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Health care insurance coverage has been part of the national debate for a long time. Without an expectation of achieving universal health coverage in the near future and with an increasing number of persons losing Medicaid coverage as a result of welfare reform, many communities have been concerned about their continuing ability to provide health care to the uninsured and underinsured. To address these concerns, the W. K. Kellogg Foundation sponsored Community Voices: Health Care for the Underserved, a five-year health care initiative (1998-2003) aimed at enhancing health care access and quality for the underserved. RAND was asked to evaluate the effectiveness of Community Voices Miami (CVM), one of the participating sites, and to provide analytic assistance to the project. This report presents RAND’s evaluation. It concludes that CVM and its partners set the stage for change by affecting intermediate outcomes, e.g., raising awareness of the issue, getting safety-net providers to collaborate on specific programs, nurturing neighborhood-based solutions, and advocating for the establishment of an independent health care planning body. However, the measurement of ultimate outcomes of CVM – access to health care – remains for a future study.
The research described in this report was sponsored by Camillus House and bythe Collins Center for Public Policy, Inc. and was conducted by RAND Health.
This report is part of the RAND Corporation Technical report series. RAND technical reports may include research findings on a specific topic that is limited in scope or intended for a narrow audience; present discussions of the methodology employed in research; provide literature reviews, survey instruments, modeling exercises, guidelines for practitioners and research professionals, and supporting documentation; or deliver preliminary findings. All RAND reports undergo rigorous peer review to ensure that they meet high standards for research quality and objectivity.
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