1,720,968 research outputs found
Holding Hospitals Accountable? Evidence on the Effectiveness of Minimum Charity Care Provision Laws
Full text linkWhat can governments do to encourage nonprofit hospitals to provide greater benefits to their communities? Recent efforts by the federal and state governments seek to hold hospitals accountable for community health, in part by incentivizing charity care provision. Laws that set benchmarks for charity care spending are increasingly used, but their efficacy is uncertain. In this study, we examine the extent to which Illinois’ minimum charity care provision (MCCP) law increases nonprofit hospital charity care. Importantly, we differentiate between responses for hospitals required to provide minimal charitable spending (nonprofits) and those that are not (for-profit and public). We use detailed panel (2009-2015) data from Illinois\u27 Annual Hospital Questionnaire and county-level data from the American Community Survey. We exploit a discrete change in charitable care requirements for nonprofit hospitals to identify the effect of the MCCP law on charity care, controlling for hospital characteristics, county demographics, and year and county (or hospital) fixed effects. Employing a differences-in-differences model, we find no evidence that the MCCP law increases charity care on average. Instead, we find some evidence that the law’s effects vary by how much charity care hospitals provided previously – charity care increases for those providing lower levels at baseline, narrowing the gap in charity care provision with those that provide high levels at baseline. The results suggest that setting low benchmarks does not create sufficient incentives for nonprofit hospitals to provide greater charity care on average, but instead may narrow the gap between high and low charity care hospitals
Do Minimum Charity Care Provision Requirements Increase Provision of Charity Care in Nonprofit Hospitals?
Full text linkNonprofit hospitals receive significant federal, state, and local tax exemptions, partly based on the rationale that nonprofit hospitals provide public goods and services. Through Minimum Charity Care Provision (MCCP) requirements, nonprofit hospitals are required to spend a certain percentage of their revenues on charity care. However, it is not clear whether these requirements increase spending on charity care. This brief summarizes findings from research examining the differences in provisions of charity care across different hospital market sectors – non-profit, for-profit, and government. Findings suggest that MCCP requirements for nonprofit hospitals do not lead to more charity care. If anything, targeting policies that use external incentives may have crowded out some organizations’ internal motivations to provide public goods and services
Let Them Eat Lunch: The Impact of Universal Free Meals on Student Performance
Full text linkThis paper investigates the impact of extending free school lunch to all students, regardless of income, on academic performance in New York City middle schools. Using a difference-in-difference design and unique longitudinal, student level data, we derive credibly causal estimates of the impacts of “Universal Free Meals” (UFM) on test scores in English Language Arts (ELA) and mathematics, and participation in school lunch. We find UFM increases academic performance by as much as 0.059 standard deviations in math and 0.083 in ELA for non-poor students, with smaller, statistically significant effects of 0.032 and 0.027 standard deviations in math and ELA for poor students. Further, UFM increases participation in school lunch by roughly 11.0 percentage points for non-poor students and 5.4 percentage points for poor students. We then investigate the academic effects of school lunch participation per se, using UFM as an instrumental variable. Results indicate that increases in school lunch participation improve academic performance for both poor and non-poor students; an additional lunch every two weeks increases test scores by roughly 0.08 standard deviations in math and 0.07 standard deviations in ELA. Finally, we explore potential unintended consequences for student weight outcomes, finding no evidence that UFM increases probability of obesity or overweight, or BMI. Results are robust to an array of alternative assumptions about sample and specifications
Children in Economically Disadvantaged Households Have Lower Early Literacy Skills than their Higher-Income Peers
Full text linkLiteracy is critical for numerous developmental outcomes and wellbeing among children. Low literacy skills in childhood can also negatively affect individuals in adulthood. Using data from nearly 300,000 kindergarten students in Virginia (2014-2017), this study finds that children in households that participate in more than one social assistance program (such as Temporary Assistance for Needy Families, the Supplemental Nutrition Assistance Programs, and Free or Reduced-Price Lunch) have lower literacy skills when they enter kindergarten than children whose households participate in fewer or no social programs
Do Schools Have the Capacity to Provide Free Meals to Every Student?
Full text linkOver 20 million students nationally attend schools that offer universal free meals (UFM). Advocates argue that UFM increases school meal participation, decreases stigma, and reduces administrative costs for schools. Similarly, Breakfast in the Classroom (BIC) distributes breakfast to students after the bell, which increases participation and potentially decreases stigma. However, student participation remains far from universal. This brief summarizes the findings from a study using data from New York City (NYC) public schools between 2011-2014 to analyze the effectiveness of UFM and BIC at increasing student school breakfast and lunch participation in capacity-constrained schools. The authors find that both UFM and BIC increase school meal participation, but UFM is less effective in schools that share buildings with other schools. Conversely, BIC is just as effective in such schools. Neither programs’ effectiveness appears to be compromised in overcrowded schools
Do Schools Have the Capacity to Provide Free Meals to Every Student?
Full text linkOver 20 million students nationally attend schools that offer universal free meals (UFM). Advocates argue that UFM increases school meal participation, decreases stigma, and reduces administrative costs for schools. Similarly, Breakfast in the Classroom (BIC) distributes breakfast to students after the bell, which increases participation and potentially decreases stigma. However, student participation remains far from universal. This brief summarizes the findings from a study using data from New York City (NYC) public schools between 2011-2014 to analyze the effectiveness of UFM and BIC at increasing student school breakfast and lunch participation in capacity-constrained schools. The authors find that both UFM and BIC increase school meal participation, but UFM is less effective in schools that share buildings with other schools. Conversely, BIC is just as effective in such schools. Neither programs’ effectiveness appears to be compromised in overcrowded schools
Children in Economically Disadvantaged Households Have Lower Early Literacy Skills than their Higher-Income Peers
Full text linkLiteracy is critical for numerous developmental outcomes and wellbeing among children. Low literacy skills in childhood can also negatively affect individuals in adulthood. Using data from nearly 300,000 kindergarten students in Virginia (2014-2017), this study finds that children in households that participate in more than one social assistance program (such as Temporary Assistance for Needy Families, the Supplemental Nutrition Assistance Program, and Free or Reduced-Price Lunch) have lower literacy skills when they enter kindergarten than children whose households participate in fewer or no social programs
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
- …
