This report to Congress responds to a mandate of the Orphan Drug Act (P.L.97-414, January 4, 1983), which called for the Secretary of HHS to conduct demonstration projects to test methods for identifying individuals at risk of institutional placement who could be treated more cost-effectively with home health and other non-institutional services.
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Service Utilization and the Individual, Family, and Neighborhood Characteristics of Children with Disabilities in Illinois
This report describes the demographic characteristics and human services utilization of all children and adolescents who are identified as having a disability in Illinois. It also seeks to understand the stability of care that these children receive through childhood and adolescence.
The purpose of this paper is to describe the diverse strategies that have been proposed for long-term care reform (for persons age 65+), and to present a balanced discussion of the points that have been made in support of, and in opposition to, each proposal. What the authors believe is "balanced" may not be perceived to be so by those who advocat
This compendium is published by the Office of Disability, Aging and Long Term Care Policy within the Office of the Assistant Secretary for Planning and Evaluation/HHS. It summarizes the status of current research, the results of research projects sponsored from 1992 1996, and highlights future research plans. Previous editions of this booklet were
In this report, the new MSIS enrollment data are utilized to provide detailed information on Medicaid eligibility patterns and managed care participation in calendar year 1999. A series of 14 tables were constructed for each of the 50 states and the District of Columbia, and then summarized at the national level. A separate File Listing gives the
Effects of Medicare's Hospital Prospective Payment System (PPS) on Disabled Medicare Beneficiaries: Final Report
The purpose of this study was to determine how PPS has affected the patterns of care received by Medicare beneficiaries with chronic disabling conditions. The study used the 1982 and 1984 National Long-Term Care Surveys to provide an empirical analysis of differences in the utilization patterns of hospital, skilled nursing facility and home health
An Exploratory Analysis of the Medicaid Expenditures of Substance Exposed Children Under 2 Years of Age in California
This project was designed to explore the utilization and expenditures to Medicaid of substance exposed children, using data on the experience of children born in California in 1986, 1987 and 1988. The Medicaid experience of these children in their first two years of life was the focus of the analysis. The study also included a randomly sampled com
A study was conducted on elderly long-term care population characteristics and service use; it focused on functional transitions at advanced ages and the impact of long-term care services on these transitions. Analysis was done using the 1982 and 1984 National Long-Term Care Surveys and the Channeling data sets; and a later analysis was done of th
This paper discusses the policy implications of allocating long-term care benefits to the elderly on the basis of objective functional criteria, particularly functioning in the activities of daily living (ADLs). Although research has documented the link between measures of ADL performance and the need for services, developing a long-term care prog
Deriving State-level Estimates from Three National Surveys: A Statistical Assessment and State Tabulations
This report assesses the statistical issues involved in the production of state level estimates related to health and welfare issues from three national surveys: the Current Population Survey (CPS), the Survey of Income and Program Participation (SIPP), and the National Health Interview Survey (NHIS). With the devolution of many welfare programs f
Most policymakers agree that the current structure of the Social Security Administration's disability programs creates substantial work disincentives for people with disabilities. One set of policy options concerns changing the links both between Medicare and the Social Security Disability Insurance (SSDI) program, and between Medicaid and the Sup