Research / Journal abstracts

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Barriers to Accessible Health Care for Medicaid Eligible People With Disabilities: A Comparative Analysis

Using data from 360 health care providers and 540 Medicaid eligible people with disabilities (PWD), the authors compared perceived barriers to care from the perspective of both providers and PWD. The results indicated major variations in provider and PWD perceptions. Policy responses to these findings should address the specific needs of people with different types of disabling conditions rather than assuming all PWD face similar challenges in accessing and utilizing health care.

Short URL: http://www.advancingstates.org/node/65863

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Employer-recommended Strategies to Increase Opportunities for People with Disabilities

The employment rate among persons with disabilities is less than half the rate among persons without disabilities. Broad innovations are needed to reduce this disparity.These authors examined employers' perspective related to: a) challenges they face when hiring people with disabilities, b) advantages (i.e. the business case) to employing people with disabilities, and c) their recommendations for innovations in both the public disability employment services systems and their own hiring practices

Short URL: http://www.advancingstates.org/node/65861

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Data Systems and Decision-making: State Intellectual/Developmental Disability Agencies and Their Employment Data Collection Systems

A growing emphasis on government accountability has increased interest in the collection and use of employment outcomes data. At the national level, data on employment for individuals with disabilities are available through multiple data collection systems. However, many systems are fragmented and only loosely coordinated across agencies. This article offers a qualitative, in-depth look at how employment data is collected and used within four state intellectual/developmental disability agencies.

Short URL: http://www.advancingstates.org/node/65860

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Living on the Edge: Assessing the Economic Impacts of Potential Disability Benefit Reductions for Social Security Disability Beneficiaries

Although Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) benefits are an important support to many people with disabilities, modifications to programs are under consideration given current and projected governmental fiscal constraints. This article provides data about levels of safety net cross-participation among working age SSDI and SSI program participants and estimates how changes to disability benefit levels might influence their economic security.

Short URL: http://www.advancingstates.org/node/65859

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Out of Sight, Out of Mind? The Inclusion and Identification of People with Intellectual Disability in Public Health Research

Adults with intellectual disability experience substantial health inequities. The authors sought to investigate the extent to which a sample of international public health research includes and identifies people with intellectual disability. Among eligible articles in these selected public health journals, it was found that cohort studies passively exclude people with intellectual disability, while randomized controlled trials (RCTs) actively exclude this population.

Short URL: http://www.advancingstates.org/node/65858

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How Do Working-Age People With Disabilities Spend Their Time? New Evidence From the American Time Use Survey

We use the American Time Use Survey to examine the extent to which adults with disabilities—defined using both the new six-question sequence on disability and the traditional work-limitation question—spend more time on health-related activities and less time on other activities than those without disabilities.

Short URL: http://www.advancingstates.org/node/65857

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Another Perspective: Capturing the Working-Age Population With Disabilities in Survey Measures

A new criticism of the variety in measures serving to identify the disabled population in the American Community Survey (ACS) has been raised by Burkhauser, Houtenville, and Tennant. This article provides another perspective on the relationship of the current ACS measure and a work limitation measure demonstrating the complications introduced by combining measures that represent two different metrics and introducing an unmeasured environmental element.

Short URL: http://www.advancingstates.org/node/65856

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The Impact of Health Care Reform on the Workforce Caring for Older Adults

Review a summary report of the Patient Protection and Affordable Care Act (ACA) provisions that have a direct or indirect impact on the workforce caring for the elder population, explores the challenges to developing the workforce, and critiques the adequacy of the ACA provisions in meeting those challenges. The ACA acknowledges gaps in the workforce caring for the elder population. Still, its provisions are inadequate given insufficient supply in the number and types of workers.

Short URL: http://www.advancingstates.org/node/53139

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State Medicaid Programs Offering Personal Care Services

The purpose of this study was to describe the two ways in which Medicaid offers personal care services to low-income Americans: Medicaid Title XIX Personal Care Services (PCS) optional state plan benefit; and the Medicaid 1915(c) Home and Community-Based Services (HCBS) waivers program. A summary of the findings of this study are presented here as well as the article that appeared in the Health Care Financing Review, Summer 2001.

Short URL: http://www.advancingstates.org/node/49680

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Dual-Eligible Beneficiaries of Medicare and Medicaid: Characteristics, Health Care Spending, and Evolving Policies

This issue brief uses the most recent comprehensive data, from 2009, to examine the characteristics and costs of dual-eligible beneficiaries. The report also examines the different payment systems that Medicare and Medicaid use to fund care for dual-eligible beneficiaries and recent efforts at the federal and state levels to integrate those payment systems and coordinate the care between both programs. Given the high cost of dual-eligibles, legislative solutions are reviewed.

Short URL: http://www.advancingstates.org/node/53408

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