Journal article
Resource and cost adjustment in the design of allocation funding formulas in public health programs
Journal of public health management and practice, v 18(4), pp 323-332
01 Jul 2012
PMID: 22635186
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Multiple federal public health programs use funding formulas to allocate funds to states.
To characterize the effects of adjusting formula-based allocations for differences among states in the cost of implementing programs, the potential for generating in-state resources, and income disparities, which might be associated with disease risk.
Fifty US states and the District of Columbia.
Formula-based funding allocations to states for 4 representative federal public health programs were adjusted using indicators of cost (average salaries), potential within-state revenues (per-capita income, the Federal Medical Assistance Percentage, per-capita aggregate home values), and income disparities (Theil index).
Percentage of allocation shifted by adjustment, the number of states and the percentage of US population living in states with a more than 20% increase or decrease in funding, maximum percentage increase or decrease in funding.
Each adjustor had a comparable impact on allocations across the 4 program allocations examined. Approximately 2% to 8% of total allocations were shifted, with adjustments for variations in income disparity and housing values having the least and greatest effects, respectively. The salary cost and per-capita income adjustors were inversely correlated and had offsetting effects on allocations. With the exception of the housing values adjustment, fewer than 10 states had more than 20% increases or decreases in allocations, and less than 10% of the US population lived in such states.
Selection of adjustors for formula-based funding allocations should consider the impacts of different adjustments, correlations between adjustors and other data elements in funding formulas, and the relationship of formula inputs to program objectives.
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Details
- Title
- Resource and cost adjustment in the design of allocation funding formulas in public health programs
- Creators
- James W Buehler - Emory UniversityPatrick M BernetLydia L Ogden
- Publication Details
- Journal of public health management and practice, v 18(4), pp 323-332
- Publisher
- Lippincott
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Health Management and Policy
- Web of Science ID
- WOS:000305004700011
- Scopus ID
- 2-s2.0-84861809617
- Other Identifier
- 991021895791604721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Public, Environmental & Occupational Health