Friday, April 28th, 2017 | PUBLIC AGENDA
media may not be to blame for our political divisions
Never before have Americans seemed so politically divided. You can hear the divisions in conversations at restaurants (particularly if you live in a swing state). You can see the divisions via protest signs on the evening news. You can look at the final outcome of the U.S. presidential election. And sometimes, you can witness acrimony in the conversations on Facebook.
Political Allies: Urban Democrats and GOP Governors
Most states now are run by Republicans. Virtually all big cities, by contrast, have Democratic mayors. That has led to a lot of conflict and a considerable number of state laws preempting local initiatives. But while many Democratic mayors are struggling to get a hearing from Republican legislators, a fair number have been able to forge working partnerships with GOP governors.
political nuance could save America (The Guardian)
Many progressives trade in stereotypes about Kansas with childlike pride, writes Sarah Smarsh. But to use geography to separate the righteous from the scourge is dangerously simplistic.
founder launched a fake-news fighting site. (The Guardian)
Jimmy Wales’ Wikitribune is an independent site for journalists and an army of volunteer community contributors to work together to report, edit, and fact check stories. The idea is that people who donate to the site will have a say in coverage.
Budgeting: The People’s Budget (WNYC)
“The people's budget is an opportunity for community residents to decide how a million dollars or more is spent in their community.”
Poverty Requires Almost 20 Years With Nearly Nothing Going Wrong (The
The MIT economist Peter Temin argues that economic inequality results in two distinct classes. And only one of them has any power.
Inequality!' Is a Poor Rallying Cry (Bloomberg View)
Inequality, of income or wealth, is one of the most frequently invoked ideas in policy discussions today. Yet a study of the concept reveals uncomfortable truths, namely that most Americans don’t mind inequality nearly as much as pundits and academics suggest.
Voice Plays a Key Role in Townsend Harris Shakeup (WNYC)
Reporters for the school paper, The Classic, exposed problems and discontent with the interim principal for months. Now, the school is getting a new principal.
New York City expected to unveil school diversity plan soon, advocates want the
public to have a say (Chalkbeat NY)
“What we want the DOE to do is create an actual planning process that is inclusive of stakeholders across the city. That has not been the case,” said Matt Gonzales, who leads school integration efforts for the nonprofit New York Appleseed and is a member of ASID. “Any efforts towards integration or desegregation always, historically, have required local buy-in.”
Schools Take Root (Education Week)
Impact Academy at Orchard Lake in Minnesota is among a growing number of public schools where teachers have a say in what goes on, from the learning approach to staffing and scheduling.
Share Their #BestPD, #WorstPD (Education Week)
We asked educators to share on Twitter the professional development that inspired them or that left them scratching their heads.
Higher Education & Workforce Development
Expands North and West (Inside Higher Ed)
Westchester Community College, which is part of the State University of New York System, and Skyline Community College in California are the latest campuses that are gearing up to try ASAP for the first time. At Skyline, officials are estimating the cost per student will fall between $1,200 and $1,400 a year. If the program goes full scale, or grows to about 500 students, the college estimates it will cost $1.5 million a year. Westchester estimates its ASAP model will cost between $3,000 and $4,500 a student. But with outside grants, funding from the college and tuition from increasing student persistence, Westchester is hopeful the program will become sustainable.
possible solution for the future of career and technical education (Hechinger
The 26 students, from four local public high schools, report to school at the Volkswagen plant, a major new employer in the region. (The program, which started in August, is expected to grow to include more students and other employment tracks.) Students spend the morning in “lab time,” a flexible period during which they are taking courses, such as algebra or trigonometry, through the Edgenuity platform on a computer.
Snapshot: Guided Pathways to College Completion
(Education Commission of the States)
Based on a review of 2016 legislative activity that encourages or requires higher education institutions to develop guided pathways strategies: At least six states considered guided pathways legislation. Ten bills were introduced. Two bills were enacted, six bills died and two bills are pending.
The Health Care Reform Eight Ball (Forbes)
The core issue dividing GOP factions focuses on driving down the cost of insurance premiums only. This narrow approach is a recipe for public relations and policy failure. But if you couple insurance reforms to transparency in our costs of actual care, a potent dynamic is unleashed. Our health care marketplace is missing actual price tags.
Other Drug Problem (ProPublica)
Every year nursing homes nationwide flush, burn or throw out tons of valuable prescription drugs. Iowa collects them and gives them to needy patients for free. Most other states don’t.
Almost Impossible to Find Out the Cost of a Medical Procedure. This Company Is
Trying to Change That. (The Daily Signal)
Amino mines data from billions of health insurance claims from the private and public sectors. Amino then gives patients access to information on the cost of various procedures and how much experience doctors nationwide have in those procedures.
Friday, April 21st, 2017 | PUBLIC AGENDA
hacks for digital democracy (Nature)
Beth Simone Noveck urges researchers to work out how technology can improve public institutions. There is a dearth of research on how public organizations engage with civil servants and the public online, and thus a lack of insight into how to design successful online engagement processes and institutions.
Excellence Looks like in Local Government (Data Smart)
What Works Cities, an initiative of Bloomberg Philanthropies, pairs midsized cities with expert partners – the Government Performance Lab at Harvard Kennedy School, the Behavioral Insights Team, the Center for Government Excellence at Johns Hopkins University (GovEx), Results for America and the Sunlight Foundation – for technical assistance in better using data and evidence. After two years of work with 77 cities across the United States, the program identified the key characteristics of a city devoted to using data to comprehensively identify, well, what works.
Only One-Third Of Americans Know The Rich's Tax Rates Have Not Climbed (NPR)
Results of a new Ipsos poll conducted for NPR suggest Americans may be sending a garbled message when they voice their opinions on taxes.
governments are crowd-sourcing community solutions
Take Singapore and San Diego: By making data open and accessible, city and state governments are inviting fresh thinking by firms, data scientists, and start-ups. Experts from Singapore’s Lee Kuan Yew School of Public Policy offer perspective about how the resulting insights are helping make economic development smarter.
Moment for Participatory Democracy (Stanford Social Innovation
Where are these citizens? Where, precisely, are people congregating in public life in 2017 America?
2.0: Is Income Inequality Inevitable? (Freakonomics)
In a perfect economy, no one would be poor. Does that mean everyone should receive a basic income? Or would that lead to disaster? The "Earth 2.0" podcast series looks at whether rebooting the planet and designing our civilization from scratch would give us something better than what we’ve blundered our way into thus far.
Islamic School Helps Students Build Their American And Muslim Identity (NPR)
The Al Fatih Academy in Virginia is one of about 270 Islamic schools in the U.S. The staff aim to give their students a well-rounded education and promote civic awareness.
America whole again via civics education (Hechinger Report)
To harness student passion without bogging down in partisan muck, teachers are wielding a bevy of ed-tech tools — ranging from online role-playing games and issue quizzes to social media platforms where teachers share strategies for leading political discussions and students collaborate to try to influence public policy.
Economic impact of NYC's "school-to-prison pipeline" is $746M
(Center for Popular Democracy)
This report, released by the Center for Popular Democracy and Urban Youth Collaborative, reveals the staggering yearly economic impact of the school-to-prison pipeline in New York City, $746.8 million. In addition, it presents a bold “Young People’s School Justice Agenda,” which calls on the City to divest from over-policing young people, and invest in supportive programs and opportunities for students to thrive. New evidence of the astronomical fiscal and social costs of New York’s school-to-prison pipeline demand urgent action by policymakers.
Higher Education & Workforce Development
Implementing Guided Pathways (Community College Research Center)
This report is intended to provide insight into how colleges are planning and implementing guided pathways reforms. It is based on CCRC research on the early work of 30 colleges across the country that are part of the American Association of Community Colleges’ (AACC) Pathways Project. These colleges have committed to redesigning their programs and student support services at scale following the guided pathways model adopted by AACC based on CCRC’s research.
Even One Semester: Full-Time Enrollment and Student Success
(Center for Community College Student Engagement)
Students with fluid attendance patterns frequently fall between the two extremes—and they often look more like always-full-time students than like always-part-time students. These findings indicate that any experience as a full-time student provides a benefit.
college presidents surveyed on enrollment, recruitment, pipeline (Inside
Six in 10 leaders of community colleges say their enrollments have declined in the past three years, including 21 percent who say enrollment is down by 10 percent or more, according to Inside Higher Ed’s 2017 Survey of Community College Presidents conducted by Gallup.
Sunshine Laws in Higher Education (Association of Governing
Arguably, there is no more important governance challenge for college and university leaders than dealing effectively with what diplomat and educator Harland Cleveland termed the “trilemma” posed by sunshine laws: respecting the public’s legitimate right to know, protecting individual privacy, and serving the public good. It seems no exaggeration to suggest that institutional effectiveness depends on deftly balancing these three imperatives.
the Opportunity: Eight State Policy Recommendations That Support Postsecondary
Credential Completion for Underserved Populations (Jobs
for the Future)
Includes eight recommendations for policy levers that improve access and success.
on Health to Resolve Urban Ills (The New York Times)
Discrimination, poverty, inequality and violence create unbearable stress, and stress kills.
Lawmakers Push Bills on Health Costs, Transparency (US
News & World Report)
Congress may not know what to do about former President Barack Obama's Affordable Care Act, but Montana lawmakers are pushing through legislation they believe will bring down health care costs and increase price transparency regardless of what happens in Washington.
traits of good value-based payment programs (Fierce Health Care)
In order for value-based payment models to live up to their hype, they must generate more consistent benefits than they have so far, argue Jessica Farmer and Michael Hochman, M.D., of the Keck School of Medicine.
Monday, April 17th, 2017 | WILL FRIEDMAN, PH.D.
With the latest health care reform bill failing to gain traction, we're reminded that there is no easy fix to our broken health care system. Meanwhile, Americans remain burdened by rising out-of-pocket medical costs amid diminished economic opportunity and chronic political dysfunction. They feel stuck, as we explain in our recent report, The Fix We're In. Public Agenda is tackling critical issues such as these to help individuals, families, and communities build better lives.
With no panacea in sight to address our current health care system troubles, we looked at a piece of the puzzle that could help people save some money and perhaps help contain health costs overall. Earlier this month, we released new research that examined how people are finding and using health care price information.
Are Americans trying to find out about health care prices today?
Do they want more information?
What sources would they trust to deliver it?
Is this information helping them save money?
Despite efforts in recent years by insurers, state governments, employers and other entities to make price information more easily available, the research shows that obstacles remain. Among the findings, about half of Americans are still not aware that hospitals' prices can vary or that doctors' prices can vary. And for those that do know this, the information is still difficult to find, as our Director of Research, David Schleifer, shared in a personal story with The Economist, this week.
Sixty-three percent of Americans say there is not enough information out there. But an overwhelming majority says that it is important for their state governments to provide comparative price information. View the full report for more important findings.
Price transparency alone is not enough to make health care affordable, but by addressing the critical components of a broken system, we can help create greater economic opportunity and set the nation on a better path. Which is why we're excited to be currently analyzing new survey data about how people make tradeoffs between cost and quality in health care, and how they find information about the qualities that matter to them most.
Thursday, April 13th, 2017 | PUBLIC AGENDA
Creates Our Political Echo Chambers. It Might Also Be A Solution (NPR)
The Pew Research Center has found that about two-thirds of adults get news from social media. Analysts have blamed technology for creating an online echo chamber.
Addiction To Elections Is Killing American Democracy (The
It’s time to embrace other avenues of political engagement.
Economic Mobility in America: A State-of-the-Art Primer
The estimates constitute a comprehensive suite of mobility measures. The report also discusses the strengths and weaknesses of summary measures in assessing the extent of equal opportunity. An up- to-the-minute literature review on levels of American economic mobility is included in an appendix.
American republic survive extreme economic inequality?
Ganesh Sitaraman wrote his new book, “The Crisis of the Middle-Class Constitution,” before voters went to the polls in November. But he saw enough in the Donald Trump and Bernie Sanders primary campaigns to assess the significance of the election. “After thirty years of a collapsing middle class,” he writes, “after thirty years of an economy designed to stack the deck in favor of the big guys; after thirty years of a political and constitutional system increasingly rigged to work for economic elites — after all this, the people revolted.”
Pay for Teachers Can Lead to Higher Test Scores for Students, a Study Finds
Teacher participation in a merit-pay program led to the equivalent of four extra weeks of student learning, according to a new analysis of 44 studies of incentive-pay initiatives in the United States and abroad.
Learned to Take the SAT Like a Rich Kid (The New York Times)
I realized that they didn’t just want to score exceptionally well on the SAT. They were gunning for a score on the Preliminary SAT exams that would put them in the top percentile of students in the United States and make them National Merit Scholars in the fall. It was disconcerting. The majority of low- and middle-income 11th graders I know in Michigan didn’t even sit for the preliminary exams. Most took the SAT cold.
Charters and District Schools Working Together? In Many Ways
The number of school districts and charter schools that are interested in actively working together is on the rise, according to Robin Lake, the director of the Center on Reinventing Public Education at the University of Washington, which researches district-charter collaborations and provides technical assistance to districts and charter schools looking to work together.
gives education money directly to teenagers to manage themselves
Every seventh grader gets $4,125 to spend on early college credits. “If the money was the thing that stopped you, that’s not going to stop you anymore, unless you’re just being lazy,” Senior Cassandra Madrigal, 17, said. With her allotment, she’ll easily cover the cost of this year’s AP tests and her Boise State University-certified statistics class..
Higher Education & Workforce Development
Interstate Transfer Passport: Its Time Has Come (New
England Journal of Higher Education)
The early results for the Interstate Passport program are beginning to come in. As of February 2017, 21 institutions in six states were formal members of the Interstate Passport Network. Institutions in an additional 10 states are exploring or preparing to apply for membership. A total of 9,082 student passports were issued in fall 2016—the first term they could be awarded.
York Adopts Free Tuition (Inside Higher Ed)
SUNY and CUNY students from families with incomes up to $125,000 will not pay tuition. But some aid experts are alarmed by requirement that graduates stay in state for same number of years they receive the benefit.
1 in 5 patients comparison-shop for healthcare (Fierce
Many Americans want access to price transparency tools for healthcare, but they continue to run into roadblocks when they seek information on costs for services. A nationwide survey conducted by Public Agenda found that about half of patients in the U.S. have tried to find how much their healthcare would cost before going to get care, but 63% said that there is not enough information on costs available.
tank finds little transparency in Massachusetts hospital prices (Mass
Massachusetts state law requires doctors and hospitals to tell patients how much a procedure costs, if a patient asks. By and large, the providers are not complying, according to a study released Monday by the Pioneer Institute.
real metric for fixing health care (American Thinker)
Patients in Tennessee are seeing insurers drop out of the Obamacare exchanges like flies – another reminder that America's signature health care program has serious problems with dire consequences. Both major political parties acknowledge Obamacare's woes, but different metrics for fixing these problems have made civil and rational discussion impossible.
Friday, April 7th, 2017 | PUBLIC AGENDA
dangers of partisan animosity (Vox)
There has been a lot of talk lately, from all political corners, about threats to democracy. Arguably chief among these is the growing hostility between Republicans and Democrats. Parties serve vital functions in our government and politics, and the lack of competition between parties, in part due to antagonistic perceptions between partisans, disrupts parties’ ability to function.
Making It in America Depends on Where You Work
(Harvard Business Review)
Imagine you’re a middle class American, with an average education and average skills. You’re employed. What are the chances that next year you’ll vault into the top third of earners? It depends quite a bit on the company you work for.
opinion: Town halls work best with civil dialogue (Deseret
The current political climate has given rise to a surge of citizen engagement in the public square, as witnessed by the large crowd attending a town hall meeting recently staged by Utah Rep. Chris Stewart. Though such participation is healthy in the democratic process, the nature of the engagement has often left much to be hoped for in the way of well-reasoned, civil dialogue.
budgeting volunteers get word out amid skepticism (Triad
Tony Wilkins, a Republican who represents suburban District 5 on Greensboro City Council, is one of the most vocal opponents of participatory budgeting, a process that carves out $500,000 from the city’s multi-million dollar annual budget and allows residents 14 years and older to vote directly on how the money is spent.
Seattle Is Dismantling a NIMBY Power Structure (Next
At a time when rents are soaring and development is more contentious than ever before, a little-known city agency is rethinking its role in neighborhood planning.
Power of One: New Research Shows Black Students See Big Benefits From a Single
Black Teacher (The 74)
To determine how exposure to a black teacher impacts black students, the researchers — including Lindsay, Seth Gershenson of American University, Cassandra Hart of the University of California Davis, and Nicholas Papageorge of Johns Hopkins University — used an extensive data set from the early 2000s in North Carolina. They examine whether students attended a school and had a class with a black teacher in third, fourth, or fifth grade, and then link that to whether students dropped out of high school and if they said they intended to go to college.
Needs Charters When You Have Public Schools Like These? (The
New York Times)
The truth is that school systems improve not through flash and dazzle but by linking talented teachers, a challenging curriculum and engaged students. This is the not-so-secret-sauce of Union Public Schools district in the eastern part of Tulsa, Okla.: Start out with an academically solid foundation, then look for ways to keep getting better.
Higher Education & Workforce Development
Reasons You Won't Graduate on Time (The New York Times)
We asked educators to identify the biggest obstacles to a timely graduation. They talked about students who aim for a four-year finish but fail to take the right courses in the right order. Other students conclude that graduating in four years isn’t so important, and cut back on classes to make more time for play. Here are the six roadblocks most cited, and ways to tackle the problem.
Want More Career and Technical Training, But Struggle to Find Teachers
Nationally, career and technical education (CTE) isn’t the area with the worst teacher shortage — that’s special education. But two-thirds of states are currently reporting a shortage of CTE teachers in at least one specialty, according to a Stateline analysis of federal data. Many states, such as Minnesota and South Dakota, have had a shortage of CTE teachers for a decade. Some states, such as Maine, Maryland and New York, have had a shortage for almost 20 years.
The Student Debt Crisis, Hold Colleges Responsible
College, like any investment, involves risk — and that risk doesn’t pay off for everyone. Roughly three out of every five individuals nationally are not making any progress paying down the principal balance of their student loans three years after they leave school (the numbers improve a bit in later years, but are still strikingly high). And because student loans are usually not dischargeable in bankruptcy, this particular form of debt can follow people for the rest of their lives, even resulting in the garnishment of Social Security checks.
test: $522 or $19? MRI: $750 or $495? Tell us what health care is costing you (Nola.com)
"Cracking the Code: The real cost of health care," a joint project that NOLA.com | The Times-Picayune and WVUE Fox 8 News launched on April 5 to help consumers navigate the increasingly murky waters of modern day health care pricing, and to explore what providers, insurers and regulators could do to improve the system.
over a state healthcare transparency bill goes mostly uncovered (Columbia
In Ohio, 3rd Rail Politics—a blog that pledges to show “the side of politics other publications ignore”—recently detailed the political hardball that has blocked the implementation and enforcement of a patient protection law.
Brief: Consumer-Centric Healthcare: Rhetoric vs. Reality
(Health Care Value Hub)
From patient-centered care to consumer-directed health plans, changes in the delivery, financing, and organization of healthcare and health coverage are increasingly touted as consumer- or patient-centered. But does today’s system accurately reflect consumers’ true needs and preferences?
2017 Be the Year for Major Healthcare Price Transparency Reform? (The
Primary goals of healthcare reform include the core principles of reducing healthcare spending and providing cost-effective, high-quality care. Healthcare pricing transparency is a key piece to this puzzle, and it comes in the form of estimation tools that allow consumers to compare prices for healthcare services among multiple providers.
Friday, March 31st, 2017 | PUBLIC AGENDA
Study: 60 percent of rural millennials lack access to a political life (The Conversation)
Like older voters, young ones were divided by the 2016 presidential election. A recent study of millennial voters by Tufts University found that young people had starkly different opinions about politics and civic institutions based on race, gender and social class. One important dividing line separated rural and urban youth.
Opinion: Why Democrats Should Work With Trump (The New York Times)
Would Mr. Trump accept Democrats’ help on these terms? If he really wants to start racking up “wins” for his voters, he would. He’d have to share credit — a novel experience — with Democrats, who’d get points from swing voters for being pragmatic and competent. And they wouldn’t be constrained from fiercely opposing Mr. Trump on just about everything else. America doesn’t have room for two parties of “no.”
America's explosion of income inequality, in one amazing animated chart (The Los Angeles Times)
The best graphical illustration of the economic trend we've seen is this animation, showing the shift in "middle income" households from 1971 to 2015.
Re-Capturing the American Dream: How to Restore Middle Class America (Harvard Political Review)
For most middle class Americans, the dream of a stable, well-paying job is a fiction of a past long-departed. With the arrival of the modern system of flexible labor, working class America has waved goodbye to the economic prosperity championed by its forefathers—and begrudgingly welcomed an economy marked by stagnant income levels.
Is Trump Making America Great Again? The American Dream Index Is Keeping Score (Forbes)
To gauge whether Trump is delivering on his promise to Make America Great Again, Forbes is introducing the American Dream Index. The index strives to capture whether the economy is strong enough to deliver middle-class prosperity, or put another way, the American Dream.
Hartford Decides: Empowering Residents To Choose How To Improve Their
City (Hartford Courant)
Hartford's initiative, called Hartford Decides, is the first of its kind in Connecticut. It is part of a growing trend in what's known as participatory budgeting, an approach to civic engagement that is cropping up across the country, including Boston and New York City.
Can Austin innovate itself out of long meetings? (Austin Monitor)
Given the recent tilt toward performance art at City Council meetings – those poor eggs! – and running times that are the longest among major cities in Texas, it seems like the last thing Austin needs is more citizen participation on civic matters big and small.
The Challenge of Creating Schools That Work for All (EdWeek)
One high-achieving school works to get a handle on the racial- and income-based disparities that continue to divide its students.
Report: Teachers’ Voices: Work Environment Conditions That Impact Teacher
Practice and Program Quality (Center for the
Study of Child Care Employment)
To facilitate the process of bringing teachers’ voices into quality improvement strategies, CSCCE developed Supportive Environmental Quality Underlying Adult Learning, or SEQUAL, as a tool to document contextual information about workplace conditions that impact teacher practice and program quality and to build a vocabulary for the field around teachers’ needs for workplace supports.
Higher Education & Workforce Development
Report: Performance Requirements in Need-Based Aid: What Roles Do They Serve,
and Do They Work? (CAPSEE)
Our impact analyses in both states/studies confirm that SAP failure can act as an encouragement or a discouragement, depending upon the student: overall we find a negative effect of SAP failure on persistence, but we also find that students who do return modestly improve their GPAs, at least in the short term.
At College, a Guided Path on Which to Find Oneself (The New York Times)
Colleges use different parts of the strategy and give it different names, although it often goes by “guided pathways.” The underlying idea is to give students firm guidance in choosing the right courses, along with structured, clear course sequences that lead to graduation. Colleges also monitor students’ progress closely and intervene when they go off track. One college has used guided pathways from the start: the City University of New York’s Guttman Community College.
Google Hopes To Hire More Black Engineers By Bringing Students To
Silicon Valley (KQED)
Howard, the historically black university in Washington, D.C., is sending computer science students to study at Google's headquarters in California, as part of an effort called Howard West.
Google Maps for Degrees? How One College Plans to Chart Out Student
The goal, says Randi Harris, assistant to the vice provost for academic innovation and student success, is to incorporate a degree audit tool into the map software so students can plan and see the courses they need to graduate, as well as how that path might change if they decide to switch majors. And when they make those decisions, it could point students in the direction of the services they might need, like an academic or financial aid advisor.
This Time, With Feeling: Integrating Social and Emotional
Development and College- and-Career-Ready Standards (Aspen)
This report draws directly from states' standards in English, Science, and Math to demonstrate that the standards themselves require more than academic content knowledge. For example, giving and receiving critical feedback—one of the hallmarks of rigorous academic discourse, and a skill emphasized in state standards—clearly requires the development of skills beyond academic content.
Effectively Moving Toward Value-Based Care (AJMC)
The move away from fee-for-service (FFS) has driven some health plans to embrace value-based care contracts and accountable care organizations (ACOs). During a session at the Academy of Managed Care Pharmacy Annual Meeting, held March 27-30, 2017, in Denver, Colorado, panelists outlined how the marketplace has evolved.
State and local lawmakers call for more transparency on health care
costs (KTVA Alaska)
The price of health care in Alaska is higher than anywhere else in the nation. With national reform on the back burner, state lawmakers in Juneau are joining with the Anchorage Assembly in demanding more transparency from health care providers.
Telehealth Doctor Visits May Be Handy, But Aren't Cheaper Overall (KQED)
Many patients like the convenience of being able to quickly consult a doctor by text or phone or webcam instead of heading to an urgent care clinic. But the cost of consultations can add up.
Those Indecipherable Medical Bills? They’re One Reason Health Care Costs
So Much. (The New York Times)
Hospitals have learned to manipulate medical codes — often resulting in mind-boggling bills.
What a Bipartisan Approach to U.S. Health Care Could Look Like (Harvard Business Review)
The ACA (or Obamacare) remains a flawed law. But rather than allow it to “implode” or “collapse,” as some suggest it will (e.g., President Trump), a group of Republican and Democratic leaders in Washington should take action and fix the broken elements of the ACA for the good of the millions of Americans who depend on it. It is time for a compromise. What might such a bipartisan agreement look like? Here are some ideas.
Thursday, March 30th, 2017 | PUBLIC AGENDA
With out-of-pocket medical costs continuing to rise in the form of high deductibles and insurance premiums, as well as copayments and even coinsurance, many Americans are feeling the squeeze. There is no quick fix, as the hastily introduced and quickly withdrawn American Health Care Act Bill showed, but potential solutions do exist that can help individuals and families obtain more affordable health care.
In recent years, insurers, state governments, employers and other entities have been trying to make health care price information more easily available. The belief is that with increased price transparency, Americans will be more aware of how much their medical care costs, leading them to “shop around” to save money. In 2015, Public Agenda conducted the first nationally representative survey of how Americans seek and use health care price information. Since then, what has been done to make health care price information more transparent? And are these initiatives effective?
New Hampshire was one of three states that received a grade of “A” for its price transparency laws from Catalyst for Payment Reform in 2016. Health insurers in New Hampshire must disclose price information to their members. The state also runs a free website providing price information that is specific to each resident’s insurer, deductible size and coinsurance.
Florida, on the other hand, was one of 43 states that received a grade of “F.” But the state passed price transparency legislation in 2016. Just this year, the state selected a vendor to create a more robust online price information tool and began implementing an all-payer claims database—a crucial building block of price transparency efforts.
Also receiving a grade of “F” for its price transparency laws in 2016 was Texas. There has been little recent price transparency legislation in Texas, according to the National Conference of State Legislatures, which documents state actions in health and other policy areas. The state runs a website that aggregates some types of financial data from insurers, but it does not provide Texans with information about how much they have to pay out of pocket for specific services or providers. Texas does not currently have an all-payer claims database but is reportedly considering whether and how to develop one.
New York also received a grade of “F.” The state is, however, planning to create an online platform to disseminate price and quality information to its residents based on an all-payer database.
So what is (or isn’t) working?
On April 6, Public Agenda will release new findings based on an updated nationally representative survey and on representative surveys in New York State, Texas, Florida and New Hampshire, all conducted in 2016. This research, funded by the Robert Wood Johnson Foundation and the New York State Health Foundation, will shed new light on how Americans are finding and using health care price information, and on how people use price transparency in New York State, Texas, Florida and New Hampshire.
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Friday, March 24th, 2017 | PUBLIC AGENDA
the political divide (Toledo Blade)
Love him or hate him, President Trump has Americans on the edge of their seats.Donald Scherer is not a political analyst or a psychologist.But the retired Bowling Green State University professor, who founded BGSU’s applied philosophy program, may be in a good position to help break down what’s happening across America.
Data-Driven Mayors Don't Get (The Atlantic)
In an age of growing alienation from civic institutions, the technocrats running many American cities don’t understand what old-style political machines once delivered.
Should All Be Political, Even If We’re Not All Partisan (New
Manuela Ekowo highlights the importance of participation in the democratic process and how that ties into being "political" while remaining "nonpartisan" in fields that demand a political stance, such as education policy.
View: What if Sociologists Had as Much Influence as Economists? (The
In 1967, Senator Walter Mondale actually proposed a White House Council of Social Advisers; he envisioned it as a counterpart to the well-entrenched Council of Economic Advisers. It was never created, but if it had been, this is the sort of advice it might have been giving recent presidents. For starters, while economists tend to view a job as a straightforward exchange of labor for money, a wide body of sociological research shows how tied up work is with a sense of purpose and identity.
Is the American Dream Alive or
Dead? It Depends on Where You Look (Economic Innovation Group)
Analysis of new data finds a clear correlation between the degree of prosperity or distress in a county and the extent to which it boosts or hinders the future earnings potential of the children who grow up there. However, exceptions abound.
Class Is Shrinking, Difficult To Define (International Business
There’s no easy or direct way to define the middle class. Whether you’re considered middle class depends on the where the rest of the country stands, too. The U.S. Census Bureau doesn’t define it. But other organizations have developed their own ways to measure middle class. Pew, for instance, defines the middle class as the 51 percent of adults who live in the middle bracket, in between 29 percent who live in higher-income households and 20 percent living in lower income households.
Why Objectively False
Things Continue to Be Believed (The Upshot)
Partisan polarization has come to affect the way that people consume and understand information.
Citizen Engagement: A
Game Changer for Development (edX)
This is the third time the WorldBank will be offering this MOOC on citizen engagement. Learn about citizen engagement and critically analyze how it can be leveraged most effectively to achieve development results.
Cultural Institutions Must Lead the Way (Stanford Social Innovation
Deborah Cullinan, CEO of San Francisco’s Yerba Buena Center for the Arts, writes: Arts and culture organizations have the power to drive the cultural movement America needs to deliver democracy.
by Trump, First-Time Female Candidates Eye Local Seats (The New
Four years of increasing activism and growing political awareness recently brought Lacey Rzeszowski to Rutgers University here, to a packed room of nearly 280 women, each on the cusp of launching a bid for public office for the first time.
See Benefits in Special Education Vouchers, But No Silver Bullet
For students with disabilities, vouchers can help open the door to private school attendance, but they come with trade-offs, including the loss of specific legal protections.
in the World Is Betsy DeVos? Track Her School Visits With Our New Tool
Each time she stops by a school, you'll see a slide with the name and location of the school, along with any other pertinent information and coverage we have of her trip. The interactive tool also adds up not just the number of times she's visited schools, but the types of schools she's visited: traditional public, private, and charter schools.
teachers bridged two Boston high schools to reap gains for all students
Teachers at Boston Collegiate Charter and Jeremiah E. Burke focus on instruction: "Our jobs require us to seek out solutions that will help our students reach new heights so they can get the most out of the hours they spend in school. Among the many solutions we have tried, one has proven transformational: teachers across schools learning from one another."
Higher Education & Workforce Development
Is the Goal. The Problem? Getting There. (The New York Times)
Over the last few months, TaTy and two of her classmates, Nathan Triggs and Zachary Shaner, grappled with decisions about college and made their way out of childhood, through money worries, broken families and peer pressure, into the next phase of their lives. Each followed a different path, but in combination, they tell a story of students at an average school in the middle of America trying to find a better future.
Policy Brief: Beyond
WIOA: Why Should Workforce Development Boards Care About Education Policy? (Jobs
for the Future)
WDBs and workforce systems should: Become experts at helping WIOA participants access Pell grants where possible; Engage in the design of postsecondary programs that have workforce preparation as a focus; and Engage in the development of policies that govern student aid funding—advocating for more flexibility in what programs can be funded under the Pell grants Program (e.g., competency-based education and shorter-term credentials), and ensuring program relevance and improved student outcomes.
State of Entry-Level Employment in the U.S. (The Rockefeller
A study of C-Suite and HR professionals, and recent college grads and opportunity youth shows a disconnect between the benefits and supports employers think will matter to younger workers and those that truly matter to them.
Health Care Spending: Could State Rate Setting Work?
(Health Affairs Blog)
To gain control over price, policymakers should seriously consider rate regulation. Such an approach is traditionally used in the United States for essential goods like water and electricity and can be adapted to regulate the prices of health care goods and services.
Does My Health Care Cost? (National Review)
Last week I asked every patient who came to see me if they could guesstimate the price tag of their latest test or treatment. No one got it right, or even came close to predicting the actual price.
seeks elusive price transparency in health care (Non Doc)
The trend for health care cost transparency seems to be growing as fast as health costs themselves. HB 2216, introduced by Rep. Sean Roberts (R-Tulsa) last month, attempts to implement price transparency in the state with respect to non-contracted health providers.
much saving going on in Health Savings Accounts (St.
Health Savings Accounts feature prominently in the new health care bill being considered by the U.S. House of Representatives, with a variety of changes in store. But research shows not many participants are actually saving money beyond the initial tax break.
Thursday, March 23rd, 2017 | PUBLIC AGENDA
“This public funk will be hard to dispel,” wrote Dan Yankelovich, Public Agenda’s co-founder, in a blog post nearly three years ago.
“What worries me is the root cause of the public funk. People see dysfunction virtually everywhere but don’t understand what’s causing it, and that combination is leading to a deepening public pessimism,” he said.
The dark public mood that he describes is a result of mounting frustration, dwindling trust and a lack of opportunities which seemingly show no signs of improving.
It’s a refrain we heard in focus groups we conducted across the country. Again and again, people drew a straight line between dysfunctional and disempowering politics and their limited economic prospects.
Back in September 2014, Dan wrote:
Americans clearly state they believe our political system is broken. Suspicion also exists that our health care system is out of control, our criminal justice system is twisted and distorted, our K-12 education system isn’t working as it should, our core business values are wrong-headed and even our higher education system has started to fail us
These suspicions are not unfounded. It has to be evident to thoughtful Americans that some fundamental flaw is distorting all aspects of American life. .
Dan elaborated in another blog that…conventional political and economic solutions won’t put us back on the right track.
What we do at Public Agenda, in listening to these concerns, is choose a starting point to help leaders and citizens navigate complex issues, find common ground and partner on solutions that can lead to more fair, effective and inclusive systems.
Support Public Agenda’s mission to help make a democracy that works for everyone here.
03.17 Still Searching
Friday, March 17th, 2017 | WILL FRIEDMAN, PH.D.
In a democracy, the policy agenda should reflect the public's needs, concerns and aspirations. As elaborated in our recent report, The Fix We're In, the lack of economic opportunity and political equality are driving concerns for many people these days. If inadequately addressed, we believe, our already fraying social contract could shred to pieces in the years ahead and our democracy itself could be in danger.
In the hurly-burly of their lives, people often feel the brunt of diminished opportunity when life's essentials, such as housing, education and health care, become unaffordable. That's why all of these issues are on our agenda at Public Agenda, and why we're pleased to alert you to the upcoming release of our new research to inform the policy debate on how to contain the costs of health care for individuals and families.
Our new report, "Still Searching," explores how people use health care price information and whether people manage to save money when they find out how much their care will cost them. "Still Searching" follows up on our 2015 research about how Americans seek and use health care price information, funded by the Robert Wood Johnson Foundation. This time around, we surveyed Americans nationwide as well as representative samples of Texans, Floridians, and New York State and New Hampshire residents. Although online health care price information tools are proliferating, our research explores the broad range of ways in which people try to find out how much their care will cost, from calling their insurers to asking a receptionist or nurse.
We hope you'll look for this research and put it to good use.