economy was by the 2008 Financial Crisis and Europe’s subsequent Sovereign Debt Crisis. Two of Germany’s major banks-Commerzbank and Bayerische Landesbank- suffered major losses and required emergency liquidity assistance (ELA) to survive. Walter Bagehot wrote the theory underpinning lenders of last resort (LLRs) in 1873 but how has the development of systemically important banks affected the usefulness of Bagehot’s theory? This paper aims to explain why Germany is in need of updated LLR recommendations through an analysis of the ELA Germany at large, Commerzbank and Bayerische Landesbank …

Modelling The Impact Of Fiscal Policy On Non‑Oil Gdp In A Resource Rich Country: Evidence From Azerbaijan, Khatai Aliyev, Bruce Dehning, Orkhan Nadirov

Accounting Faculty Articles and Research

This paper analyses the impact of public expenditures and tax revenues on non‑oil economic growth in Azerbaijan for the period of 2000Q1‑2015Q2 by employing OLS, ARDL, FMOLS, DOLS, CCR and Granger Causality techniques. Different cointegration methods result in consistent results. In this study, there is strong evidence of significant long‑run positive contributions from public expenditures to non‑oil sector output. Results also show that tax revenues significantly slow down non‑oil economic growth in the long run. Granger Causality analysis finds the existence of a bidirectional short‑run association between non‑oil GDP and public expenditures, while tax revenues Granger Cause both variables. The …

Perspectives On The United States Environmental Protection Agency's Clean Air Scientific Advisory Committee: A Survey Of State Air Agencies, Cassandra Yannelli

MPA/MPP/MPFM Capstone Projects

The U.S. Environmental Protection Agency’s (EPA) Clean Air Scientific Advisory Committee (CASAC) was created in 1977 under section 109 of the Clean Air Act (CAA). The role of CASAC is to provide technical and scientific advice to the EPA Administrator on National Ambient Air Quality Standards (NAAQS), required under the CAA. The standards themselves and the science upon which the standards are established for the six “criteria” pollutants included in the NAAQS are reviewed periodically by CASAC. The committee also exists to bridge new research developments to current environmental requirements.

Section 109(d) of the CAA requires the chartered CASAC to …

Did Municipal Stabilization Funds Effectively Smooth Expenditures During The Great Recession?, Lauren Kesselring

MPA/MPP/MPFM Capstone Projects

Budget stabilization fund (BSF) is a general term for rainy day funds, contingency funds, and reserves. Historically, researchers have studies BSFs at the state level. However, after the Great Recession municipalities have increasingly adopted BSFs. So far, there are several unknowns surrounding municipal BSFs. The intent of this paper is to start addressing some of these unknowns. The paper seeks to answer the question, did municipal BSFs smooth expenditures over the Great Recession? This study uses data from Lexington-Fayette Urban County Government and eleven comparable municipalities.

The municipality BSF literature is in its infancy. Previous research has focused on state …

A Benefit-Cost Analysis Of Korea's "Advance Passenger Information System", Chanyoung Lee

MPA/MPP/MPFM Capstone Projects

Since the tragic 9/11 terrorist attack on the United States in 2001, many countries have been following the US's decisions on the introduction of an air security program. At the heart of the program is the Advance Passenger Information System or the API system. Considering major developed countries' stances and related international organizations' efforts toward the API system's advance, it seems that the introduction of the API system is expected to be a necessity or a kind of obligation both to border control agencies and air flight companies in the near future. However, this does not mean that the introduction …

Housing Satisfaction In South Korea, Yoo Gunseuk

MPA/MPP/MPFM Capstone Projects

Since April 2013, the Korean government has implemented a series of plans to stabilize the housing market, which has suffered from falling housing prices and surging rent after the 2008 financial crisis. This study estimates the effectiveness of the government's plans by analyzing the housing satisfaction of 2012 and 2014 Korea Housing Survey (KHS). The data used in this study are collected from the KHS carried out by the Ministry of Land, Infrastructure and Transport (MOLIT)

This study uses 2012 and 2014 KHS to show that some variables and subcategories of household and housing attributes have positive or negative correlation …

Does The Mentors & Meals After School Program Have An Effect On Student Grades?, Lisa Caswell Johnson

MPA/MPP/MPFM Capstone Projects

While technology continues to progress and the United States continues to be considered one of the most privately wealthy nations in the world, the education gap for African American and Hispanic students continues to be a concern for teachers, school administrators, state and local politicians, and all who study public education policy. School districts persistently look for ways to improve student achievement in traditional as well as non-traditional ways, while aligning with state and local education goals and staying within budget.

This study examines a new mentoring model for middle school students. The program, Mentors & Meals (M&Ms), was the …

Active Listening "Debates" - Classroom Activity, Victoria Derr

Activities and Assignments Collection

Students will practice critical thinking, active listening, and the development and presentation of arguments and positions through oral and written communication.

American Obesity: Rooted In Uncertainty, Institutions And Public Policy, James Woodward

Theses and Dissertations--Public Policy and Administration

Despite the efforts of policymakers, medical professionals, and other stakeholders, obesity and related health problems show no signs of receding from their record-high rates. Public policy has largely taken the form of consumer advice, (e.g., USDA’s Dietary Guidelines). Since consumers bear most of the costs associated with their obesity, the goal of obesity prevention appears to be incentive-compatible, prima facie. That is, there is no a priori case for much further policy intervention unless existing advice is deficient or consumers’ exhibit systematically poor decision-making.

My review of the literature shows that scholars have long conveyed a consistent narrative regarding …

Applying A Positive Theory Of Organizations: A Closer Examination Of State Environmental Protection Agencies, Emily Bedwell

Theses and Dissertations--Public Policy and Administration

Why do American states organize as they do for environmental protection? According to Moe (1990), “a positive theory of organizations has two goals: 1) explain where institutions come from and why they take the forms they do, and 2) understand their effects for political and social behavior.” This paper will examine Moe’s question in terms of state environmental agencies: What influences state adoption of a comprehensive environmental structure? To address this question, I develop a theory of state adoption of organizational structure drawing on organizational theories of public organizations. The latest comprehensive examination of state agency structure in the literature …

Life, Liberty, And The Pursuit Of Happiness: Measuring What Matters, Laura Musikanski, Carl Polley

Journal of Sustainable Social Impact

This essay focuses on ways in which the governments of Bhutan and the United Kingdom are measuring subjective well-being as well as on how other governments including Norway, Spain, China, Canada, and New Zealand, are exploring the development of subjective well-being indicators. It concludes with recommended actions to aid in the formation of a consistent and comparable subjective well-being indicator for use by governments globally. The third in a series for which the purpose is to provide information to grassroots activists to foster the happiness movement for a new economic paradigm, this essay builds on the previous essays, Happiness in …

The Political Implications Of Felon Disenfranchisement Laws In The United States, Katharine G. Connaughton

CMC Senior Theses

This empirical study analyzes the political implications for presidential election outcomes that stem from varying felon disenfranchisement laws within the United States. In the past decade incarceration rates have drastically increased, consequently augmenting the disenfranchised population. This paper focuses on presidential election outcomes and state political party majorities in the election years 2000, 2004, 2008, and 2012. I use demographic characteristics to calibrate assumptions for voter turnout and political party choice among the disenfranchised populations within each state. I then apply these voting populations to historical election outcomes and find that three state political party outcomes change, as well as …

Solidifying Segregation Or Promoting Diversity? School Closure And Rezoning In An Urban District, Thomas J. Shields

Jepson School of Leadership Studies articles, book chapters and other publications

Purpose: Layered with myriad considerations, school closure and rezoning processes in urban school systems are politically fraught with the potential for damaging consequences. This article explores the politics and impacts of a closure and rezoning process in Richmond, Virginia, through the lens of themes applicable to urban school systems and students across the nation. These include the intersection of closure and rezoning with growing White reinvestment in urban school systems, as well as the importance of focusing on diversity and equity during a time of intense pressure to close schools.

Research Methods/Approach: Drawing on the case of Richmond, Virginia, we …

Holding Canada Accountable: An Evaluation Of Canada's Compliance To The United Nations Declaration On The Rights Of Indigenous Peoples, Jackson A. Smith

Theses and Dissertations (Comprehensive)

Compliance of human rights norms requires the application of pressure from a multitude of directions and levels. It takes individual advocacy, micro-system/organizational/community-level pressure, and macro-level pressure from other nation-states and international organizations and governance bodies. This MA study focuses on the mechanisms employed by the United Nations to monitor the compliance of signatory nation-states to the standards established in the United Nations Declaration on the Rights of Indigenous Peoples (UNDRIP), with particular focus on Canada. A crucial goal of this study is to translate the UN Special Rapporteur on the Rights of Indigenous Peoples (UNSRRIP), James Anaya’s, findings on the …