Data

What is the net fiscal impact of the IHSS Program on the public sector? The program, which is available to low-income elderly and disabled persons, provides services to recipients in their own homes and can enhance quality of life by making it easier to live at home. This report concludes that the state maximizes its net fiscal impact by targeting IHSS services to those recipients who are most likely to enter a nursing home in the absence of the program.

Policy makers desire a uniform assessment tool that works well for adults of all ages, but disability assessment can only be as uniform as the underlying measurement is. If ADL or IADL/ADL measures are biased by age, their use with adults of different ages could be misleading. Findings of this study indicate that as demand for community services increases among adults of all ages, an expanded IADL/ADL measure is more useful than ADL.

Looking for information on the CLASS Act? This report compares provisions in both the House and Senate health care reform legislation, identifies key differences between the two bills, and discusses federal budget implications as estimated by the Congressional Budget Office (CBO) and the CMS. It also discusses cost and financing for long-term care services and the current market for private LTC insurance.

Reducing In Home Support Services (IHSS) in California will be costly for taxpayers according to this report, which summarizes and refutes the conclusions of an earlier CA Legislative Analyst’s Office report. It presents what it sees as a more realistic set of assumptions and re-estimates the relative benefits of the IHSS program, considering the savings to the state if it transitioned one third of nursing home residents back into the community.

Learn about the design, methodology and data collection activities for Round 3 of the SSA’s National Beneficiary Survey (NBS). Find descriptive statistics about working-age Social Security Disability Insurance (DI) and Supplemental Security Income (SSI) beneficiaries derived from the national cross-sectional sample of the 2006 NBS. This is the fourth in a series of reports that make up the fifth Ticket to Work evaluation report.

Examine the results of health assessments of 584 people receiving services from the PA Office of Mental Retardation. The information represents a portion of the data obtained through the Health Risk Assessment process, which began as an initiative to gather health care information on people who had moved, or were in the process of moving, from state operated facilities to community settings. A number of recommendations for improvement are discussed.

View an evaluation and grantee-written descriptions of Job Access and Reverse Commute (JARC) and New Freedom services for 2007 and 2008. JARC was established to address transportation challenges that welfare recipients and low-income individuals face in finding and keeping jobs. The New Freedom program was established to provide new public transportation services and alternatives to public transportation for people with disabilities.

Review an evaluation of the Johnson County and Linn County Aging and Disability Resource Center (ADRC) pilot sites. The evaluation assesses the process and outcomes of establishing a standardized entry point to long-term care supports and services, with emphasis on the role of the Options Counselor (OC) at both sites. Copies of surveys and interview techniques used are included.

Forty percent of Social Security disability beneficiaries are interested in employment according to this study by Mathematica’s Center for Studying Disability Policy. Findings indicate that beneficiaries can be categorized into three groups based on their work-related efforts and expectations. The author concludes that both government and program participants could greatly benefit from Social Security disability programs that provide greater economic incentives and supports for employment.

The fragmentation of care for dually eligible beneficiaries is an ongoing concern. This brief discusses potential methods of reducing this fragmentation and improving nursing facility care for this population. Recommendations involve concentrating responsibility and accountability for prescription drug use, providing financial incentives for nursing facilities to reduce avoidable hospitalizations, and shifting responsibility for long-term nursing facility care from Medicaid to Medicare.