Suchergebnisse

Medicaid, the health care program for the poor, has undergone significant changes in the last fifteen years. Many of those changes relate to the intergovernmental nature of the program. Medicaid is jointly operated, with the federal and state governments sharing program costs. Despite a set of program guidelines dictated by the federal government, states have traditionally had substantial latitude in Medicaid decisions. However, a series of developments in the 1980s led to increasing constraints on state Medicaid discretion, including federal mandates to expand Medicaid coverage. This article examines the inception and effectiveness of the Medicaid mandates from the perspective of interstate equity of health care services for poor families.

State preemption of local government discretion is examined through the lenses of county cooperation with federal Immigration and Customs Enforcement (ICE) and "immigration federalism." Through a mixed-method approach, we examine why counties collaborate with ICE as well as how and why they deviate from state preemptions on local support for immigration. Analysis of a sample restricted to Georgia and Texas, states with especially robust preemptive anti-immigrant laws, suggests that special interests—those related to immigrant-dependent industries important to county economies—have significant influence over county decisions to minimize cooperation with ICE.

AbstractContracting for prison services has been a topic of discussion for decades. Absent from this discussion is the relationship between contracting for immigration detention and confinement quality, a topic that has gained relevance as the detained immigrant population recently surpassed 440,000 per year. Detaining immigrants presents unique challenges because of detainee characteristics, the performance standards governing facilities, and the intersectoral and intergovernmental arrangements used to manage detention facilities. This research conducts the first‐known large‐N study that evaluates the confinement quality of U.S. Immigration and Customs Enforcement's detention facilities to determine the effect, if any, of contracting on performance. The findings suggest that all detention facilities have deficiencies that threaten the well‐being of detained immigrants, but, broadly, privately contracted detention facility environments are less safe and secure than their public counterparts. The authors use contracting theory to explain why this performance disparity might exist and conclude with a discussion of the practical implications of this research.

Annotation

Abstract
This article examines whether and how the capacity of a street-level organization moderates its ability to perform effectively in the context of a public program reform. We use the case of California probation departments during the phased implementation of the state's Low-Income Health Program, a major Medicaid reform that offered critical new services for many probation citizens/clients, namely, mental health and substance abuse treatment. We exploit six years of monthly California county-level probation department data to conduct quasi-experimental difference-in-differences analyses. Results indicate that in those counties that had activated the reform, probation departments with greater capacity achieved higher rates of probation completion success when compared to departments with lower capacity. The analysis implies that organizations improved most when departments benefitted from a combination of reform-generated resources and more robust organizational capacity.

Representative bureaucracy theory suggests that demographic representation among street‐level bureaucrats will improve outcomes for minority citizens receiving a given public service. Scholars of representation in public bureaucracies argue that the effect of bureaucrats' demographic profile on outcomes for minority citizens becomes particularly salient in contexts where bureaucrats exercise relatively high amounts of discretion. Empirical evidence has documented this relationship in education, policing, and a variety of public programs. We extend this literature to the context of prisons, where street‐level corrections staff exercise considerable discretion over inmates' daily lives. Using prison violence and disciplinary actions to proxy for the potential effects of a representative staff on the experiences of prison inmates, we find that prisons with greater representation have fewer assaults and exercise fewer disciplinary actions. We offer evidence that the positive effects of demographic representation may not hold in privately managed prisons. We speculate that differential organizational socialization and managerial incentives may help to explain this result.

Theory tells us that competition is the chief driver of improved efficiency and effectiveness in government contracting, yet contract provider markets are often noncompetitive. This study offers a detailed, contextualized examination of public administrative responses to thin contract markets. Following an inductive approach with data from semistructured interviews with contract administrators, the authors offer a preliminary typology of the conditions that give rise to thin markets, and the "market management" strategies used to create, enhance, and sustain competition in the markets from where governments purchase goods and services. The authors then review the efficacy and implications of these strategies for public services to citizens.

This analysis of state social service contracts identifies sources of system instability and explores the impacts of instability on service delivery networks. The authors examine social welfare service contracts explicitly as networks and assess the effects of network instability on the management of contracts, contract effectiveness, the performance of network organizations, and clients. They offer observable patterns and detailed examples that indicate that instability imposes significant costs on service delivery networks—costs that impair organizational and network performance and that divert resources from services for vulnerable clients. The high costs associated with instability undermine arguments for more market-based service delivery.

AbstractThis article addresses whether perceived goal agreement matters for cross‐sectoral collaboration outcomes. Using original survey data from Lebanon that compares the perceptions of local governcment and nonprofit leaders, the findings indicate perceived goal agreement is salient and linked to judgments that collaboration meets its objectives. The article also examines perceptions of goal agreement as it relates to social (trust) and process (power‐sharing) collaboration outcomes and find it to be associated with higher trust between collaborators. While this is the case for nonprofits more than local governments, we find no corresponding sector differences for the relationship between perceptions of goal agreement and effectiveness. In addition, agreeing on goals seems to be linked to perceptions of unequal decision‐making authority for local governments. The results highlight implications for the relationship between goal agreement and cross‐sector collaboration outcome, particularly in the context of developing countries.