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Atlantic States

Dissertation

Accumulation, Autonomy, and Expectations: Three Essays on the Impact of U.S. Health Care Industry Consolidation

Aims to augment the existing evidence base on the consequences of and policy remedies for health care consolidation in three essays.

Dec 4, 2020
Journal Article

Impacts of Health Care Industry Consolidation in Pittsburgh, Pennsylvania: A Qualitative Study

This exploratory qualitative study describes industry and community stakeholder perceptions of the impacts of cumulative hospital, practice, and insurance mergers, acquisitions, and affiliations in Pittsburgh, Pennsylvania.

Dec 1, 2020
Journal Article

Feasibility and Effectiveness of Telelactation Among Rural Breastfeeding Women

This article evaluates the feasibility and impact of telelactation via personal electronic devices on breastfeeding duration and exclusivity among rural women.

Nov 13, 2020
Report

Evaluating Connections to Care

In 2016, New York City policymakers came together with federal and private funders to support a program, Connections to Care (C2C), intended to provide quality mental health support within high-risk communities. RAND evaluated C2C, examining its implementation, impact on access and use of mental health care, and costs.

Nov 12, 2020
Research Brief

Green Infrastructure Can Help Manage Rainfall in an Urban Watershed

Urbanization, inadequate investment in aging infrastructure, and more-frequent heavy rainfall events due to climate change have led to sewer overflows, flooding, and reduced water quality in U.S. cities. The challenges of increasing volumes of stormwater can be addressed by a mix of solutions.

Oct 29, 2020
Report

Managing Heavy Rainfall with Green Infrastructure

An evaluation of Pittsburgh's Negley Run watershed shows how green stormwater infrastructure could reduce flooding and provide positive economic benefits in areas that face urgent flood risk.

Oct 26, 2020
Journal Article

Sentencing Scorecards: Reducing Racial Disparities in Prison Sentences at Their Source

Scorecards are a common tool for public policy decisionmaking, but none highlight racial disparities in incarceration. We constructed county-level scorecards for racial disparities in incarceration rates for the NY State Permanent Commission on Sentencing.

Oct 21, 2020
Journal Article

The Complex Cancer Care Coverage Environment: What Is the Role of Legislation? A Case Study from Massachusetts

We identified five current cancer coverage state laws and interviewed experts on their perceptions of the relevance of the laws and how well they meet the current needs of cancer care given rapid changes in therapies.

Oct 13, 2020
Journal Article

Locking Up My Generation: Cohort Differences in Prison Spells Over the Life Course

Our study highlights that the crime-punishment wave in the 1980s and 1990s created cohort differences in incarceration over the life course that changed the level of incarceration even decades after the wave.

Oct 1, 2020
Journal Article

Ethics Consultations Related to Opioid Use Disorder

The aim of this study was to characterize ethics consult questions among inpatients with opioid use disorder at Massachusetts General Hospital.

Sep 3, 2020
Commentary

Don't Entangle COVID-19 Relief with Cannabis Legalization

Cannabis legalization is a multifaceted decision that has implications for health, safety, and social equity. Whether legalization could fund COVID-19 relief should not be a major focus of debates.

Aug 28, 2020
Journal Article

Reasonable and Risk-Based? Replacing NFIP Generally Subsidized Rates with a Means-Tested Subsidy

Our results suggest that the savings associated with replacing subsidies with our proposed means-tested subsidy would be $183 million per year if all households in the study area hold NFIP policies, or a savings of approximately $3800 per policy.

Jul 22, 2020
Blog

Online Shopping, Living in a Riskier World, Stress in Communities: RAND Weekly Recap

This weekly recap focuses on Americans' online shopping habits during the pandemic, living in a riskier world, how stress builds in communities, and more.

Jul 10, 2020
Report

Which COVID-19 Models Are Useful to Policymakers?

Forecasting models are widely used to inform policymakers about the implications of the COVID-19 pandemic and the effects of policy responses to it. As models are being developed and improved continually, a new RAND framework can assess which ones are suitable for the state of Virginia.

Jul 8, 2020
Journal Article

Social Returns to Private Choice? Effects of Charter Schools on Behavioral Outcomes, Arrests, and Civic Participation

We add to the research on charter school effects by evaluating the impacts of secondary charter school attendance on 9th grade behavioral outcomes and individuals' propensity to commit crime and participate in elections as young adults in North Carolina.

Jun 5, 2020
Essay

Civilians and Military Collaborate to Address Climate Change

The Hampton Roads area in Virginia is home to more than 1.7 million people, a major port, and more military installations than anywhere else in the United States. Its rising sea levels and floods brought together civilian and military officials on a project to mitigate damage and foster resiliency.

May 13, 2020
Report

The Appalachia Partnership Initiative's Investments in Education, Workforce Development, and Catalyzing the Community: Reflections from 2014 Through 2019

RAND researchers trace the impact of the Appalachia Partnership Initiative investments on science, technology, engineering, and math education for grades K-12 and energy and advanced manufacturing workforce development from 2014 through 2019.

May 6, 2020
Tool

Helpers in Plain Sight: A Guide to Implementing Mental Health Task Sharing in Community-Based Organizations

The United States is facing a mental health crisis, but a large proportion of those who need treatment never get it. Task sharing -- training the staff of community-based organizations to provide some mental health support -- can be part of the solution.

May 4, 2020
Commentary

Feeding the Needy and Protecting Workers on the Front Lines of the Pandemic

Access to food could be critical to getting through the COVID-19 pandemic. Local leaders and policymakers may find themselves having to devote new resources to make sure all citizens have access to food and to protect those on the front lines.

Apr 30, 2020
Journal Article

Awareness, Risk Perception, and Protective Behaviors for Extreme Heat and Climate Change in New York City

This study demonstrates that non-Hispanic black individuals are more likely to lack access to air conditioning, and with the finding that people with low household incomes are more likely to lack access, may explain disparities in heat-related morbidity and mortality.

Apr 30, 2020

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