Insurance can help couples protect their families. Health insurance and disability coverage are critical for couples because of rising health care costs and because they are more likely to experience disability than premature death. Although health insurance often does not cover all health care costs, it can provide enough assistance to make the d
Containing the costs of health care can be useful to government, employer, and household budgets, but it may have a detrimental impact on innovation, since health care costs are the main source of revenue for medical innovators. Developers seek profits and so are attracted to industries and innovate where they believe profits can be made. Policies
This report presents the findings from an evaluation of the effect of health care cost growth on the U.S. economy. The evaluation consisted of 1) a thorough and systematic review of the existing literature, anecdotal evidence and survey findings, and 2) limited quantitative analyses of available secondary data sources.
As the population of the United States ages, it will consume more health care. Older people suffer diseases and other medical problems to a greater extent than younger people. And with health care prices continuing to rise much faster than other goods and services, the use and societal cost of health care is expected to soar in the future. Steps t
The repeal of many provisions of the 1988 Medicare Catastrophic Coverage Act was due to subjective impressions about the usefulness to many elderly persons of the services covered by the law and to the omission of long-term care services. In the wake of the repeal of the Act, many legislators have promised that the issue of catastrophic health car
According to the 1987 National Medical Expenditure Survey, elderly persons with severe disabilities (defined as needing assistance with one or more activities of daily living) had out-of-pocket health care expenses nearly four times greater than persons without disabilities. Approximately 9% of the elderly population was categorized as having a se
Confronting the New Health Care Crisis: Improving Health Care Quality and Lowering Costs By Fixing Our Medical Liability System
With rapidly rising health care costs, reforms are needed to make high-quality, affordable health care more widely available. A critical element for providing real relief for both patients and physicians is comprehensive reform of our current medical liability system. Multimillion-dollar judgments have steadily increased insurance premiums for man
Many children with special health care needs depend on the health and supportive services provided by Medicaid. It is important that policymakers have a sound understanding of these children's patterns of health care use, especially given the shift to managed care. Previous studies of children on Medicaid with severe disability and/or chronic illn
This project builds on previous work by ASPE describing the “long tail” of the MCC distribution: approximately one-third of all Medicare patients belong to a complex set of about two million unique disease combinations, which account for 79% of health care costs. The long-tail distribution poses a unique challenge for research because of the s
This is the second of two briefs that examine the interplay between education and skills-building programming for lower income individuals and families in the areas of marriage and relationships, financial literacy, and asset development. It explores how communication, marriage and divorce, money management, credit and debt, children and child s
Adler, Michele, Robert Clark, Theresa DeMaio, Louisa Miller, and Arlene Saluter. Collecting Information on Disability in the 2000 Census: An Example of Interagency Cooperation. Social Security Bulletin, vol. 62, no. 4, 1999, pp. 21-30.
Assessing the Need for a National Disability Survey: Final Report. C. Facilitate Increased Use of Administrative Data
As discussed in Chapter II , administrative data sources are extensively used by federal and state agencies and, when linked with survey data, add a longitudinal perspective to cross-sectional data. Administrative data also provide more accurate and detailed information about program participation and service use than can be collected via survey.
Assessing the Need for a National Disability Survey: Final Report. C. Limitations of Existing Data on Disability
Although extensive information pertaining to disability is collected through national surveys and program administrative data, the existing sources of data on disability have a number of shortcomings that limit their usefulness. Gaps and limitations of available disability-related data were identified by the staff of the state and federal agencies
This is the final report of a project that assesses the need for developing and fielding another national disability survey data collection effort. It presents the findings from three principal project activities designed to assess whether existing data are sufficient to answer key disability-related research questions identified by the staffs of
Medicaid Financing for Services in Supportive Housing for Chronically Homeless People: Current Practices and Opportunities. 5.4. Looking Ahead to 2014: How are Services for Substance Abuse Likely to Change?
Much uncertainty exists about the scope of substance abuse treatment services that Medicaid will cover for newly eligible people in 2014. An additional issue is the implication of requirements for parity between benefits for treatment of substance abuse disorders and medical and surgical benefits, which are pending promulgation and testing.
Medicaid Financing for Services in Supportive Housing for Chronically Homeless People: Current Practices and Opportunities. 5.1. Who is Eligible?
In most states persons with substance use disorders are not eligible for Medicaid enrollment unless they are part of a group with categorical eligibility for another reason. Among chronically homeless people this is most likely to be another disabling health conditions such as SMI, a physical disability or a disabling medical condition. When p
Medicaid Financing for Services in Supportive Housing for Chronically Homeless People: Current Practices and Opportunities. 1.3. What Services Does Medicaid Cover for Permanent Supportive Housing Tenants?
Medicaid eligibility provides access to many health services and a mechanism for paying for them. For beneficiaries, Medicaid covers the hospital services that make up a big part of total health care costs, as well as doctor visits and other ambulatory health services that may be delivered in hospitals or in clinical settings. Some Medicaid-covere
Medicaid Financing for Services in Supportive Housing for Chronically Homeless People: Current Practices and Opportunities. 1.2. Who is Eligible for Medicaid?
Until the ACA is fully implemented in 2014, Medicaid eligibility is based on income and also is categorical. Only some income-eligible people are in eligible categories defined by age, disability, or eligibility for another program. Among chronically homeless people, Medicaid eligibility is usually dependent on having a disability that makes t
Medicaid Financing for Services in Supportive Housing for Chronically Homeless People: Current Practices and Opportunities. Highlights
This paper describes the specific ways in which Medicaid reimbursement is being used for some of the services provided to chronically homeless people, including services that address their health and behavioral health needs and help vulnerable people get and keep stable housing. States have used different types of Medicaid benefits and payment mec
Medicaid Financing for Services in Supportive Housing for Chronically Homeless People: Current Practices and Opportunities
This Issue Paper describes the ways that Medicaid is being used now and might be used in the future under provisions of the Affordable Care Act of 2010 to serve chronically homeless people. [67 PDF pages]