Safety Net
The health care safety net is the constellation of public and private health care providers that deliver health care and enabling services to the uninsured, Medicaid beneficiaries, the underinsured, or those who are otherwise vulnerable because of geographic, language, cultural, economic, or other barriers to care.
The Forum's work in this area focused on understanding the financial state of safety net providers and their capacity to provide services to the populations they serve; exploring the effect that the federal authorization, appropriation, and regulation processes have on the viability of such providers; examining the quality of care that safety net providers deliver; exploring innovations in care delivery; and studying the impact of key federal health policy changes on safety net providers, such as coverage expansions under the Patient Protection and Affordable Care Act of 2010 (ACA).
Medicaid Payment for Housing-Related Services: Building on Early Experiences
Forum Session
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February 26, 2016
Coaching, Connecting, Collaborating: The Community Health Worker's Role in Primary Care
Forum Session
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July 31, 2015
Safety Net Hospitals Post ACA Implementation: Improving or At Risk?
Forum Session
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April 17, 2015
Annual Report 2014
Annual Report
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April 1, 2015
Shifting Sands: Health Center Finances Under Health Reform
Forum Session
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March 20, 2015
Health Policy Essentials: Public Health, Medicaid & CHIP, and Private Insurance
Fundamentals Briefing
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February 13, 2015
Health Policy Essentials 2015
Briefing Book
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February 6, 2015
Community Collaboration to Improve Population Health
Forum Session
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January 30, 2015
Promoting Evidence-Based Interventions: The Maternal, Infant, and Early Childhood Home Visiting Program
Forum Session
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October 10, 2014
Sociodemographic Risk Adjustment: Protecting the Safety Net?
Forum Session
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September 26, 2014
Early Childhood Adversity, Toxic Stress, and Brain Development: Implications for Practice and Policy
Forum Session
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May 16, 2014
Annual Report 2013
Annual Report
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April 1, 2014
Health Care in the Motor City: Thriving or Surviving?
Site Visit
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February 19–20, 2014
Medicaid Health Homes: Delivery System Glue for People with Chronic Health Conditions
Forum Session
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December 13, 2013
Implementing Pediatric Medical Homes: Challenges of Improving Primary Care for Children
Forum Session
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November 8, 2013
Transforming Behavioral Health Practice, Payment, and Policy: Too Fast, Too Slow, or Just Right?
Forum Session
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September 20, 2013
Restructuring Medicare Cost Sharing: Exploring Options to Protect Low-Income Beneficiaries
Forum Session
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August 2, 2013
The Affordable Care Act and HIV/AIDS: Implications for Coverage, Access to Care, and Payment
Forum Session
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July 19, 2013
Hospital Community Health Needs Assessment: An Analytic Approach to Community Benefits
Forum Session
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June 28, 2013
CMS's Proposed Rule Implementing the ACA-mandated Medicaid DSH Reductions
Issue Brief
No. 849
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June 25, 2013
EMS "Hot Spotting": San Diego's Experience Creating a System of Care for Frequent Users of Emergency Medical Services
Forum Session
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June 14, 2013
Can I Get a Break? Hospital Financial Assistance, Billing, and Debt Collection
Forum Session
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April 26, 2013
Annual Report 2012
Annual Report
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April 1, 2013
Health Policy Essentials: Medicaid, CHIP, and Long-Term Services and Supports (LTSS)
Fundamentals Briefing
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March 15, 2013
The "Coopetition" Model: Caring for San Diego's Low-Income Population
Site Visit
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February 19–20, 2013
Changes in Latitudes, Changes in Attitudes: FQHCs and Community Clinics in a Reformed Health Care Market
Issue Brief
No. 848
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December 18, 2012
Safety Net Integration: Tackling Fragmentation While Improving Access to Care and Efficiency
Forum Session
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December 7, 2012
Pulling Together to Improve Health: Integrating Health, Social, and Legal Services in DC
Site Visit
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July 20, 2012
Among School Children: Opportunities to Improve Health at School
Forum Session
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June 15, 2012
Examining the Condition of the Health Care Safety Net: Time to Re-Cast?
Forum Session
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May 18, 2012
Long-Term Services and Supports (LTSS): Arlington County's Integrated Approach
Site Visit
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April 13, 2012
Caesar's Ghost: The Effect of the Rising Rate of C-Sections on Health Care Costs and Quality
Forum Session
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March 30, 2012
Bridging the Silos: Care Coordination for Kids with Serious Behavioral Health Conditions
Forum Session
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December 16, 2011
Medicaid Eligibility and Enrollment for Elderly People and Persons With Disabilities (EPD): Status and Simplification
Workshop
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June 29, 2011
Still Smoking After All These Years: Tobacco Control Update
Forum Session
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June 10, 2011
Rocky Mountain Highs and Lows: Efforts to Improve Health and Reduce Costs in Denver
Site Visit
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May 31–June 2, 2011
Home, but Not Alone: Evidence-Based Maternal, Infant, and Early Childhood Home Visitation
Issue Brief
No. 843
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May 26, 2011
Managed Care for Medicaid Beneficiaries with Disabilities: How Does It Work?
Forum Session
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May 6, 2011
Pioneering Transformation: Treating Chronic and Complex Disease in Underserved Areas
Forum Session
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April 8, 2011
Oral Health Update: Ten Years After the Surgeon General’s Report
Forum Session
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January 21, 2011
Insurer-Provider Payment Negotiations: Implications for Health Spending
Forum Session
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December 10, 2010
Health Impact Assessments: What, Why, How, Who, Where?
Forum Session
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December 3, 2010
Aging and Disability Resource Centers (ADRCs): Federal and State Efforts to Guide Consumers Through the Long-Term Services and Supports Maze
Background Paper
No. 81
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November 19, 2010
Pioneering Transformation: Technology, Data, and Safety Net Outcomes
Forum Session
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November 18, 2010
Premium Assistance: An Update
Background Paper
No. 80
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October 12, 2010
Medicaid Payment for Generic Drugs: Achieving Savings and Access
Issue Brief
No. 839
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September 30, 2010
The Primary Care Safety Net: Strained, Transitioning, Critical
Background Paper
No. 79
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September 28, 2010
Medicaid Enrollment: Is the First Step the Hardest?
Forum Session
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September 10, 2010
Governmental Public Health: An Overview of State and Local Public Health Agencies
Background Paper
No. 77
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August 18, 2010
Focus on Reform: How a Law Becomes a Reg - Regulatory Processes to Implement Legislation
Forum Session
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July 22, 2010
Focus on Reform: Health Care Safety Net-Related Provisions
Forum Session
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July 16, 2010
Focus on Reform: Public Health Provisions
Forum Session
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June 25, 2010
Incorporating Innovations in Health Care: Workforce Implications
Forum Session
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June 11, 2010
Health Care Shortage Designations: HPSA, MUA, and TBD
Background Paper
No. 75
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June 4, 2010
Focus on Reform: Medicaid Coverage Expansions
Forum Session
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May 7, 2010
Recession and Budgets: Where Do States Stand for 2011 and Beyond?
Forum Session
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April 30, 2010
Transforming Health Care Delivery: Insights from the New Orleans Safety Net
Forum Session
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April 16, 2010
Information and Incentives: Improving the Health of New York City's Low-Income Population
Site Visit
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April 5–7, 2010
Oral Health Checkup: Progress in Tough Fiscal Times?
Issue Brief
No. 836
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March 29, 2010
CHIPRA One Year Later: Where Does Implementation Stand?
Forum Session
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March 19, 2010
The Ryan White HIV/AIDS Program
The Basics
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March 10, 2010
No Free Lunch? Current Challenges Facing the National School Lunch and School Breakfast Programs
Background Paper
No. 72
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December 11, 2009
Children's Mental Health: Prevalence, Illness Burden, and Efforts at Prevention and Early Intervention
Forum Session
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November 20, 2009
Caring for Military Service Members' and Veterans' Psychological Health
Forum Session
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September 18, 2009
The Medicare Drug Benefit: Update on the Low-Income Subsidy
Issue Brief
No. 833
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July 31, 2009
Medicaid Disproportionate Share Hospital Payments and Health Care Reform
Forum Session
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June 19, 2009
Building the Medical Home: Under Construction in the States
Forum Session
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June 5, 2009
Resilience and Renaissance: Efforts to Rebuild a Healthier New Orleans
Site Visit
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May 26–28, 2009
Resilience and Renaissance: Efforts to Rebuild a Healthier New Orleans - A Pre-Site Visit Briefing
Special Briefing
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May 14, 2009
Long-Term Services and Supports: Consumers in Charge—Consumer Direction and Money Follows the Person
Forum Session
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November 7, 2008
Medicaid and Mental Health Services
Background Paper
No. 66
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October 23, 2008
Tending to Richmond's Children: Community Strategies to Bridge Service Gaps
Site Visit
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October 23–24, 2008
Exploring Comparative Effectiveness: Activities of CDC, VA, and CMS to Advance Evidence-Based Health
Forum Session
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October 3, 2008
Covering All Kids: States Setting the Pace
Issue Brief
No. 826
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September 30, 2008
Universal Coverage for Children: States Setting the Pace
Forum Session
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September 19, 2008
Medicaid and SCHIP Waivers
The Basics
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July 30, 2008
Shaping Medicaid and SCHIP through Waivers: The Fundamentals
Background Paper
No. 64
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July 22, 2008
Competition and Collaboration, Chicago-Style
Site Visit
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March 16–18, 2008
Completing the Recipe for Children's Health: New Variations on Key Ingredients: A Report from the Workshop on June 28, 2007
Meeting Report
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March 14, 2008
Health Care Safety Net Innovators: Forging Ahead, Though Challenges Persist
Forum Session
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January 11, 2008
Children's Behavioral Health Services in Baltimore: Walking the Continuum
Site Visit
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September 30–October 1, 2007
Shrinking Inpatient Psychiatric Capacity: Cause for Celebration or Concern?
Issue Brief
No. 823
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August 1, 2007
Behavioral Health in the Workplace: How are Employers Managing Mental Health and Disability?
Forum Session
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July 20, 2007
Completing the Recipe for Children's Health: New Variations on Key Ingredients
Workshop
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June 28, 2007
The Prescription Drug Safety Net: Access to Pharmaceuticals for the Uninsured
Background Paper
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May 9, 2007
Ten Years After Welfare Reform: How Is TANF Working for Needy Families?
Forum Session
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April 27, 2007
Not All Smiles: Access to Oral Health Care for Low-Income Children
Forum Session
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April 20, 2007
What Have You Done for Me Lately? Assessing Hospital Community Benefit
Issue Brief
No. 821
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April 19, 2007
Competition and Collaboration: The Spirit of St. Louis
Site Visit
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April 3–5, 2007
Implementing School Health Programs for Better Child Health and Academic Success
Forum Session
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March 9, 2007
Completing the Recipe for Children's Health: Ingredients Beyond Health Insurance and Health Care
Forum Session
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February 16, 2007
Effects of Food Marketing on Kids' Diets: I'm Lovin' It?
Forum Session
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January 12, 2007
Children with Special Health Care Needs and the Role of Medicaid's Early and Periodic Screening, Diagnosis and Treatment Program
Forum Session
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December 8, 2006
Medicare and Mental Health: The Fundamentals
Background Paper
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November 27, 2006
EPSDT: Medicaid's Critical but Controversial Benefits Program for Children
Issue Brief
No. 819
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November 20, 2006
Effects of Food Marketing to Kids: I'm Lovin' It?
Issue Brief
No. 814
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August 15, 2006
Canary in the Coal Mine or Crying Wolf? Examining Crowding in America's Emergency Departments
Forum Session
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July 27, 2006
Don't Bring Me Your Tired, Your Poor: The Crowded State of America's Emergency Departments
Issue Brief
No. 811
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July 7, 2006
Health Care for All in Massachusetts: Implications for a Changing Safety Net
Forum Session
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June 20, 2006
“Mental Health: Progress and Pitfalls,” the Health Affairs Special Issue—A Discussion of Trends in Mental Health Services
Forum Session
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June 14, 2006
LA Story: Improving Care Management for the Chronically Ill and Chronically Underserved
Site Visit
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April 18–20, 2006
Improving Care Management in Los Angeles: A Site Visit Overview
Special Briefing
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April 5, 2006
Caring for “Ryan White”: Balancing Quality, Access, Equity, and Finite Resources
Forum Session
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March 14, 2006
Mental Health and Juvenile Justice: Moving Toward More Effective Systems of Care
Forum Session
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October 7, 2005
Local Coverage Initiatives: Solution or Band-Aid for the Uninsured?
Forum Session
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September 30, 2005
Caring for "Ryan White": The Fundamentals of HIV/AIDS Treatment Policy
Background Paper
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August 22, 2005
Mental Health and Juvenile Justice: Moving Toward More Effective Systems of Care
Issue Brief
No. 805
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July 22, 2005
Parity Is in the Eye of the Beholder: Evaluation of Mental Health Parity Under the FEHB Program
Forum Session
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July 8, 2005
Local Coverage Initiatives: Solution or Band-Aid for the Uninsured?
Issue Brief
No. 803
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June 29, 2005
Children with Special Health Care Needs: Minding the Gaps
Background Paper
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June 27, 2005
Walk in My Shoes™: Navigating the Health Care System
Simulation
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June 24, 2005
Exploring California's Rural Health System: From the Redwood Forests to the Baja Border
Site Visit
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March 29–31, 2005
Children with Mental Disorders: Finding Effective Care Within the Systems That Serve Them
Forum Session
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November 30, 2004
The Provider System for Children's Mental Health: Workforce Capacity and Effective Treatment
Issue Brief
No. 801
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October 26, 2004
Community Health Centers: Strategies for Success
Forum Session
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September 30, 2004
Fundamentals of Community Health Centers
Background Paper
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August 31, 2004
Children with Mental Disorders: Making Sense of Their Needs and the Systems That Help Them
Issue Brief
No. 799
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June 4, 2004
Necessary but Not Sufficient? Physician Volunteerism and the Health Care Safety Net
Forum Session
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April 2, 2004
Veterans' Health Care: Balancing Resources and Responsibilities
Issue Brief
No. 796
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April 1, 2004
Necessary but Not Sufficient? Physician Volunteerism and the Health Care Safety Net
Background Paper
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March 10, 2004
The Health Care Safety Net in South Carolina: A Test of Tenacity
Site Visit
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February 17–19, 2004
Expanding Community-Based Care: Is the Olmstead Decision Making a Difference?
Forum Session
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November 25, 2003
Checking the Vital Signs of the Health Care Safety Net
Forum Session
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September 29, 2003
The New Freedom Vision: Transforming the Mental Health System
Forum Session
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September 8, 2003
WIC Reauthorization: Opportunities for Improving the Nutritional Status of Women, Infants, and Children
Background Paper
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August 14, 2003
Obesity in America: A Growing Threat
Background Paper
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July 11, 2003
Improving Oral Health: Promise and Prospects
Background Paper
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June 13, 2003
Depression in Primary Care: Making Good Care Good Business
Forum Session
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June 6, 2003
Reauthorizing Head Start: The Future Federal Role in Preschool Programs for the Poor
Forum Session
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May 2, 2003
TANF Redux: Update on Implementation of the Temporary Assistance for Needy Families Program in Three Communities.
Small-Group Session
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April 24, 2003
Reauthorizing Head Start: The Future Federal Role in Preschool Programs for the Poor
Issue Brief
No. 789
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April 11, 2003
"Medicaidization" of Mental Health
Forum Session
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April 9, 2003
Is Community Care a Civil Right? The Unfolding Saga of the Olmstead Decision
Background Paper
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March 12, 2003
Depression: A Decade of Progress, More to Do
Issue Brief
No. 786
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November 22, 2002
Federal Child Care Funding for Low-Income Families: How Much Is Needed?
Issue Brief
No. 780
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July 22, 2002
Welfare Reform and American Indians: A Briefing for Policymakers
Forum Session
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July 16, 2002
Welfare Reform and American Indians: Critical Issues for Reauthorization
Issue Brief
No. 778
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June 19, 2002
Promoting Marriage as Welfare Policy: Looking at a Public Role in Private Lives
Forum Session
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March 15, 2002
Welfare Reform and Substance Abuse: Innovative State Strategies
Issue Brief
No. 771
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March 7, 2002
Welfare Reform in Maryland: Flexibility in Action
Site Visit
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February 20–22, 2002
Promoting Marriage as Welfare Policy: Looking at a Public Role in Private Lives
Issue Brief
No. 770
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February 15, 2002
Help Before There's Hurt: Integrating Child Welfare and Welfare Reform to Assist Families
Site Visit
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January 14–16, 2002
Terrorism and Mental Health: Private-Sector Responses and Issues for Policymakers
Forum Session
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October 23, 2001
Mission Possible? Maintaining the Safety Net in Urban and Rural Colorado
Site Visit
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August 20–22, 2001
W-2 in 2001: Wisconsin Works at Welfare Reform
Site Visit
—
August 6–8, 2001
Income Support Policy and the U.S. Child Support System
Issue Brief
No. 766
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July 25, 2001
Income Support Policy and the U.S. Child Support System
Forum Session
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July 25, 2001
Perspectives on the Financial Underpinnings of the Safety Net: No Margin, No Mission
Forum Session
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June 5, 2001
Youth Violence Prevention: How Does the Health Care Sector Respond?
Background Paper
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June 2001
Perspectives on the Safety Net: Providers and Patients in Jeopardy
Forum Session
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May 3, 2001
TANF and Work Support Services: On the Job in Greater Philadelphia
Site Visit
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April 18–20, 2001
The Health Care Safety Net in a Time of Fiscal Pressures
Background Paper
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April 2001
Welfare Reform and the Well-Being of Families: Successes to Date and Challenges Ahead
Issue Brief
No. 761
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March 23, 2001
Welfare Reform and the Well-Being of Families: Successes to Date and Challenges Ahead
Forum Session
—
March 23, 2001
Bad News/Good News in the Asthma Epidemic: Prevalence Jumps Sharply, But Symptoms Can Be Controlled
Forum Session
—
September 26, 2000
The Asthma Epidemic: Prospects for Controlling an Escalating Public Health Crisis
Background Paper
—
September 2000
Outpatient Commitment in Mental Health: Is Coercion the Price of Community Services?
Issue Brief
No. 757
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July 11, 2000
Outpatient Commitment in Mental Health: Is Coercion the Price of Community Services?
Forum Session
—
July 11, 2000
Dispelling the Myths and Stigma of Mental Illness: The Surgeon General's Report on Mental Health
Issue Brief
No. 754
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April 14, 2000
Dispelling the Myths and Stigma of Mental Illness: The Surgeon General's Report on Mental Health
Forum Session
—
April 14, 2000
Applying Science to Public Policy: The Context of the Surgeon General's Report on Mental Health
Background Paper
—
April 2000
Growing Up in Urban America: Implications for Child Health and Welfare
Forum Session
—
February 22, 2000
Site Visit to Arizona — Managed Medicaid: Arizona's AHCCCS Experience
Site Visit
—
January 11–14, 2000
The Nursing Center in Concept and Practice: Delivery and Financing Issues in Serving Vulnerable People
Issue Brief
No. 746
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September 13, 1999
The Nursing Center in Concept and Practice: Delivery and Financing Issues in Serving Vulnerable People
Forum Session
—
September 13, 1999
Mental Health Coverage Parity: Separating Wheat from Chaff
Issue Brief
No. 745
—
July 20, 1999
Mental Health Coverage Parity: Separating Wheat from Chaff
Forum Session
—
July 20, 1999
Substance Abuse Prevention: Could an Improved D.A.R.E. Program Help Bridge the Gap between Research and Practice?
Issue Brief
No. 737
—
April 15, 1999
Substance Abuse Prevention: Could an Improved D.A.R.E. Program Help Bridge the Gap between Research and Practice?
Forum Session
—
April 15, 1999
Welfare Reform and Its Impact on Medicaid: An Update
Issue Brief
No. 732
—
February 26, 1999
Welfare Reform and Its Impact on Medicaid: An Update
Forum Session
—
February 26, 1999
Site Visit to Utah and Nevada — Essential Community Health Services on the Frontier
Site Visit
—
October 27–30, 1998
Site Visit to New Jersey — State and County Experiences with Welfare Reform and Access to Health Care
Site Visit
—
May 26–28,1998
Dual Diagnoses: The Challenge of Serving People with Concurrent Mental Illness and Substance Abuse Problems
Issue Brief
No. 718
—
April 14, 1998
Dual Diagnoses: The Challenge of Serving People with Concurrent Mental Illness and Substance Abuse Problems
Forum Session
—
April 14, 1998
Increasing the Federal Cigarette Tax: A Means of Reducing Consumption?
Issue Brief
No. 717
—
April 3, 1998
Increasing the Federal Cigarette Tax: A Means of Reducing Consumption?
Forum Session
—
April 3, 1998
Site Visit to Philadelphia — Providing Community-Based Primary Care: Nursing Centers, CHCs, and Other Initiatives
Site Visit
—
March 30–31, 1998
Restructuring the VA Health Care System: Safety Net, Training, and Other Considerations
Issue Brief
No. 716
—
March 25, 1998
Restructuring the VA Health Care System: Safety Net, Training, and Other Considerations
Forum Session
—
March 25, 1998
