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•Accelerated Benefits
Demonstration •Cash and Counseling •Children with Special Health Care Needs •Community Partnerships for Older Adults •Community Treatment Alternatives for Children/Youth with Serious Emotional Disturbances •Demonstration to Maintain Independence and Employment (DMIE) •Diabetes Study of Federal Spending •Dual Eligibles: Monitoring Medicare/Medicaid Expenditures •Helping TANF Recipients with Disabilities Find and Keep Jobs •Medicaid Buy-In Program •Mental Health Services for Veterans •Money Follows the Person •National Survey of Substance Abuse Treatment Services •Residential Treatment in Child/Adolescent Mental Health Services •Ticket to Work •Youth Transition Demonstration
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What Is the Center for Studying Disability Policy?
The Center for Studying Disability Policy was established in 2007 by Mathematica to inform disability policy formation with rigorous, objective research and data collected from the people disability policy aims to serve. The Center supplies the nation's policymakers with the information they need to navigate the transition to 21st-century disability policy. For over two decades, Mathematica has conducted many significant disability studies, including some of the first rigorous evaluations of employment supports for people with severe disabilities and the largest surveys of people with disabilities. More than 30 staff continues this pioneering work today through a wide range of innovative disability research and data collection. Read more.
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Project SEARCH: Opening Doors to Employment for Young People with Disabilities
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March Forum to Focus on Early Intervention for Adults with Potentially Disabling Conditions
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When workers with disabilities “buy into” Medicaid by paying monthly premiums, states can offer them Medicaid coverage when their income and assets would otherwise make them ineligible. Using MAX data and Medicare claims files, this report provides the most comprehensive information to date on patterns of Medicaid and Medicare spending and service use among Medicaid Buy-In participants. Researchers found that combined inflation-adjusted Medicaid and Medicare expenditures for Buy-In participants more than doubled from $887 million to $1.9 billion between 2002 and 2005, as did program enrollment. However, they also found that, when compared with other working-age disabled Medicaid enrollees, Buy-In participants in 2005 incurred lower annual Medicaid expenditures. This difference suggests that Buy-In participants who are working may require fewer services or a less expensive mix of services than other adult disabled Medicaid enrollees. Full Report Executive Summary
A new report reviews recent evaluation activities being conducted for 27 state and federal programs, policies, and initiatives designed to promote the employment of people with disabilities. The review provides information on the nature of the initiatives and evaluation efforts that have been recently completed or are currently under way, as well as findings to date related to effectiveness.
Youth who receive benefits from the Supplemental Security Income (SSI) program, the largest federal program providing cash payments to low-income youth with severe disabilities and their families, face notable challenges transitioning to adulthood. Six articles in the September issue of the Journal of Vocational Rehabilitation, by researchers from Mathematica, TransCen Inc., and the Social Security Administration, explore the nature of these challenges and related policy responses.
This report uses National Health Interview Survey (NHIS) data linked to data from the Social Security Disability Insurance (SSDI) and Medicare programs to create profiles of SSDI beneficiaries during the three years before and after SSDI entry to illustrate changes in insurance status, health care access, and utilization. SSDI beneficiaries are less likely to be insured, even three years prior to SSDI entry, and utilization and access problems peak right before and after entry.
Report
Working-age people with disabilities are often overlooked in discussions of the latest statistics on employment, income, poverty, and other measures. This book reviews what current data on this population can and cannot tell us, as well as how data quality can be improved to better inform policy.
Book
This brief discusses the characteristics of working-age individuals receiving Social Security disability benefits with work goals and describes their employment success. The findings suggest that beneficiaries fall into three broad groups based on their work-related efforts and expectations. For 60 percent, gainful employment seems to be neither a plan nor an option. Of the 40 percent who are interested in working, about half are actively pursuing and achieving this goal.
The Demonstration to Maintain Independence and Employment (DMIE) awards funds to states to develop, implement, and evaluate interventions for workers with potentially disabling conditions. This brief describes DMIE interventions in Hawaii, Kansas, Minnesota, and Texas, and discusses what they might tell us about designing policy initiatives for workers with potentially disabling conditions in the context of national health care reform.
The Money Follows the Person (MFP) demonstration is the most ambitious program to date aimed at helping Medicaid enrollees transition from long-term care institutions to the community. This report, the third in a series presenting findings from Mathematica’s evaluation of the MFP program, describes states’ early implementation experiences and state transition activity as of December 2008.
*Report from the Field #3
Leading health care financing reforms might mitigate, or even eliminate, challenges that the current system creates for people with disabilities who work, or want to work, but there is no guarantee. This brief summarizes the challenges posed by the current system and considers how features of leading reform proposals would, or would not, address these challenges.
*Issue Brief
This brief explores the paths of people with disabilities who leave the Medicaid Buy-In program, finding that their earnings and employment rates decline after disenrollment. The program helps adults with disabilities work while still retaining Medicaid coverage. At the end of 2008, 37 states reported covering 92,446 people in the program.
*Issue Brief
In 2007, the federal government funded programs in 30 states and the District of Columbia under the Money Follows the Person demonstration to support the transition of Medicaid beneficiaries in long-term institutional care to home and community-based settings. This report describes variation in the design of state transition programs and discusses how differences in key features affect the pace and degree of implementation, as well as the likelihood of meeting transition goals.
*Report from the Field #2
Forum 9: Staying Employed: Early Intervention for Adults with Potentially Disabling Conditions