June 2006
Colorado Department of Human Services
This report examines strategies Colorado counties were using to serve the hard-to-employ TANF population in 2005, highlighting promising approaches that counties might choose to adopt and providing the state with useful information that can help guide future policy choices. While there are a wide range of issues that affect welfare recipients’ ability to succeed in the job market, this report focuses on seven barriers: 1) Physical disabilities; 2) Limited education and learning disabilities; 3) Mental health; 4) Substance abuse; 5) Domestic violence; 6) Limited English skills; and 7) Homelessness.
Client Area: State and Local Governments
Expertise Area: Employment, Training, and Workforce Development, Income Security
June 2006
Colorado Department of Human Services
In Colorado, county human service and social service departments provide a range of programs for adults, youth and relative caretakers to help stabilize families, increase self-sufficiency, and prevent the intergenerational transmission of welfare dependency. This report provides an overview of services offered in Colorado. The report also highlights three broad areas of innovative family-related and prevention services, including collaborations with child welfare and other efforts to prevent out-of-home placements, programs designed to increase child well-being through parental involvement and access to quality child care, and a broad array of youth programs including non-marital pregnancy prevention programs, summer employment and training initiatives, and in-school services for high-risk youth.
Client Area: State and Local Governments
Expertise Area: Children, Youth, and Family Policy, Income Security
June 2006
Colorado Department of Human Services
This report describes employment services in local Colorado Works programs, particularly strategies that involve interaction with employers and industries, highlighting promising practices for other programs. It finds that the most common employment-specific activities in Colorado counties are (1) job readiness workshops that generally include some guided job search activity, and (2) work experience activities. It also finds that counties generally tailor their employment services to local labor market trends, working with both public and nonprofit agencies as well as private sector business when possible. Finally, several county programs are found to have developed large and formal networks of employers for such employment activities which may serve as a model for other counties.
Client Area: State and Local Governments
Expertise Area: Employment, Training, and Workforce Development, Income Security
June 2006
Colorado Department of Human Services
This report examines the variety of cross-agency collaboration and coordination strategies used by county Colorado Works/TANF programs across the state. Based primarily upon information collected during site visits to 18 Colorado Works county programs, this report focuses on collaborative arrangements in two major areas: (1) partnerships with local Workforce Centers and other community organizations to obtain employment, education, and training services; and (2) collaboration with other public agencies and private organizations to obtain a wide array of support services. The report finds that program coordination is extensive and that there is wide variation in the network of collaboration across Colorado counties.
Client Area: State and Local Governments
Expertise Area: Employment, Training, and Workforce Development, Income Security
June 2006
Mississippi Office of the Governor, Division of Medicaid
Lewin contact: John Sheils
The Lewin Group developed an analysis of options to expand coverage to the uninsured in the state of Mississippi and estimated their impact on government spending, employers and households. The policy options included in the analysis were selected to cover the range of policy recommendations developed under the Mississippi State Planning Grant project. These policy options include expanding coverage under public programs, expanding private insurance coverage and universal coverage options.
Client Area: State and Local Governments
Expertise Area: Health Reform
April 2006
North Carolina Department of Health and Human Services
Lewin contact: Lisa Alecxih
North Carolina offers an array of long term care (LTC) services for Medicaid beneficiaries. In 2004, House Bill 1414 directed the state’s Depart.ment of Health and Human Services to commission a study of whether an institutional bias exists in Medicaid-financed LTC services. In 2001, North Carolina’s Institute of Medicine presented a General Assembly-commissioned report entitled “A Long Term Care Plan for North Carolina.” The report outlined barriers in state LTC policy and practices and offered recommendations to the State on how to improve the LTC delivery system. This study builds on those findings and recommendations and offers an updated look at North Carolina’s Medicaid LTC system
Client Area: State and Local Governments
Expertise Area: Aging and Disability
February 2006
Alaska Department of Health and Social Services
Lewin contact: John Sheils
In April 2005 the Alaska Department of Health and Social Services (ADHSS) contracted with the Lewin Group and ECONorthwest to develop a long-term forecasting model of Medicaid spending for the State of Alaska. This document describes the steps undertaken in the development of the forecasting model and provides details on the projected growth in enrollment, utilization, and spending on Alaska’s Medicaid program through 2025.
Client Area: State and Local Governments
Expertise Area: Medicaid and CHIP
February 2006
Delaware Governor's Commission on Community-Based Alternatives for Individuals with Disabilities
Lewin contact Lisa Chimento
The Delaware Governor's Commission on Community-Based Alternatives for Individuals with Disabilities commissioned The Lewin Group to review and analyze the challenges and opportunities the State may face when undertaking a Money Follows the Person or “rebalancing” initiative. In essence, the study seeks to evaluate the manner in which Medicaid recipients access Medicaid benefits—either in institutions or in the community—and whether there exist policies or procedures that favor institutional placement over home and community-based services. It also reviews State initiatives on rebalancing and models the potential financial impact of Delaware’s adoption of a Money Follows the Person program.
Client Area: State and Local Governments
Expertise Area: Aging and Disability, Medicaid and CHIP
October 2005
Colorado Department of Human Services
The State of Colorado’s Department of Human Services funded The Lewin Group to perform an in-depth study of Colorado’s TANF program, Colorado Works. The objective is to provide administrators with information about program strategies and approaches being used in various counties that others might find useful for improving program implementation, performance, and outcomes. This report summarizes findings from a survey of county Colorado Works directors conducted in 2005. It documents the diversity of the policies, organization and staffing approaches, and activities and services found across the state.
Client Area: State and Local Governments
Expertise Area: Income Security
July 2005
Marin Healthcare District
Lewin contact: Lisa Chimento
For the Marin Healthcare District, The Lewin Group conducted a strategic assessment of options for the future of Marin General Hospital. This report describes the assessment methodology and presents the Lewin Team's findings and conclusions.
Client Area: State and Local Governments
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