Case Management Guide

News

Developments that affect human services case management — public funding, Medicaid, state and local policy, philanthropy, workforce, research, and technology. We summarize what changed and why it matters, link to the original source, and stay analytical rather than partisan: our editorial policy explains how we cover policy and funding news.

Funding & Policy Urban Institute · March 23, 2026 · National (U.S.), with state and district breakdowns

Most grant-receiving nonprofits could not cover expenses without government funding (external link to Urban Institute)

Analyzing IRS Form 990 filings from more than 80,000 nonprofits reporting government grants, Urban Institute researchers estimate those grants totaled about $240 billion in 2023 (down from roughly $304 billion in 2021). In every state, 60–86% of grant-receiving nonprofits would have operated at a loss without government funding across 2021–2023 — and in no congressional district could the typical grant-receiving nonprofit have covered its expenses without that support.

Why it matters

This is the structural backdrop to every funding-disruption headline: government support is not a marginal revenue line for the human services sector but the difference between solvency and deficit for most organizations that receive it, everywhere in the country. It strengthens the case for scenario planning, reserves, and diversification — and for information systems that can show funders exactly what their dollars delivered.

Independent research organization · Topics: government grants, nonprofit finance, financial risk · Checked August 19, 2026 · Read the original at Urban Institute (external link)

Funding & Policy Urban Institute · October 7, 2025 · National (U.S.)

One-third of nonprofits experienced a government funding disruption in early 2025 (external link to Urban Institute)

Urban Institute's nationally representative National Survey of Nonprofit Trends and Impacts found that one-third of nonprofits experienced at least one government funding disruption in the first half of 2025: 21% lost funding, 27% experienced a delay, pause, or freeze, and 6% received stop-work orders. Organizations providing job training, mental health services, independent living assistance, disaster relief, and emergency shelter were among those that suspended programs or reduced staff. Disrupted organizations were more dependent on public funding than average — government sources made up 42% of their revenue, versus 28% for nonprofits typically.

Why it matters

Human services organizations sit at the center of these findings: the affected service categories are case management-heavy, and a funding pause can interrupt client services mid-plan. The 42%-dependence figure is a prompt for any organization to know its own exposure — and to understand what a delay (not just a termination) would mean for payroll and continuity of care.

Independent research organization · Topics: government grants, nonprofit finance, federal funding · Checked August 19, 2026 · Read the original at Urban Institute (external link)

We summarize and link — we do not republish. Statistics are taken from the linked source, read before summarizing, with the date we checked shown on each item. Corrections follow our editorial policy.