The New Democrat approach to welfare reform has two key elements. The first is
to adopt a single, overriding national goal: employment for welfare recipients in
private-sector jobs that lift them from dependence on public assistance onto a track of
upward mobility. The second is to develop the best possible strategies to achieve that
goal by encouraging a variety of experiments at the state and local level.
This formula has distinguished the Clinton Administration's approach from those
on the right who oppose any national goals for reform other than reducing public
assistance caseloads, and from those on the left who oppose efforts to break down the
old public-sector monopolies governing income maintenance and job-training
programs.
Achieving the goal of private-sector jobs for welfare recipients through innovative,
non-bureaucratic strategies requires stimulating a whole new marketplace of public and
private intermediaries offering job placement and support services. Indeed, some of the
best success stories in welfare reform have involved the imaginative use of such
intermediaries, who differ from traditional bureaucracies in being rewarded for their
"output" -- placing and keeping welfare recipients in private-sector jobs--
rather than their "inputs" -- caseload levels.
Now Mayor John Norquist of Milwaukee, already an innovator in welfare reform,
is supporting an experiment that takes the next big step in the use of such
"results-oriented" intermediaries: the employment maintenance
organization (or EMO). Like health maintenance organizations, EMOs would contract
to supply a whole range of employment-related services for a fixed, per-customer rate.
Unlike most HMOs, however, EMOs would be required to produce a very specific set
of outcomes for welfare recipients: job placement, job retention, decent earnings, and
fulfillment of parental responsibilities.
Under the Milwaukee proposal (approved by
the U.S. Department of Labor for funding under a welfare-to-work grant program, and
designed to operate as a pilot program alongside a more traditional welfare-to-work
initiative), if the EMO does not produce the agreed-upon results for a given recipient, it
will be responsible for providing community service employment until it does.
Milwaukee also avoids the "best customer skimming" problem often
encountered with HMOs by requiring bidders for EMO status to accept as its first
clients a group of hard-to-employ recipients, along with a group of fathers who need
income to discharge child support obligations.
The idea is simple: more freedom from government micro-management of inputs in
exchange for more responsibility for publicly established outputs. Since that's the basic
thrust of the nation's welfare reform experiment generally, we applaud Milwaukee's
effort to "push the envelope" in the right direction.
For more information on Milwaukee's EMO proposal, contact David Riemer,
Director of Administration for Milwaukee, at (414)286-3828.