Healthcare Coverage & Access

Some states have implemented community rating regulations to limit the extent to which premiums in the individual health insurance market can vary with a person's health status.

Contents Purpose and Methods Findings Strategies Related to Obtaining Information About Grant Opportunities, Deciding to Apply, and Preparing Grant Applications Strategies for Grant Review Processes

This report describes the effects of Cash and Counseling on the caregivers who were providing the most unpaid assistance to adult beneficiaries when those beneficiaries volunteered to participate in the demonstration and completed a baseline telephone interveiw.

This report describes the implementation of consumer directed care by synthesizing information from in-person discussions with program staff, a mail survey of program consultants, telephone interviews with consumers in the treatment group, and program records.

This report examines the effects of the Cash and Counseling program in three states — Arkansas, Florida, and New Jersey — regarding how consumer direction affects the use and quality of both paid and unpaid personal care assistance received by consumers, as measured by consumers' satisfaction with care, the frequency of unmet needs, and the incidence of adverse health events arising f

This paper examines health care spending and the impact on the economy of the United States. The relationship between health care spending growth and the U.S. economy is inherently complex and multidimensional. Rising health care spending can be viewed as both a weight on broader economic growth and as a driver of sectoral and local prosperity. [PDF - 9 pages]

This report describes the design and implementation of the Consumer-Directed Care Research Project (CDC), Florida's model of Cash and Counseling, and draws lessons from the state's experience. The report is based primarily on in-person interviews conducted in January 2002, about 18 months after the project began enrolling beneficiaries.

U.S. Department of Health and Human Services

Past studies by federal agencies examined the impact of the Balanced Budget Act of 1997 policies on beneficiaries and providers. While documenting changes in the supply of home health agencies (HHAs), these studies concluded that agency closings did not cause a shortage of Medicare home health providers and that beneficiaries' access to services were not generally affected.

Cash and Counseling, an innovative model of consumer direction, has been implemented as a three-state demonstration designed to weigh the advantages and disadvantages of allowing Medicaid beneficiaries to assume more responsibility for the supportive services they may need.