Experts shared their top tips on research communication techniques in an afternoon workshop at the Association for Public Policy Analysis and Management (@APPAM_DC ) annual meeting in Atlanta, GA. Tips and reading list belowššš
"Projects developed in partnership with policymakers are 17-20% points more likely to result in policy change ... partnerships most often occur earlier in the term when political conditions are conducive to experimentation & reform"
-- Cool paper by Alix Bonargent
This short comment from Andrew Gelman on designing experiments is pointed and useful. Love the de-emphasis on power analysis but emphasis on simulating and making hard choices. PDF: stat.columbia.edu/~gelman/reā¦
ALT In the past, we have designed experiments and gathered data on the hope that the results
would lead to insight and possible publicationābut then the actual data would end up too
noisy, and we would realize in retrospect that our study never really had a chance of
answering the questions we wanted to ask. Such an experience is not a complete wasteā
we learn from our mistakes and can use them to design future studiesābut we can often
do better by preceding any data collection with a computer simulation.
Simulating a study can be more challenging than conducting a traditional power analysis.
The simulation does not require any mathematical calculations; the challenge is the need
to specify all aspects of the new study. For example, if the analysis will use regression
on pre-treatment predictors, these must be simulated too, and the simulated model for the
outcome should include the possibility of interactions.
Beyond the obvious benefit of revealing designs that look to be too noisy to de
CBO says Medicaid work will not have much impact on jobs or work hours. So the real impact (and savings) comes from red tape that causes people who are working and can't work to be dropped. cbo.gov/system/files/2023-04ā¦
This is much higher than the 0.5% that we found in a recent paper, and higher than most evaluations of CMS bundled payment programs.
The reason for CMS losses: target prices were too easy to achieve, especially for participants with high initial spending targets.
3/6
What's interesting though is they break out MAGI vs. non-MAGI apps. AR automatically enrolls SSI recipients in Medicaid. But I think the non-MAGI pop is a big concern in states that require separate apps for SSI and Medicaid (like ID, which is posting data, but not by case type)
Very limited unwinding data here from Arkansas which is one of 5 states that started Medicaid terminations April 1. Just shows that state initiated renewals for 81k but no info yet on the resolution.
humanservices.arkansas.gov/wā¦
Join us for the PolNet Online Colloquium on Tuesday, April 18 at 12pm ET with @ScottJLaCombe and @TraceeMSaunders on "What makes a leader? A Role Analysis of Latent Policy Diffusion Networks" (discussants: @brucedesmarais and @joshua_jansa).
If my math is right, that's about 4% of the people who were enrolled in the program (using numbers on Idaho's enrollment from the Dec. 2022 report, which is the most recent enrollment data available)
#Medicaid unwinding 1st coverage loss #'s
19,251 lost coverage over the weekend in Idaho seemingly b/c they were over income eligible
8585 were adults - unclear if the rest were kids
5 states started kicking people off last weekend - no data yet from AR, AZ, NH, SD
another gov agency trying to make applications easier - this time, it's HHS working with USDS to work on applications for federally funded childcare. they say that multi-benefit applications are next on the list. @FCWnowfcw.com/digital-government/2ā¦
One strategy states have been deploying to try to make sure Medicaid enrollees donāt miss notices from the state is using colored envelopes.
Texas is using yellow envelopes. Louisiana, pink. And New Mexico, as written up in this AP story, turquoise.
apnews.com/article/medicaid-ā¦
Growing evidence from over 30 years of experience shows that taking SNAP (food assistance) away from people that donāt meet work requirements just makes it harder for people to afford food and doesnāt improve employment rates. pubmed.ncbi.nlm.nih.gov/3686ā¦
NEW: As states prepare to resume Medicaid disenrollments, there is variation in strategies states are adopting that might make it easier for eligible people to retain coverage. We examine how states plan to unwind the continuous enrollment provision. kff.org/medicaid/report/mediā¦
Great opp for policy impact! Check out the President's Learning Agenda and, submit any relevant research. This is not a black box; there are real people on the other end and the team managing the learning agenda are top notch!
performance.gov/pma/learningā¦
Most state Medicaid programs face significant staffing challenges as they prepare to resume disenrollments and renewals. More than half of reporting states in our survey (16 of 26) have staff vacancy rates of greater than 10% for eligibility workers. kff.org/medicaid/report/mediā¦
Another big finding? On average, 3 in 4 Americans supported each policy tool. Read the full piece here > Most Americans Support Minimizing Administrative Burdens for #Medicaid Recipients as the Public Health Emergency Ends osf.io/86bpx
@donmoyn @TAMU_SPH
Are you a Ph.D. candidate or an assistant professor seeking a small grant? Apply for the Volcker Junior Scholar Research Grant through APSA! The deadline is extended through March! @gporumbe @k_shoub@apsapublicadmin@APSAtweets @PMRA1991 @awparocksapsanet.org/section6
To illustrate what a 70% cut in Medicaid would mean:
If it were achieved through an across-the-board reduction in eligibility, it would require eliminating Medicaid coverage for over 50 million people, based on CBO projections.
cbo.gov/system/files?file=20ā¦@sangerkatz
What about balancing the budget without cutting Medicare or Social Security? Republicans booed at the SOTU when the president said they wanted to touch those programs. nytimes.com/interactive/2023ā¦
42% of asylum cases decided by judges in Los Angeles this fiscal year were denied compare to 53% Nationwide. A variety of factors influence geographic variations in case outcomes. Data as of January 2023, available here trac.syr.edu/phptools/immigrā¦
This is an āunwelcome matā effect I am very worried about in the Medicaid unwinding. And another reason states have to distinguish messages to parents about their own coverage and that of their children. Eligibility may well be different - especially in non expansion states.
āWhen a parent receives a message that they arenāt eligible anymore, they often assume their child is no longer eligible either. Itās more common to find that the parent is no longer eligible for Medicaid, but the child still is.ā @JoanAlker1aol.com/finance/millions-relā¦