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on Insurance Economics |
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Issue of 2015‒01‒19
seventy papers chosen by Soumitra K. Mallick Indian Institute of Social Welfare and Business Management |
| By: | Yonatan Ben-Shalom Arif Mamun |
| Keywords: | Return to Work Outcomes, SSDI, Social Security Disability Insurance, Beneficiaries |
| JEL: | I J |
| Date: | 2013–11–07 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:7eda6cef76824f379e41f6b91717940d&r=ias |
| By: | Radha Iyengar Giovanni Mastrobuoni |
| Keywords: | Disability insurance, Principal-agent, Social security administration, Monitoring |
| JEL: | I J |
| Date: | 2014–07–21 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:d23a0d1f072848c7ac4bfd5c974afe82&r=ias |
| By: | BOUCHER Steve; DELPIERRE Matthieu |
| Abstract: | Moral hazard and adverse selection impede the development of formal crop insurance markets in developing countries. Besides, the risk mitigation provided by informal risk-sharing arrangements is restricted by their inability to protect against covariate shocks. In this context, index-based insurance is seen as a promising scheme as it is immune to moral hazard and adverse selection and may offer effective protection against covariate shocks. It would thus seem that the two institutions are ideal complements. Unfortunately, this intuition ignores the potential effects on incentives and behavior generated by the interaction between both schemes. This paper explores this interaction in a model with moral hazard and shows that the formal contract may crowd out informal risk-sharing if it is offered to individuals. Second, we find that both risk-taking and welfare may be reduced by the introduction of index insurance if the premium is set too high. If the formal insurance is offered to the group instead of the individual, the impact on moral hazard is internalized and welfare increases. |
| Keywords: | Index insurance; Informal risk-sharing; Moral hazard |
| JEL: | D81 G22 O12 O13 |
| Date: | 2014–12 |
| URL: | http://d.repec.org/n?u=RePEc:irs:cepswp:2014-13&r=ias |
| By: | Böckerman, Petri; Kanninen, Ohto; Suoniemi, Ilpo |
| Abstract: | We examine the effect of the replacement rule of a social insurance system on sickness absence. The elasticity of absence with respect to the benefit level is a critical parameter in defining the optimal sickness insurance scheme. A pre-determined, piecewise linear policy rule in which the replacement rate is determined by past earnings allows identification of the causal effect using a regression kink design. Using a large administrative dataset, we find a substantial and robust behavioral response. The statistically significant point estimate of the elasticity of the duration of sickness absence with respect to the replacement rate in a social insurance system is on the order of 1. |
| Keywords: | Sick pay, labor supply, sickness absence, regression kink design, social insurance |
| JEL: | I18 I3 J22 |
| Date: | 2014–12–30 |
| URL: | http://d.repec.org/n?u=RePEc:pra:mprapa:61010&r=ias |
| By: | International Monetary Fund. Monetary and Capital Markets Department |
| Keywords: | Financial Sector Assessment Program;Stress testing;Banking sector;Liquidity;Insurance;Pensions;Risk management;Denmark; |
| Date: | 2014–12–18 |
| URL: | http://d.repec.org/n?u=RePEc:imf:imfscr:14/348&r=ias |
| By: | David R. Mann; Arif Mamun; Jeffrey Hemmeter |
| Abstract: | By linking administrative data from two sources—the Disability Analysis File and Master Earnings File—this report creates detailed primary impairment status measures and examines the employment and earnings distribution of recent Social Security Disability Insurance beneficiaries and working-age Supplemental Security Income disability benefit recipients. The findings reveal great variation in employment and earnings across groups. |
| Keywords: | disability insurance, Supplemental Security Income, SSI, disable worker, beneficiaries, employment earnings, impairment status, disability benefits |
| JEL: | I J |
| Date: | 2013–11–07 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:63edd5c75c2e42baa4dcd9a237ec82f9&r=ias |
| By: | Vilsa Curto; Liran Einav; Jonathan Levin; Jay Bhattacharya |
| Abstract: | We estimate the economic surplus created by Medicare Advantage under its reformed competitive bidding rules. We use data on the universe of Medicare beneficiaries, and develop a model of plan bidding that accounts for both market power and risk selection. We find that private plans have costs around 12% below fee-for-service costs, and generate around $50 dollars in surplus on average per enrollee-month, after accounting for the disutility due to enrollees having more limited choice of providers. Taxpayers provide a large additional subsidy, and insurers capture most of the private gains. We use the model to evaluate possible program changes. |
| JEL: | D43 I11 I13 L13 L33 L51 |
| Date: | 2014–12 |
| URL: | http://d.repec.org/n?u=RePEc:nbr:nberwo:20818&r=ias |
| By: | Nan L. Maxwell |
| Abstract: | This working paper examines the potential changes in the disparities in employer-sponsored health insurance (ESI) and other benefits between low- and high-wage workers under health reform. The analysis suggests that potential changes firms make in compensation could decrease disparities between low- and high-skilled workers in the quality of ESI and increase the disparities in the offering of benefits other than ESI, if the legislation does not slow rising health care costs. |
| Keywords: | Affordable Care Act employer-sponsored health insurance, workforce skills benefits, disparities low-wage workers |
| JEL: | I |
| Date: | 2013–03–30 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:cbf89dba1f494bfbb654acde712b204b&r=ias |
| By: | Yonatan Ben-Shalom Arif A. Mamun |
| Abstract: | Follows a sample of SSDI beneficiaires for five years to determine how certain factors help or hinder return to work. |
| Keywords: | Social Security, Disability Insurance Beneficiaries Work |
| JEL: | I J |
| Date: | 2013–12–30 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:a3df4af277654d27ab9139c1afe32360&r=ias |
| By: | Quan Hoang Vuong |
| Abstract: | This paper represents the first research attempt to estimate the probabilities for Vietnamese patients to fall into destitution facing financial burdens occurring during their curative stay in hospital. The study models the risk against such factors as level of insurance coverage, location of patient, costliness of treatment, among others. The results show that very high probabilities of destitution, approximately 70%, apply to a large group of patients, who are nonresident, poor and ineligible for significant insurance coverage. There is also a probability of 58% that low-income patients who are seriously ill and face higher health care costs would quit their treatment. These facts will put Vietnamese government’s ambitious plan of increasing both universal coverage (UC) to 100% of expenditure and rate of UC beneficiaries to 100% at a serious test. The study also raises issues of asymmetric information and alternative financing options for the poor, who are most exposed to risk of destitution, following market-based health care reforms. |
| Keywords: | Health insurance; Government policy on health care; Risk of destitution |
| JEL: | I18 I19 |
| Date: | 2014–12–18 |
| URL: | http://d.repec.org/n?u=RePEc:sol:wpaper:2013/185057&r=ias |
| By: | Johannes Geyer; Thorben Korfhage |
| Abstract: | In Germany, individuals in need of long-term care receive support through benefits of the long-term care insurance. A central goal of the insurance is to support informal care provided by family members. Care recipients can choose between benefits in kind (formal home care services) and benefits in cash. From a budgetary perspective family care is a cost-saving alternative to formal home care and to stationary nursing care. However, the opportunity costs resulting from reduced labor supply of the carer are often overlooked. We focus on the labor supply decision of family carers and the incentives set by the long-term care insurance. We estimate a structural model of labor supply and the choice of benefits of family carers. We find that benefits in kind have small positive effects on labor supply. Labor supply elasticities of cash benefits are larger and negative. If both types of benefits increase, negative labor supply effects are offset to a large extent. |
| Keywords: | Labor supply; long-term care; long-term care insurance; structural model |
| JEL: | J22 H31 I13 |
| Date: | 2014–11 |
| URL: | http://d.repec.org/n?u=RePEc:rwi:repape:0515&r=ias |
| By: | Andrés Dean (Universidad de la República (Uruguay). Facultad de Ciencias Económicas y de Administración. Instituto de Economía); Estefanía Galván (Universidad de la República (Uruguay). Facultad de Ciencias Económicas y de Administración. Instituto de Economía); Ivone Perazzo (Universidad de la República (Uruguay). Facultad de Ciencias Económicas y de Administración. Instituto de Economía) |
| Abstract: | Concerning rural labor, Uruguay is a special case in the region since the level of coverage of social security for rural workers is high (above 70%), while they have some benefits that are typically not found for these workers, such as a specific unemployment allowance. In this work, using administrative records of employment histories available between 1997 and 2009, the effective access of rural workers to the unemployment insurance scheme is analyzed and the access to two alternative systems is simulated. Results show that in the current system the level of coverage of the insurance for rural workers facing unemployment is low (46.5%) and that the general system of unemployment insurance applied for the rest of formal employees would have a coverage 15% higher if it is applied to rural workers. However, in none of the scenarios presented the coverage of the unemployment insurance exceeds 70%. This would indicate that there are special conditions of the contributions structure and the duration of employment periods of these workers that do not allow them to complete the requirements to access the right to the unemployment insurance. Therefore, additional policies would be required. |
| Keywords: | unemployment insurance, rural workers, Uruguay |
| JEL: | J43 J65 |
| Date: | 2014–12 |
| URL: | http://d.repec.org/n?u=RePEc:ulr:wpaper:dt-22-14&r=ias |
| By: | Marsha Gold; Gretchen Jacobson; Anthony Damico; Tricia Neuman |
| Keywords: | Medicare Advantage, Enrollment Market , Health |
| JEL: | I |
| Date: | 2014–04–30 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:9c9fe41463fd4afb8e0c3797bbbf1b4e&r=ias |
| By: | Marsha Gold; Gretchen Jacobson; Anthony Damico; Tricia Neuman |
| Keywords: | Medicare Advantage Plan Availability Premiums Health |
| JEL: | I |
| Date: | 2013–11–30 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:d37198390fb94e5a90d2befefbb2bc17&r=ias |
| By: | Richard J. Manski; John F. Moeller; Haiyan Chen; Jody Schimmel; Patricia A. St. Clair; John V. Pepper |
| Abstract: | This study examined the use of physician, inpatient hospital, home health, and outpatient surgery for Americans more than 50 years of age. The study found that overall health and changes in health are more strongly correlated with seeking and using health care over time than financial status or changes to one’s financial status. |
| Keywords: | Health Care Utilization, Older Americans, Health Insurance Coverage, Health |
| JEL: | I |
| Date: | 2013–07–30 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:f4cfe7c0c04a45ae914fb8715dca107c&r=ias |
| By: | Mathematica Policy Research |
| Abstract: | A nationwide evaluation of the Children’s Health Insurance Program (CHIP) reveals that CHIP has successfully expanded health insurance coverage to children who would otherwise be uninsured, thereby increasing their access to health care and reducing the financial burden on their families. Mandated as part of the Children’s Health Insurance Reauthorization Act (CHIPRA) of 2009, this evaluation presents new information on the evolution of CHIP from 1997 to 2012, including whether the program is meeting its goals and how it was affected by CHIPRA and the Affordable Care Act. |
| Keywords: | CHIP, Children's Access to Care, Financial Burden |
| JEL: | I |
| Date: | 2014–10–13 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:1c39ddd5aec7449c9e25fc12c112d41d&r=ias |
| By: | Norma B. Coe; Stephan Lindner; Kendrew Wong; April Wu |
| Abstract: | Disability Insurance waiting time varies from a few months to several years. We estimate the causal effect of longer waiting times on the use of five financial coping strategies. We find that SNAP benefits are the most responsive to longer waiting times. Moreover, while spousal employment is not responsive to longer wait times, spousal employment leads to longer waiting times, presumably because these applicants are more able to appeal. Together, these results suggest that coping strategies are used to both help applicants during the wait time and to extend the waiting time and increase their probability of success. |
| Keywords: | Social security disability insurance, Waiting time, Disability, Instrumental variables, Supplemental Nutrition Assistance Program (SNAP), Added worker effect |
| JEL: | I J |
| Date: | 2014–07–21 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:7792648cf05d4d2d91e02a68bce4719b&r=ias |
| By: | Schmieder, Johannes F. (Boston University); Wachter, Till von (University of California, Los Angeles); Bender, Stefan (Institute for Employment Research (IAB), Nuremberg) |
| Abstract: | This paper estimates the causal effect of long-term unemployment on wages. Job search theory implies that if Unemployment Insurance (UI) extensions do not affect wages conditional on the month of unemployment exit, then reservation wages do not bind on average. Then, UI extensions affect mean wages only through unemployment durations and are valid instrumental variables (IV). Using a regression discontinuity design, we find that UI extensions in Germany reduced job searchers' reemployment wages on average, but did not affect wages conditional on unemployment duration. Resulting IV estimates imply substantial negative effects of unemployment duration on wages of 0.8% per month. |
| Keywords: | long-term unemployment, wage losses, unemployment insurance |
| JEL: | J64 J65 |
| Date: | 2014–12 |
| URL: | http://d.repec.org/n?u=RePEc:iza:izadps:dp8700&r=ias |
| By: | International Monetary Fund. Monetary and Capital Markets Department |
| Keywords: | Financial Sector Assessment Program;Macroprudential Policy;Banking sector;Financial institutions;Insurance;Pension funds;Financial stability;Denmark; |
| Date: | 2014–12–18 |
| URL: | http://d.repec.org/n?u=RePEc:imf:imfscr:14/347&r=ias |
| By: | Marsha Gold; Gretchen Jacobson; Anthony Damico; Tricia Neuman |
| Abstract: | This data spotlight, prepared by Mathematica and Kaiser Family Foundation health experts, provides an overview of Medicare Advantage enrollment patterns in March 2013 and examines variations by plan type, state, and firm. It also analyzes trends in premiums paid by beneficiaries enrolled in Medicare Advantage plans, including variations by plan type, and describes the out-of-pocket limits and prescription drug coverage in the Part D "donut hole." |
| Keywords: | Medicare Advantage, Enrollment Market Update, Affordable Care Act , Health |
| JEL: | I |
| Date: | 2013–06–30 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:84cf3dc8257a4decb655f1b9521c14d3&r=ias |
| By: | Beblavý, Miroslav; Maselli, Ilaria |
| Abstract: | This study offers an in-depth economic analysis of the two main proposals for the creation of a European unemployment insurance scheme. One proposes the creation of a harmonised European unemployment benefit scheme that would apply automatically to every eligible unemployed person. The alternative, termed ‘reinsurance’ here, would transfer funds to national unemployment insurance schemes to finance benefits from the centre to the periphery when unemployment is measurably higher than normal. The rationale behind these proposals is to set up an EU-level shock absorber to overcome coordination failures and the crisis-budget constraints of individual countries. The authors consider the possible trade-offs and challenges of, for example, the definition of the trigger, the fiscal rule and the harmonisation of national benefits. They conclude that while both options are viable, ‘reinsurance’ offers a stronger stabilisation effect for the same amount of European distribution. |
| Date: | 2014–12 |
| URL: | http://d.repec.org/n?u=RePEc:eps:cepswp:9889&r=ias |
| By: | Zulauf, Carl; Orden, David |
| Abstract: | This paper summarizes the evolutionary trends in US farm policy that have culminated in the 2014 farm bill, describes the new farm bill programs in depth, and highlights the key policy issues that arise and will play out over its planned five-year duration. This new US farm bill eliminates fixed direct payments made to farmers since 1996. In place of those payments, the 2014 farm bill strengthens protections against downside price and revenue risks. Crop insurance is enhanced as a pillar of the US farm safety net. In addition, new programs are enacted to address two types of loss: shallow losses that coincide with the deductible on individual farm insurance and losses resulting from multiple years of low prices or declining revenue that are not covered by insurance. Because of the lack of consensus on the design of assistance programs for such risks, farmers are given choices among several program options. The strengthened safety net will result in less certain annual support payments to farmers, with spending that could prove lower or higher than had the 2014 farm bill not been enacted. |
| Keywords: | Agricultural policies, subsidies, World Trade Organization, conservation agriculture, crop insurance, Agricultural insurance, Agricultural Act of 2014, shallow losses, WTO agreement on agriculture, social protection, social safety nets, conservation programs, |
| Date: | 2014 |
| URL: | http://d.repec.org/n?u=RePEc:fpr:ifprid:1393&r=ias |
| By: | Bütler, Monika (University of St. Gallen); Deuchert, Eva (University of St. Gallen); Lechner, Michael (University of St. Gallen); Staubli, Stefan (University of Calgary); Thiemann, Petra (University of Southern California) |
| Abstract: | Disability insurance (DI) beneficiaries lose part of their benefits if their earnings exceed certain thresholds (“cash-cliffs”). This implicit taxation is considered the prime reason for low DI outflow. We analyse a conditional cash program that incentivises work related reductions of disability benefits in Switzerland. 4,000 randomly selected DI recipients receive an offer to claim up to CHF 72,000 (USD 71,000) if they expand work hours and reduce benefits. Initial reactions to the program announcement, measured by call-back rates, are modest; individuals at cash-cliffs react more frequently. By the end of the field phase, the take-up rate amounts to only 0.5%. |
| Keywords: | disability insurance, field experiment, financial incentive, return-to-work |
| JEL: | H55 J14 C93 D04 |
| Date: | 2014–12 |
| URL: | http://d.repec.org/n?u=RePEc:iza:izadps:dp8715&r=ias |
| By: | Jenna Libersky James Verdier |
| Abstract: | This technical assistance brief from the Integrated Care Resource Center (ICRC) provides basic information on the Medicare program, the services it covers, and the process used to set rates. |
| Keywords: | Medicare, States, Integrate care, Medicare-Medicaid, Enrollees, cost-sharing, Medicare Advantage |
| JEL: | I |
| Date: | 2013–07–30 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:651dd12057e4480f9bcd4f74af226e0a&r=ias |
| By: | Vanessa Oddo; Angela Gerolamo; David R. Mann; Catherine DesRoches |
| Keywords: | Disability, Managed Care Plans, Medicaid Enrollees, Health |
| JEL: | I J |
| Date: | 2014–01–30 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:3996f68cb1a04310afcd98a1e0eea10a&r=ias |
| By: | Capitanio, Fabian; Adinolfi, Felice; Santeramo, Fabio Gaetano |
| Abstract: | The changing environment affects agriculture introducing sources of uncertainty. On the other hand, policies to cope with risks may have strong impacts on the environment. We evaluate the effects of public risk management programmes, such as subsidised crop insurance, fertilizer use and land allocation to crops. We implement a mathematical programming model of a representative wheat-tomato farm in Puglia, a southern Italy region. The results show that under the current crop insurance programmes, tomato productions are expected to expand and to require larger amount of fertilizer, whereas the opposite is true for wheat productions. Policy and environmental implications are discussed. |
| Keywords: | uncertainty, risk, insurance, externalities, multifunctionality, environment |
| JEL: | C60 D81 Q51 R58 |
| Date: | 2015 |
| URL: | http://d.repec.org/n?u=RePEc:pra:mprapa:60971&r=ias |
| By: | Grace Anglin; Karina Wagnerman; Leslie Foster |
| Abstract: | This issue brief highlights the communications strategies that the David and Lucile Packard Foundation’s state-based Finish Line grantees in Colorado, Ohio, and Wisconsin are using to keep children’s health coverage on their state’s policy agendas. |
| Keywords: | Communications Strategies for Children's Coverage Advocacy During ACA Implementation, Insuring America's Children , Finish Line, Affordable Care Act, advocacy, children , health insurance , coverage, communications |
| JEL: | I |
| Date: | 2014–12–09 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:a296f357ea0f42ceaea4cc30e6760ae1&r=ias |
| By: | Chapin White Megan Eguchi |
| Abstract: | Reference pricing, or capping payment for a particular medical service, has been gaining interest as a strategy to reduce health care costs. Using private insurance data as a measure, reference pricing applied to a narrow scope of inpatient services was shown to produce limited savings—only a few tenths of a percentage of total spending; reference pricing applied to a much broader set of “shoppable†inpatient and ambulatory services was shown to potentially save about 5 percent of total spending. When considering reference pricing, employers and health plans would need to weigh the potential savings against the additional resources needed to implement and manage a more complex program. |
| Keywords: | Reference pricing, health care cost, insurance, price cap, autoworker |
| JEL: | I |
| Date: | 2014–10–01 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:1572400f4c214f6889c08c1dd02adfbd&r=ias |
| By: | Gina Livermore Maura Bardos |
| Abstract: | This brief describes characteristics, health status, living arrangements, and income sources of Social Security Disability Insurance (SSDI)-only beneficiaries who meet the federal definition of poor, compared with those who live in higher-income households. The findings help explain why many fall into poverty despite the support of SSDI. |
| Keywords: | SSI, SSDI, poverty, Social Security, disability |
| JEL: | I J |
| Date: | 2014–07–30 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:b338a13880f44b87adbc9b13d6447680&r=ias |
| By: | Todd Honeycutt David Stapleton |
| Abstract: | State vocational rehabilitation (VR) agencies play a significant role in supporting the employment goals of people with disabilities, but delays in the receipt of vocational services could adversely affect employment outcomes of applicants for services. This study explores the effect of waiting for VR services on employment outcomes for Social Security Disability Insurance (SSDI) beneficiaries. Using multivariate models based on agency order of selection characteristics and a measure of the usual wait time for VR services, the study found that longer wait times are associated with lower employment outcomes at VR closure and throughout SSA administrative data. |
| Keywords: | State Vocational Rehabilitation Agencies, Social Security Disability Insurance, employment, Disability |
| JEL: | I J |
| Date: | 2013–09–30 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:c9638e3105734dce86be9967182e8896&r=ias |
| By: | Jenna Libersky; Melanie Au; Allison Hamblin |
| Abstract: | This brief discusses the key components of existing disease management and care management programs that could be incorporated into integrated care programs for Medicare-Medicaid enrollees and other high-cost, high-need Medicaid beneficiaries. |
| Keywords: | Medicare, Medicaid, Dual Eligible, Integrated Care, Care Management |
| JEL: | I |
| Date: | 2014–04–30 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:159dacfe28dd45008c0c32ab24012b50&r=ias |
| By: | Mary Harrington; Genevieve M. Kenney; Kimberly Smith; Lisa Clemans-Cope; Christopher Trenholm; Ian Hill; Sean Orzol; Stacey McMorrow; Sheila Hoag; Jennifer Haley; Joseph Zickafoose; Timothy Waidmann; Claire Dye; Sarah Benatar; Connie Qian; Matthew Buettgens; Tyler Fisher; Victoria Lynch; Lauren Hula; Nathanial Anderson; Kenneth Finegold |
| Abstract: | This is the final report on findings from an evaluation of the Children’s Health Insurance Program (CHIP) that was mandated in the CHIP Reauthorization Act. The evaluation was conducted by Mathematica Policy Research and its partner The Urban Institute, and was overseen by the Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services. |
| Keywords: | CHIP, Medicaid, Child Health, Insurance, Uninsured, Access , Children |
| JEL: | I |
| Date: | 2014–08–01 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:a999a32f3d9946d6aa908ce8c94e424c&r=ias |
| By: | Jody Schimmel Hyde Gina A. Livermore |
| Abstract: | Using data from the 2006–2010 National Health Interview Surveys, we document the characteristics and health insurance profiles of workers with a disability and consider the extent to which these factors are correlated with the ability to access adequate and timely health care. |
| Keywords: | Access to Care , Workers, Disability Status, ACA |
| JEL: | I J |
| Date: | 2014–09–12 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:d7d8d56b04294c59b4a1a62e72d55cd7&r=ias |
| By: | Michelle Herman Soper; James Verdier; Fiona Donald |
| Keywords: | care coordination, home health services, durable medical equipment, Medicare-Medicaid enrollees, financial alignment, Health |
| JEL: | I |
| Date: | 2014–09–08 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:c49bd4ef2fad4636bba07841b06d4ba8&r=ias |
| By: | Thomas Fraker |
| Abstract: | The evaluation team is tracking employment, earnings, and benefits, among other outcomes, to assess whether YTD helped youth find jobs and reduced their dependency on SSI and DI. The evaluation also includes a comprehensive study of the implementation of YTD. |
| Keywords: | The Youth Transition Demonstration; YTD; transition to adulthood for youth with disabilities; disability benefits Supplemental Security Income (SSI); Social Security Disability Insurance (DI) Social Security Administration (SSA) |
| JEL: | I J |
| Date: | 2013–02–28 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:9d97695eb9f34403b430d227a44a11d7&r=ias |
| By: | Keith Kranker; So O’Neil; Vanessa Oddo; Miriam Drapkin; Margo Rosenbach |
| Abstract: | This technical assistance brief discusses strategies for accessing vital records for quality measurement and improvement efforts related to maternal and infant health care in Medicaid and the Children's Health Insurance Program (CHIP). The brief also gives guidance and describes resources available to states for linking vital records and Medicaid/CHIP data to increase states’ capacity to report two measures in the Core Set of children's health care quality measures: low birth weight rate and Cesarean section rate. |
| Keywords: | Medicaid, CHIP, Quality Measures, Health |
| Date: | 2014–01–01 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:4c9ca4dbc4d24cf5ac7dc59238de8d67&r=ias |
| By: | Yonatan Ben-Shalom David Stapleton |
| Abstract: | This report uses data on fee-for-service Medicare beneficiaries who first responded to the Medicare Current Beneficiary Survey in 2003-2006 to assess the feasibility of using existing claims-based indicators to identify community-dwelling Medicare beneficiaries with disability based solely on the conditions for which they are being treated. |
| Keywords: | Medicare Beneficiaries, Disabilities, Claims-Based Algorithms |
| JEL: | I J |
| Date: | 2014–01–31 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:3d2498ce791c4b1d94cd40e99ba791bc&r=ias |
| By: | Denise Hoffman; Kristin Andrews; Valerie Cheh |
| Abstract: | This study examined the characteristics and service use of Medicaid Buy-In participants with higher incomes (above 250 percent of the federal poverty line), relative to participants with lower incomes. The study found higher-income participants were less likely to enroll in Medicare and more likely to be enrolled in third-party insurance. Service use for higher-income Buy-In participants concentrated on prescription drugs and durable medical equipment, and Medicaid expenditures for a selected set of services among higher-income participants were generally lower than expenditures for the same services among all Buy-In participants. |
| Keywords: | Medicaid Buy-In, High Earners, Service Use, Health, Disability |
| JEL: | I |
| Date: | 2013–05–31 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:75fc7efacbd74631bd2de3314a3c0486&r=ias |
| By: | Integrated Resource Care Center |
| Abstract: | This brief from the Integrated Care Resource Center (ICRC) describes options for attracting and retaining enrollment in capitated models of care integration. |
| Keywords: | Medicare, Medicaid, Care Initiatives, Capitated Models |
| JEL: | I |
| Date: | 2013–04–30 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:c6ceafee8b9a484587659cd3341cdfee&r=ias |
| By: | Mynti Hossain; Rebecca Coughlin; Joseph Zickafoose |
| Abstract: | This brief presents descriptive and analytic findings from the national evaluation of the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA) Quality Demonstration Grant Program. It focuses on a joint CHIPRA quality demonstration project in Colorado and New Mexico and the efforts of school-based health centers (SBHCs) to integrate the patient-centered medical home (PCMH) approach to quality improvement. |
| Keywords: | CHIPRA, School-based health centers, Medical Home, Health |
| JEL: | I |
| Date: | 2014–05–30 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:08e3c368c2584c4492e6e5bb34d41a16&r=ias |
| By: | James Verdier; Sonya Streeter; Danielle Chelminsky; Jessica Nysenbaum |
| Abstract: | This technical assistance brief explores ways of improving the coordination of these overlapping benefits in the Centers for Medicare & Medicaid Services (CMS) Financial Alignment Initiative’s capitated model demonstrations. |
| Keywords: | Medicare, Medicaid, Dual Eligible, Durable Medical Equipment, Fee-for-Service |
| JEL: | I |
| Date: | 2014–04–30 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:ac51ab2dfe204a928d3967cb3116f203&r=ias |
| By: | Marsha Gold; Winnie Wang; Julia Paradise |
| Abstract: | Mathematica health experts collaborated with staff at the Kaiser Commission for Medicaid and the Uninsured to author this brief, the second of three case studies examining key operational aspects of coordinated care initiatives in Medicaid, which focuses on the Transitional Care Program conducted by Community Care of North Carolina (CCNC). CCNC is a medical home program that serves 83 of all North Carolina Medicaid beneficiaries. The Transitional Care Program identifies high-risk enrollees when they are admitted to a hospital, and plans, coordinates, and arranges their transition back to the community. |
| Keywords: | Care Transitions, Medicaid, North Carolina, Health |
| JEL: | I |
| Date: | 2013–10–30 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:8ff99413e48f4472b4eccabc7bf3353f&r=ias |
| By: | Sheila Hoag; Adam Swinburn; Sean Orzol; Michael Barna; Maggie Colby; Brenda Natzke; Christopher Trenholm; Fredric Blavin; Genevieve M. Kenney; Michale Huntress; Others |
| Abstract: | As part of the Children's Health Insurance Program Reauthorization Act of 2009 (CHIPRA), Congress permitted Express Lane Eligibility (ELE), which allows state Medicaid and/or CHIP programs to rely on another public agency's eligibility determination to qualify children for public health coverage or renew their coverage. The study found that ELE can increase enrollment, but gains vary depending on how states implement the policy. Automatic ELE processes served the most individuals, produced the greatest administrative savings, and eliminated procedural barriers to coverage for families. Evaluators also found that ELE enrollees use health care services, though fewer than those who enroll through standard routes. The evaluation was funded by the Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services. |
| Keywords: | Express Lane Eligibility, ELE CHIP, CHIPRA Medicaid simplified enrollment, simplified renewal |
| JEL: | I |
| Date: | 2013–12–30 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:257e261f5ab440728eb3017124a003b9&r=ias |
| By: | Chapin White; James D. Reschovsky; Amelia M. Bond |
| Abstract: | This issue brief finds that when episodes of care involving hospitalizations, similar to Model 2 of the ongoing Centers for Medicare & Medicaid Services Bundled Payment for Care Improvement demonstration, are applied to privately insured patients, inpatient prices drive the bulk of episode-spending variation. |
| Keywords: | Inpatient Hospital Prices Spending Variation Privately Insured Patients NIHCR |
| JEL: | I |
| Date: | 2014–02–28 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:749f3a224d5f4b748201e982354b5664&r=ias |
| By: | Richard V. Burkhauser; Mary C. Daly; Duncan McVicar; Roger Wilkins |
| Abstract: | Unsustainable growth in program costs and beneficiaries, together with a growing recognition that even people with severe impairments can work, led to fundamental disability policy reforms in the Netherlands, Sweden, and Great Britain. In Australia, rapid growth in disability recipiency led to more modest reforms. Here we describe the factors driving unsustainable DI program growth in the U.S., show their similarity to the factors that led to unsustainable growth in these other four OECD countries, and discuss the reforms each country implemented to regain control over their cash transfer disability program. Although each country took a unique path to making and implementing fundamental reforms, shared lessons emerge from their experiences. |
| Keywords: | Disability, Cross-national policy, Social Security Disability Insurance |
| JEL: | I J |
| Date: | 2014–07–21 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:6686cc3d659c42c08c44f3011f7f318c&r=ias |
| By: | Jung Y. Kim; Tricia Collins Higgins; Dominick Esposito; Angela M. Gerolamo; Mark Flick |
| Abstract: | Mathematica's mixed methods evaluation suggests that states can promote integration across separate financing and delivery systems and improve quality of care. |
| Keywords: | SMI Serious Mental Illness Medicare Beneficiaries Adult Care |
| JEL: | I J |
| Date: | 2014–02–28 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:c07aaeddd5114df9b6619aa3fdbbb9d7&r=ias |
| By: | Greg Peterson; Randy Brown; Allison Barrett; Beny Wu; Christal Stone Valenzano |
| Abstract: | Using a quasi-experimental design, this study assessed the effects of waiting periods on the costs of Medicaid long-term care and the risk of long-term nursing home stays and hospitalizations. |
| Keywords: | Home and Community Based Services, Medicaid, Long-Term Care Costs, Iowa, Disability, Health |
| JEL: | I J |
| Date: | 2014–01–30 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:dc4c25dbb6a64a65bae14bd3883d67be&r=ias |
| By: | John L. Czajka |
| Keywords: | Income Eligibility Affordable Care Act; ACA Nonelderly Adults Health |
| JEL: | I |
| Date: | 2013–01–30 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:344cf8a42a4649dd92dc477582a0a543&r=ias |
| By: | Alex Bohl; John Schurrer; Dean Miller; Wilfredo Lim; Carol V. Irvin |
| Abstract: | This report focuses on the medical and long-term care expenditures for Medicaid beneficiaries who transition from institutional to community-based long-term services and supports (LTSS) and how those expenditures change after the transition. An initial analysis of expenditures finds evidence that total Medicaid and Medicare expenditures decline, sometimes substantially, during the first 12 months after someone transitions from institutional care to home and community-based services (HCBS). For people with physical disabilities or mental illness, Money Follows the Person (MFP) participation is associated with increased post-transition total expenditures, but there is no association between MFP participation and post-transition total expenditures for older adults or people with intellectual disabilities. |
| Keywords: | Money Follows the Person, expenditures, Medicaid, mental illness, disability, home and community-based services, long-term services and supports, community transitions, expenditures, costs, Medicare, Medicare-Medicaid enrollees, dual eligible |
| JEL: | I J |
| Date: | 2014–10–30 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:d1ae12f90ba7479cacb90e5ae826e1cd&r=ias |
| By: | Jelena Zurovac; Randy Brown; Bob Schmitz; Richard Chapman |
| Abstract: | This study compares key patient outcomes at Brand New Day, a Medicare SNP for dual eligibles with severe mental illness, under two alternatives—routine care (services routinely provided at the plan before the study) and enhanced care (more frequent or more intensive services)—for each of 11 care components. |
| Keywords: | Care Management Components, Medicare, D-SNP, Disability |
| JEL: | I J |
| Date: | 2014–01–31 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:39ddcd1ded5d4b14b5fb5a34150c9ffe&r=ias |
| By: | Jung Y. Kim; Angela M. Gerolamo; Jonathan Brown |
| Keywords: | Physical Health Care Behavioral Health Care Medicaid Beneficiaries Pennsylvania, CEDR |
| JEL: | I J |
| Date: | 2013–03–11 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:7a7666035c194c27a66b50734a6db16b&r=ias |
| By: | Mai Hubbard; Sloane Frost; Kimberly Siu; Nicole Quon; Dominick Esposito |
| Abstract: | A retrospective analysis of Medicare claims data examined the relationship between outpatient visits within 14 days after hospital discharge and readmission for beneficiaries with atrial fibrillation or other chronic conditions. About half of those beneficiaries with a hospitalization had an outpatient visit within 14 days of discharge. Readmission rates were 11 to 24 percent lower for beneficiaries with an outpatient visit than for those without one. These findings suggest that follow-up care shortly after discharge may lower readmissions for patients with atrial fibrillation or other chronic conditions. |
| Keywords: | Care Transitions, Quality of Care, Follow-up Visits, Readmissions, Atrial Fibrillation , Outpatient, Discharge, Hospital, Medicare Beneficiaries |
| JEL: | I |
| Date: | 2013–07–29 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:0565aec1425b4754a6097a369fe8f32b&r=ias |
| By: | International Monetary Fund. Monetary and Capital Markets Department |
| Abstract: | Denmark has a high level of compliance with the Basel Core Principles for Effective Banking Supervision (BCPs). The Danish Financial Supervisory Authority (DFSA) has the appropriate legal authority to carry out supervision effectively and in its risk based approach has focused well on the key elements of risk within its banking system. Its powers and supervisory approach have evolved significantly since the recent global crisis and the DFSA emerged as a hands- on and proactive supervisor. Its overall supervisory approach is sound and the compliance with the credit-risk and capital adequacy related principles is uniformly high. The length of the examination cycle should be reduced through the use of additional resources. A more thorough and comprehensive approach to operational risk and market risk is warranted. Finally, the operational independence of the DFSA should be protected by retaining certain supervisory imperatives within the authority of the Director General, while strengthening the governance of the DFSA Board. |
| Keywords: | Banking sector;Basel Core Principles;Bank supervision;Insurance supervision;Reports on the Observance of Standards and Codes;Denmark; |
| Date: | 2014–12–09 |
| URL: | http://d.repec.org/n?u=RePEc:imf:imfscr:14/335&r=ias |
| By: | Kate Stewart; Henry Ireys; Dana Petersen; Joe Zickafoose; Lisa Schottenfeld |
| Keywords: | NCQA Medical Home Health Care Utilization Children in Medicaid |
| JEL: | I J |
| Date: | 2013–03–11 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:6dea90a559cf4f7587190470bbf43296&r=ias |
| By: | Jonathan D. Brown; Allison Barrett; Emily Caffery; Kerianne Hourihan; Henry T. Ireys |
| Abstract: | This study examines whether medication continuity among Medicaid beneficiaries with schizophrenia and bipolar disorder was associated with medication utilization management practices (prior authorization, copayment amounts, and refill and pill quantity limits); managed care enrollment; and other state and beneficiary characteristics. The study found that prior-authorization requirements and copayments for medications can present barriers to refilling medications for Medicaid beneficiaries with schizophrenia or bipolar disorder. |
| Keywords: | Medication Continuity Medicaid Beneficiaries Schizophrenia Bipolar Disorder |
| JEL: | I J |
| Date: | 2013–06–03 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:c24f1d94328f42fba89e3726347af4d3&r=ias |
| By: | Catherine M. DesRoches; Jennifer Gaudet; Jennifer Perloff; Karen Donelan; Lisa I. Iezzoni; Peter Buerhaus |
| Abstract: | This study examines the geographic distribution and county characteristics of nurse practitioners (NPs) billing Medicare, compares the types and quantities of primary care services provided to Medicare beneficiaries by NPs and primary care physicians, and analyzes the characteristics of beneficiaries receiving primary care from each type of clinician. The study found approximately 45,000 NPs provided services to beneficiaries and billed under their own provider numbers in 2008. Aspects of NP practice patterns differed from those of primary care physicians, and NPs appeared more likely to provide services to disadvantaged Medicare beneficiaries. |
| Keywords: | Advanced Practice Nurse Medicare Patient Characteristics |
| JEL: | I |
| Date: | 2013–11–30 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:2066a56ce2fa48898dccc867e7a29a69&r=ias |
| By: | Allison Hedley Dodd Rosalie Malsberger |
| Abstract: | This issue brief presents the results of the first study conducted using data from Medicaid Analytic eXtract (MAX) data and the Medicare Current Beneficiary Survey to assess the use of home- and community-based services by the presence and level of functional limitations, as measured by limitations in activities of daily living. |
| Keywords: | long-term services and supports, LTSS, home- and community-based services, HCBS, Medicare-Medicaid, enrollee , Medicaid Analytic eXtract , MAX, Medicare Current Beneficiary Survey , MCBS from 2007–2008 , health |
| JEL: | I |
| Date: | 2013–09–30 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:d51521d3c5a7414c8cb5b27a23dbddc3&r=ias |
| By: | Jack Hadley; James D. Reschovsky; Alistair J. O'Malley; Bruce E. Landon |
| Keywords: | Medicare reimbursement, Geographic variation in Medicare cost per episode, Physician supply |
| JEL: | I |
| Date: | 2014–05–30 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:d1480ffc4dcb42b4b3e8fe4c7957a20b&r=ias |
| By: | Ellen Bouchery |
| Abstract: | This study reviews dental services among Medicaid-enrolled children in nine states identified characteristics associated with underutilization of dental services, including age, length of Medicaid enrollment, and disability status. |
| Keywords: | Dentistry, Dental Care, Medicaid, Pediatrics , Children, Early Childhood |
| JEL: | I |
| Date: | 2013–09–30 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:7c5130bb81584f429c23501317e10e46&r=ias |
| By: | Alvaro Forteza (Departamento de Economía, Facultad de Ciencias Sociales, Universidad de la República); Cecilia Noboa (Departamento de Economía, Facultad de Ciencias Sociales, Universidad de la República) |
| Abstract: | We present a simple model of a benevolent government that provides insurance to risk averse individuals. As in macroeconomics, commitment to fully contingent rules is better than discretion, but when the government can only commit to simple rules, discretion may be the best available option. The model provides a simple albeit precise characterization of discretion and commitment to a simple rule in the context of social protection, showing when and why discretion may be better than commitment. We argue that the forces highlighted in our model can provide a rationale for several highly distortive policies often observed in the real world in weak institutional environments. |
| Keywords: | Discretion, Commitment, Simple Rules, Informality |
| JEL: | E61 H20 H30 H50 O17 |
| Date: | 2014–08 |
| URL: | http://d.repec.org/n?u=RePEc:ude:wpaper:0814&r=ias |
| By: | Jenna Libersky Debra Lipson |
| Abstract: | This brief describes a novel approach that Mathematica Policy Research used to evaluate state oversight of a new Medicaid managed care program for individuals people with disabilities in Washington State. |
| Keywords: | Medicaid, Managed Care Organizations, Health |
| JEL: | I J |
| Date: | 2014–12–01 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:0c6a7a2c7a704fbe880683e03e65be28&r=ias |
| By: | Bruce E. Landon; A. James O'Malley; M. Richard McKellar; Jack Hadley; James D. Reschovsky |
| Abstract: | The relationship between practice intensity and the quality and outcomes of care has not been studied. |
| Keywords: | quality of care/patient safety, incentives in health care, payment systems, Medicare |
| JEL: | I |
| Date: | 2014–04–30 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:1c8817289a664a8da484bccfa0fc9251&r=ias |
| By: | Greg Peterson; Randy Brown; Allison Barrett |
| Keywords: | Home, Community Based Services Consumers Medicaid Costs Iowa |
| JEL: | I J |
| Date: | 2013–03–11 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:5b5cc17a59ee4a0b8fe91c2c73f79618&r=ias |
| By: | Audra Wenzlow; Rosemary Borck; Dean Miller; Pamela Doty; John Drabek |
| Abstract: | This report explores interstate variations in long-term care (LTC) expenditure and service use patterns, not only in terms of institutional and non-institutional services, but also by Medicaid LTC users’ age and type of disability (for example, intellectual and developmental disabilities [ID/DD] or other adult-onset disabilities). Some states have reoriented more toward home and community-based services (HCBS) than others. It also well known that greater progress has been made in serving certain subgroups within the LTC population in the community (those with ID/DD) compared to others and that reliance on institutional care remains greatest among older adults, although interstate variations exist. This report seeks to quantify the magnitude of such differences. |
| Keywords: | state variation, Medicaid Long-term care use, Expenditures, 40 states, Disability, HCBS |
| JEL: | I J |
| Date: | 2013–07–30 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:6297eba14aa7484d8cad21d787ee9842&r=ias |
| By: | Irina Denisova; Polina Kuznetsova |
| Abstract: | The main objectives of this paper are to estimate the burden of tobacco-caused mortality as a whole and by main tobacco-related diseases in Kazakhstan, the Russian Federation, and Ukraine, and to assess the distributional health impact of an increase in tobacco taxation in these three countries. According to the results obtained, in 2012 smoking caused around 310,000 deaths in Russia, about 70,000 in Ukraine, and 14,300 in Kazakhstan, representing a key factor of mortality among the working-age population. Using data from various sources, the paper estimates the distributional consequences of a hypothetical tax rise in the three countries that leads to an approximately 30 percent increase of the average retail price of cigarettes. The analysis includes an estimation of changes in smoking prevalence, mortality, life expectancy, and public health expenditures by income quintile and gender. Considered excise growth can lead to about 3.5 to 4.0 percent fall in smoking prevalence, which in turn can avert about 600,000 tobacco-related deaths in Russia, 140,000 in Ukraine, and 30,000 in Kazakhstan over a 50 years period. Reduced tobacco-related morbidity will also result in substantial decrease in health expenditures for the treatment of tobacco-related diseases. Positive health effects are expected to be pro-poor, as almost 60 percent of the reduction in mortality is concentrated in the two lower-income quintiles of the population of the three countries. |
| Keywords: | Addiction, adult population, Age Groups, age mortality, alcohol, alcohol abuse, alcohol consumption, arteriosclerosis, cancers, cardiovascular diseases, Causes of Death ... See More + Cigarette, Cigarette Taxes, Circulatory System, citizens, Clinical Research, Cost Effectiveness, current smoking, death rates, dependence, Developing Countries, Disease Control, economic costs, Economics of Tobacco Control, EFFECTS OF TOBACCO, excise taxes, female mortality, females, Global Health, health care, health care system, Health Consequences, health effects, health impact, Health Insurance, health system, health systems, heart disease, intervention, life expectancy, lifestyles, long-term smokers, lung cancer, male mortality, Medical Care, Medicine, Ministry of Health, morbidity, mortality, mortality rate, mortality reduction, neoplasms, Nicotine, number of deaths, number of people, Nutrition, Peer Reviewers, Population Processes, premature mortality, PRICE ELASTICITY, Price Increases, price of cigarettes, Price Policies, public health, pulmonary disease, Respect, respiratory diseases, Risk Factors, smoker, smokers, smoking, smoking cessation, smoking prevalence, smoking prevalence data, smoking rates, Social Impact, Tobacco Addiction, tobacco consumption, Tobacco Control, tobacco control measures, Tobacco Control Policies, tobacco excises, tobacco industry, tobacco products, Tobacco Research, tobacco smoking, tobacco tax, Tobacco Tax Increases, tobacco taxation, TOBACCO TAXES, TOBACCO USE, tobacco-related disease, tobacco-related diseases, tobacco-related illnesses, treatment, Tuberculosis, working-age population, World Health Organization, young women |
| Date: | 2014–10 |
| URL: | http://d.repec.org/n?u=RePEc:wbk:hnpdps:92765&r=ias |
| By: | Matthew Kehn |
| Abstract: | This report, prepared for CMS, is the last in a series of annual reports on participation in the Medicaid Buy-In program. It provides updates on both national- and state-level trends in enrollment, employment, and earnings among the 35 reporting Medicaid Infrastructure Grant (MIG) states with a Buy-In program in 2011. Additionally, it addresses recent changes to state program rules and policies, and identifies factors that have affected recent Buy-In program enrollment, as reported by the states in an annual questionnaire. |
| Keywords: | Medicaid, disability, employment, Health , Earnings, Buy-In |
| JEL: | I |
| Date: | 2013–05–20 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:a7ab35913e104e5cb3d95517ed0f2660&r=ias |
| By: | Todd Honeycutt; Allison Thompkins; Maura Bardos; Steven Stern |
| Abstract: | Using RSA-911 records matched to SSA administrative records, this paper adds to the knowledge about state VR agency provision of services to youth with disabilities and differences in outcomes based on SSA benefit receipt status. |
| Keywords: | Vocational Rehabilitation, Disability Benefits, Youth Disabilities |
| JEL: | I J |
| Date: | 2014–07–30 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:638f3d6bc7584ec294c0310aaaa8e1e4&r=ias |
| By: | Jeffrey Ballou; Valerie Cheh; Dean Miller; Audra Wenzlow |
| Abstract: | To better understand the population of Medicaid enrollees living in nursing homes or intermediate care facilities for individuals with intellectual disabilities (ICFs/IID), researchers analyzed data from the Medicaid Analytic eXtract (MAX) from 2006 and 2007 to determine the characteristics of enrollees remaining in nursing homes and ICFs/IID and their stays and assess how the length of institutional stays varies at the state level with changes in state constraints and policies. More specifically, the report explored the use of home and community-based services (HCBS) both before and after institutional stays and whether the length of institutional stays throughout a state corresponded to the percentage of Medicaid long-term care (LTC) spending the state allocated to HCBS. |
| Keywords: | long-term care, long-term services and supports, home and community-based care services, nursing homes, intermediate care facilities, individuals with intellectual disabilities, Medicaid |
| JEL: | I J |
| Date: | 2013–08–30 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:2a425710d3dc48d587b5b9862531b475&r=ias |
| By: | James M. Verdier Ashley Zlatinov |
| Abstract: | This brief presents noteworthy trends and patterns in the use and costs of prescription drugs for Medicaid beneficiaries from 1999 to 2009. It builds on previous annual tables and chartbooks, and describes trends in drug usage and costs. The brief emphasizes trends for beneficiaries with disabilities and chronic illnesses, whose drug use is much more extensive than that of children and nondisabled adults. |
| Keywords: | Medicaid , prescription drugs , prescription drug expenditures , MAX |
| JEL: | I |
| Date: | 2013–03–30 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:92fe93894f594de7a94ec216fb2a8d21&r=ias |
| By: | Rosemary Borck; Laura Ruttner; Vivian Byrd; Karina Wagnerman |
| Abstract: | The Medicaid Analytic eXtract (MAX) 2010 Chartbook highlights the types of analyses that are possible using MAX data. It focuses on Medicaid enrollment and utilization patterns during 2010 and documents key changes over time. The 2010 chartbook includes updated information from previous MAX chartbooks, incorporating additional information about encounter data. The 2010 chartbook also includes analysis of the home and community-based taxonomy information newly available in MAX 2010. The appendix tables provide detailed state-level information for the statistics presented in the chartbook. |
| Keywords: | Medicaid, enrollment, expenditures, service utilization, duals, managed care, waivers |
| JEL: | I |
| Date: | 2014–10–30 |
| URL: | http://d.repec.org/n?u=RePEc:mpr:mprres:c5d07b4c06604e1b818ff51ecde7bd12&r=ias |