Regression-Discontinuity Design - Institute for Policy Research

Cash and Counseling Demonstration Project
• Treatment: Instead of Medicaid procuring home care and
community services for you, you receive a fixed budget to allocate
as you see fit.
• Control: Status Quo. Medicaid agency procures services on your
behalf.
• Study population: disabled Medicaid recipients who volunteered to
participate. Three states: Arkansas, Florida, New Jersey.
• Key Outcomes:
– Post‐Treatment Medicaid Expenditures
– Number of Unpaid Home Care Workers
• Results:
– Treatment leads to higher Medicaid Expenditures
– Treatment leads to a reductions in the use of unpaid home care
workers