How low-paid parents navigate complex financial landscapes
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Wednesday, December 21, 2022 | The Latest Research, Commentary, And News From Health Affairs
Dear John,

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Navigating Benefit Cliffs
Policy makers worry that benefits "cliffs," where a small increase in income can reduce or eliminate eligibility for income supports, serve as disincentives to work or advancement.

In their new Health Affairs article, Kess Ballentine and coauthors share their findings from in-depth interviews with twenty-five low-paid parents in Pittsburgh, Pennsylvania about how they navigate this complex financial terrain.

Ballentine and coauthors find little evidence supporting policy makers’ fears about disincentivizing work.

Rather, the authors report that, "In the context of a limited social welfare system and a labor market rife with jobs with low pay, meager fringe benefits, and little flexibility, parents focused on securing the right balance of resources, including money, time, energy, and in-kind resources, to promote family well-being."

The authors indicate that there are a combination of factors that drive parents’ work decisions, including relationships with supervisors, work schedules, work-related stress, and commutes.

The authors then conclude that "economic modeling that only accounts for total income cannot adequately predict or explain parental employment decisions."
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Mary Beth Donahue and Dr. Kenneth E. Thorpe

Sponsored by Better Medicare Alliance
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Elsewhere At Health Affairs
As part of the Medicare and Medicaid Integration series on Forefront, authors David Muhlestein and Nathan Smith examine enrollment trends in Medicare Advantage (MA) and find that beneficiaries who are either a racial minority or dually eligible for Medicare and Medicaid benefits are more likely to be enrolled in MA.

Enjoying Forefront articles? Bookmark our website to never miss an update.
Jennifer Ng'andu On The Relationship Between Income And Health

Health Affairs Editor-in-Chief Alan Weil interviews Jennifer Ng’andu, managing director at the Robert Wood Johnson Foundation of the Healthy Children and Families Program, on her paper published in the December 2022 issue of Health Affairs describing the relationship between income and health and examining how key federal income support policies relate to positive health outcomes.
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About Health Affairs

Health Affairs is the leading peer-reviewed journal at the intersection of health, health care, and policy. Published monthly by Project HOPE, the journal is available in print and online. Late-breaking content is also found through healthaffairs.org, Health Affairs Today, and Health Affairs Sunday Update.  

Project HOPE is a global health and humanitarian relief organization that places power in the hands of local health care workers to save lives across the globe. Project HOPE has published Health Affairs since 1981.

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