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The Nelson A. Rockefeller Institute of Government

Welfare, Workforce, and Social Services: Nonprofit Sector

Nonprofit Sector

Medicaid Funding for Nonprofit Healthcare Organizations

Understanding the extent of the financial affiliation between Medicaid and nonprofits is the first step in understanding the organizational effects — but doing so is difficult because the monetary relationship may vary by the type of service provided, state, or industry. Adding to the difficulty of estimating and understanding the financial relationship between Medicaid and nonprofits is the fact that no single database exists to track the flow of Medicaid money to nonprofits. The lack of a dedicated data system necessitates the use of various sources to estimate the amount of Medicaid money going to nonprofits, which each have several caveats and only allow for imprecise estimates. Taking these caveats into account, this paper uses existing literature, analyses from industry trade organizations, data from state officials, Census data, and Medicaid expenditure data to make rough estimates of the potential amount of Medicaid money going to nonprofit healthcare providers.
Courtney Burke, June 2007

Exploring the Reach of Welfare Devolution: Social Capital and Community Change in Majority-African American Neighborhoods

This study — using random household surveys, key informant interviews, document review, and field observation by a network of indigenous researchers — examines the presence, interaction, and proximate impact of community organizations and social attachments within a selected group of 42 majority-African American neighborhoods ranging from low to high in socioeconomic status, and drawn from 15 large cities across the United States.
David J. Wright and Lisa M. Montiel, The Aspen Institute, May 2006

Getting a Piece of the Pie: Federal Grants to Faith-Based Social Service Organizations

Previous research by The Roundtable on Religion and Social Welfare Policy notes that the bulk of federal funding for social services flows through state and local governments, where administrative decentralization and the lack of capacity to identify the faith-character of grantees and contractors present significant obstacles for tracking the award of federal funds to religious groups. This study adds to what is known about the extent and trend of federal support for faith-based organizations by examining the direct recipients of discretionary grant awards made by the federal agencies expressly part of the Bush Administration’s Faith-Based and Community Initiative.
Lisa M. Montiel and David J. Wright, 2006

The Policy Environment for Faith-Based Social Services in the United States: What has Changed Since 2002? Results of a 50-State Study

An update to the 2003 report, which looks at how the President's Faith-Based and Community Initiative at the federal level has influenced state actions.
Mark Ragan and David J. Wright, 2005

Funding Faith-Based Services in a Time of Fiscal Pressures

This report describes how underlying, long-term fiscal trends are affecting the availability of public funding for services delivered primarily by congregations and congregation-based social service organizations, and how it has changed since the first Charitable Choice Initiatives.
Courtney Burke, James Fossett, and Thomas Gais, October 2004

Medicaid and Faith Organizations: Participation and Potential

Bush Administration proposals to allow participation by faith-based organizations in federally funded social service programs have touched off considerable controversy. To understand the role of faith-affiliated organizations in health care in general and Medicaid in particular, we examined the role of faith-based or affiliated programs and facilities in several aspects of the Medicaid program in ten states. We examined the role of faith in five areas: hospitals, nursing homes and other long-term care, mental health, substance abuse, and Medicaid/CHIP outreach and marketing.
James W. Fossett and Courtney E. Burke, July 2004

A Divided Community: The Effects of State Fiscal Crises on Nonprofits Providing Health and Social Assistance

This paper examines the current state revenue crisis, demand for social services, the distribution of social assistance nonprofits, and both long-run and short-run changes in state expenditures to estimate the effects of state fiscal crises on the nonprofit sector associated with human service programs. This study finds divisions among nonprofits that affect the severity of these effects. These divisions are both functional and geographic.
Thomas Gais, Courtney Burke, and Rebecca Corso, The Aspen Institute, November 2003

It Takes a Neighborhood: Strategies to Prevent Urban Decline

The Neighborhood Preservation Initiative (NPI), a comprehensive community-building program in ten neighborhoods from nine mostly midsized cities, is examined in It Takes a Neighborhood. This book shows what was learned through NPI about the value of focusing on working-class neighborhoods, as well as how to think about and structure community-building efforts generally. The lessons gained from NPI about engaging established, networked community organizations in deliberate action-oriented strategies, fueled by flexible funding, and linked to systems of local support, are shown to be applicable to a wide spectrum of community-building initiatives.
David J. Wright, Rockefeller Institute Press, 2001
Order from SUNY Press

Community Development Corporations and Welfare Reform: Linkages, Roles, and Impacts

New opportunities to connect housing aid as a support to families attempting to make the transition from welfare to work are possible due to the flexibility in programs, service connections, and funding streams permitted under the Personal Responsibility Act of 1996. But so far, state-level housing programs and those administered by community development corporations have been largely separate from these new institutional arrangements. Impacts of welfare reform on the finances and programs of community groups operating affordable housing developments in Atlanta, Chicago, Cleveland, Minneapolis, New York, and San Francisco have been surprisingly small.
David J. Wright, Ingrid Gould, and Michael H. Schill, 2001

Collaborating for Action in a Fragmented Policy Environment: Nonprofit Organizations, Devolution, and the Welfare-to-Work Challenge

In this paper, we seek to examine this shadowland of policy implementation as it pertains to welfare reform. Our intent is to demonstrate that what the former U.S. Secretary of Health, Education, and Welfare referred to as the vending machine model of social policy change — insert a coin, which delivers a law that is expected to solve the problem — is no longer effective in today’s more complicated policy landscape.
Michael J. Rich with Jolly Emrey and Laurel Parker West, presented at the Annual Meeting of the American Political Science Association, Atlanta, GA, 1999

A Shifting Landscape: Contracting for Welfare Services in New Jersey

Welfare reform is not only changing how families receive public assistance, it is also changing how and by whom public authority is exercised. In this Rockefeller Report, Richard Roper explains how welfare reform in New Jersey has served as an occasion for attempts to restructure the relations between public agencies and private service providers, and that these attempts raise important questions about who will and ought to play a part in the state’s welfare programs.
Richard Roper, December 23, 1998

The “Nonprofitization Movement” as a Form of Devolution

This paper examines the rising role of nonprofit organizations in two main areas of domestic public affairs — human services and community development. Our focus is on what we call “Nonprofitization,” a form of devolution where nonprofit organizations serve as quasi-governmental providers of “public” services.
Richard P. Nathan with the assistance of Elizabeth I. Davis, Mark J. McGrath, and William C. O'Heaney, in Capacity for Change? The Nonprofit World in the Age of Devolution, University of Minnesota and Indiana University Center on Philanthropy, 1996