Data are presented to defend the theory that families use the kind of care which is available to them and affordable. Survey of Income and Program Participation (SIPP) data on marital status, other adults in the home, hours the mother works, age of mother, region and city size (indicators of the availability of other care providers), in addition t
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Interim Evaluation Report: Congressionally Mandated Evaluation of the State Children’s Health Insurance Program
This report draws primarily on findings from case studies in six of the ten states selected for the evaluation, whose early experiences implementing SCHIP have been examined closely: California, Colorado, Louisiana, Missouri, New York, and Texas. Case study respondents interviewed in the case studies included state officials, advocates, plan staff
Do Consumer-Directed Medicaid Supportive Services Work for Children with Developmental Disabilities?
The evaluation of Cash and Counseling is the first to use a randomized design to compare service use and quality under traditional versus consumer-directed approaches to Medicaid supportive services. As part of the evaluation, this paper presents results for the children and parents who participated in Florida's Cash and Counseling demonstration
Assessing the Field of Post-Adoption Services: Family Needs, Program Models and Evaluation Issues. Summary Report
The Summary Report presents a brief description of each study component, with a concluding discussion of the current status of post-adoption services and strategies to move the field forward. The study components include a literature review; case studies of five post-adoption service programs; an assessment of evaluation issues; and secondary anal
This report looks at the changing nature of the caseload by examining the characteristics and circumstances of three groups: people who leave welfare and stay off for at least a year (leavers), people who stay on welfare persistently (stayers), and people who cycle on and off the rolls (cyclers). The report uses a unique data set consisting of ove
Development of an Assistive Technology and Environmental Assessment Instrument for National Surveys: Final Report - Part I
The purpose of this project was to develop, pilot, and disseminate a set of instruments for national surveys to measure the use of assistive technology and the environments in which they are used. The project focused on older adults living in the community. The instruments have been designed as a series of modules that can be adopted in whole or p
This project developed an inventory of Quality Improvement Program (QIO) activities and then proposed methodologies to evaluate Medicare's QIO in the future. The contractor gathered information from publicly available sources, from CMS data when available, and from nine site visits to a variety of QIOs. Based on the findings, NORC developed a list
Issues in Developing the Client Assessment Instrument for the National Long Term Care Channeling Demonstration
U.S. Department of Health and Human Services Issues in Developing the Client Assessment Instrument for the National Long-Term Care Demonstration Barbara Phillips, Raymond J. Baxter and Susan A. Stephens Mathematica Policy Research, Inc. January 1981 PDF Version: http://aspe.hhs.gov/daltcp/reports/1981/instrues.pdf (122 P
Assessing the Economics of EMR Adoption and Successful Implementation in Physician Small Practice Settings
By: Moshman Associates, Booz, Allen, Hamilton This report is currently only available in PDF format.
The purpose of this study is to explore the extent to which changes in medication use account for improvements in functioning among older Americans. Using several waves of the Health and Retirement Study, a nationally representative survey of non-institutionalized Americans ages 51-61, the authors examine changes between 1992 and 1998 and between
Post-Acute Care Issues for Medicare: Interviews with Provider and Consumer Groups, and Researchers and Policy Analysts
Widespread interest in Medicare post-acute care issues, particularly after the Balanced Budget Act (BBA) passed, prompted DALTCP to sponsor an "early indication" qualitative study of the potential effects of the BBA provisions and other related issues. To obtain timely information on such issues, this study collected information through interviews
This report presents information on Medicare's hospice benefit who is using it, how it is being used, what costs are associated with its use, what costs precede hospice enrollment and how these vary by type of enrollee. This information will be important for understanding the role of Medicare's hospice benefit in the context of the other benef
Policy Frameworks for Designing Medicaid Buy-In Programs and Related State Work Incentive Initiatives
This report provides policy frameworks to assist stakeholders design and implement Medicaid Buy-In programs and related work incentive initiatives to enhance the level of economic self-sufficiency of persons with significant disabilities. Of particular focus are the design decisions affecting enrollment, costs, and a state's fiscal exposure. The p
The purpose of this report is to provide basic descriptive statistics on the primary informal caregivers of disabled private long-term care insurance policyholders who have accessed long-term care benefits and are living in the community. Also compared are key characteristics of these individuals to informal caregivers of non-privately insured dis