The Balanced Budget Act of 1997 (BBA) established new reimbursement systems in the Medicare home health fee-for-service benefit. Reimbursements were reduced to 1993 levels and per-beneficiary capitated limits were introduced for the first time. This article analyzes the impact of these changes on chronically ill older adults and their families.…

For education administrators, campus fires are not only a distressing loss, but also a stark reminder that a campus faces risks that require special vigilance. In many ways, campuses resemble small communities, with areas for living, working and relaxing. A residence hall fire may raise the specter of careless youth, often with the complication of…

Purpose: Although prior research suggests that economic, behavioral, and psychosocial factors influence decisions not to purchase long-term care insurance, few studies have examined the interplay among these factors in depth and from the consumer's point of view. This study was intended to further illuminate these considerations, generate…

Transportation is an important issue to consider when operating a program for the young. Children must be able to get to school, gym, church, or where the care is being provided, and back home. If the parent provides the ride for their own child, everything is fine. If an organization assumes responsibility for getting children to and from a…

The results of a recent study, which sought information pertaining to the current status of student health insurance programs in schools throughout the United States, is reviewed in this article. The availability and suitability of the programs are summarized, and recommendations for improvement are provided. (Author/DS)

Discusses the options open to school boards in "risk management" -- to assume, reduce, or transfer the risk. (JF)

Beginning on the front page, this article explains ways of establishing a sound risk management insurance program that can improve a school district's financial position. Organizations that can help are listed. Available from the American Association of School Administrators, 1801 North Moore Street, Arlington, VA 22209. (MLF)

The planning, implementation, and assessment of a comprehensive health insurance program directly reflective of the particular needs of a university body are described. (JD)

Gay and lesbian faculty members may no longer be desperate to hide their true identities in academe, but many are desperately seeking health insurance for their partners. With anti-gay discrimination fading, obtaining health and other benefits for partners is still a major concern for many gay and lesbian academics. A growing number of colleges…

This annual snapshot of child well-being is intended to inform policymakers and the public of the progress of and challenges to ensuring the health, welfare, and safety of all children. Following a special section on the racial disparities that exist among New Jersey children based on the Annie E. Casey Foundation's "Race for Results"…

The physical, social, and economic health and wellbeing of adults and society are strongly influenced by both positive and negative experiences in early childhood. The most cost-efficient time to build foundational skills, to assure the healthy development of all young children, to break the cycle of disadvantage for vulnerable children, and to…

This paper examines the impact of public health insurance expansions through both Medicaid and SCHIP on children's educational outcomes, measured by 4th and 8th grade reading and math test scores, available from the National Assessment of Educational Progress (NAEP). We use a triple difference estimation strategy, taking advantage of the…

The purpose of this study was to examine the causal relationships between S-OJT trainer preparation, self-efficacy as a trainer, trainers' delivery of S-OJT, and organizational commitment as a consequence of employing S-OJT. This study proposed a theoretical model from the review of related literature and then empirically investigated the fitness…

Legislation during the past three decades has gradually drawn Indian Health Service (IHS)-funded clinics into the mainstream of the US medical care environment. The Indian Self-Determination and Education Reform Act of 1973 and its Indian Education Amendments of 1984 began a movement away from federal management of health services to local tribal…