This report presents findings from a multi-state evaluation examining how managed long-term services and supports (MLTSS) beneficiaries compare to those receiving long-term services and supports (LTSS) in fee-for-service (FFS) on spending, service use, quality of care, access to care, and beneficiary...
This analysis focused on 46 states, the District of Columbia, and Puerto Rico. Mississippi, Missouri, Montana and Nebraska were excluded from the analysis.
In this paper, we document the extent to which SSDI and SSI beneficiaries had their monthly cash benefits suspended or terminated as a result of work activity in 2002–2014. We use measures included in the Social Security Administration’s Disability Analysis File (DAF).
This interim evaluation examines how utilization of specific services by MLTSS enrollees compares to that of fee for service (FFS) beneficiaries using LTSS.
To assess psychometric properties of a recently-designed medical-homeness instrument, the Medical Home Attributes Scale (MHAS), we surveyed clinical practices with NCQA recognition as medical homes.
Lung cancer risk prediction models have the potential to make programs more affordable; however, the economic evidence is limited.
The Medicaid 1115 Demonstration Evaluation Design plan, prepared by Mathematica Policy Research and submitted to the Centers for Medicare & Medicaid Services (CMS) in May 2015 (Irvin et al. 2015), proposed a theoretical evaluation strategy for MLTSS programs.
This study highlights disparities in care for diabetes and hypertension for individuals with serious mental illness compared with the general Medicaid and Medicare populations.
Using Social Security Administration data, this paper presents findings from a longitudinal analysis of the extent to which new Supplemental Security Income (SSI) disability beneficiaries return to work and use SSI work incentives.
This article presents evidence from a large-scale randomized controlled trial of the effects of four supplemental reading comprehension curricula (Project CRISS, ReadAbout, Read for Real, and Reading for Knowledge).
This study examines Registered Apprenticeships, career-training programs administered by the Employment and Training Administration's Office of Apprenticeship in the U.S. Department of Labor, in conjunction with state apprenticeship agencies.
Using Social Security Administration data, this paper presents findings from a longitudinal analysis of the extent to which new Supplemental Security Income (SSI) disability beneficiaries return to work and use SSI work incentives.
This paper presents the findings from a longitudinal examination regarding the extent to which new Social Security Disability Insurance beneficiaries return to work and use disability insurance work incentives, based on Social Security Administration data.
This issue brief profiles Medicaid Buy-In participants with severe mental illness and compares their characteristics, employment experiences, and medical expenditures with those of other program participants.
This study examines the value of state Medicaid program spending by exploring the relationship between both sides of the efficiency coin—costs and outcomes.
This issue brief presents longitudinal employment and exit for work statistics for SSDI beneficiaries followed for 10 years from when they first received their award.
This article examines the Medicaid Buy-In program, so named because workers with disabilities “buy into” Medicaid coverage with monthly premiums. In 2006, over 97,000 individuals were enrolled in 32 state Buy-In programs.
The Medicaid Infrastructure Grant (MIG) program provides funding to states for the development of infrastructure necessary to promote competitive employment for people with disabilities and reduce the obstacles they face as they attempt to find and/or maintain employment.
Leading health care financing reforms might mitigate, or even eliminate, challenges that the current system creates for people with disabilities who work, or want to work, but there is no guarantee.
Congress established the Medicaid Buy-In program when it passed the Balanced Budget Act (BBA) of 1997 and the Ticket to Work and Work Incentives Improvement Act (Ticket Act) of 1999.
When workers with disabilities “buy into” Medicaid by paying monthly premiums, states can offer them Medicaid coverage when their income and assets would otherwise make them ineligible.
This brief explores the paths of people with disabilities who leave the Medicaid Buy-In program, finding that their earnings and employment rates decline after disenrollment.
The Medicaid Buy-In program, a state Medicaid option since the late 1990s, is designed to encourage adults with disabilities to work by allowing them to buy into Medicaid when their earnings exceed standard Medicaid eligibility limits.
Prescriptions ordered by physicians but not picked up by patients offer an opportunity for quality improvement in health systems.
The Medicaid Buy-In program is part of a broader federal effort to improve employment outcomes for people with disabilities by allowing states to expand Medicaid coverage to workers with disabilities whose income and assets would ordinarily make them ineligible for Medicaid.
In 2007, the state of Minnesota considered establishing a Health Insurance Exchange to serve small groups and individuals, facilitating access to coverage, choice among insurance products, portability of coverage, and affordability.
Medicaid Buy-In participants who receive Social Security Disability Insurance (SSDI) benefits may not be taking full advantage of the available work incentive programs that can improve their prospects of finding employment and attaining economic self-sufficiency.
Researchers investigated whether a subsidized state health insurance purchasing arrangement for small employers could be useful in reducing the high and growing number of uninsured workers and dependents in Missouri. This report discusses eligibility, enrollment scenarios, cost, and other considerations.
Mathematica estimated the cost of the current health care system in New Mexico and the relative cost of three alternative strategies to ensure that all New Mexicans become and remain insured. This report discusses the strategies in depth and raises issues for further consideration.
The fifth policy brief in a Mathematica series examining the Medicaid Buy-In program uses Medicaid eligibility and claims data from eight study states to compare the demographics, health status, and Medicaid expenditures of Buy-In participants with individuals enrolled in Medicaid because they have a...
The fourth brief in a series on the Medicaid Buy-In program, a key component of the federal effort to help people with disabilities return to work without losing health insurance coverage, examines earnings after enrollment.
In Texas, as in other states, the proliferation of niche hospitals has raised concern about the potential financial impact of these hospitals on full-service general hospitals.
Promoting employment for people with disabilities is an important policy objective for the nation.
Resolving the national debate on health care affordability is likely to involve determining how consumer demand for health insurance and health care responds to changes in price or income.
This report focuses on a CareFirst nonprofit affiliate, General Health and Medical Services, Inc., (GHMSI) and its potential role in providing community benefits in the national capital area.
The Medicaid Buy-In option promotes employment and economic self-sufficiency for individuals with disabilities.
This publication reports on a worldwide survey of military health system beneficiaries, including children, conducted each year under a mandate from Congress to ensure regular monitoring of beneficiaries' satisfaction with their health care options.
The authors estimate the social welfare associated with the Medicare+Choice program at approximately $18.7 billion in consumer surplus and $52 billion in HMO profits from 1993 to 2000.