Disability and Health Journal
Volume 3, Issue 2 , Pages 99-106 , April 2010

The Kansas Medicaid Buy-In: Factors influencing enrollment and health care utilization

  • Jean P. Hall, Ph.D

      Affiliations

    • Center for Research on Learning, University of Kansas, Lawrence, KS 66045-3101, USA
    • Corresponding Author InformationCorresponding author: 1122 West Campus Road, Room 517. Fax: (785) 864-5728.
  • ,
  • Michael H. Fox, Sc.D

      Affiliations

    • Department of Health Policy and Management, University of Kansas Medical Center, Kansas City, KS 66160, USA
  • ,
  • Emily Fall

      Affiliations

    • Center for Research on Learning, University of Kansas, Lawrence, KS 66045-3101, USA

References 

  1. Hough J. Estimating the health care utilization costs associated with people with disabilities: data from the 1996 Medical Expenditure Panel Survey (MEPS). The Association for Health Services Research Annual Meeting, June 2000, Los Angeles, CA, 1992.
  2. General Accounting Office. Medicaid and Ticket to Work: States' Early Efforts to Cover Working Individuals With Disabilities. Washington, DC: General Accounting Office; 2003;GAO Publication No. GAO-03 587
  3. Hall J, Fox M. What providers and Medicaid policymakers need to know about barriers to employment for people with disabilities. J Health Soc Policy. 2004;19:37–50
  4. Gruman C, Croake S, Schimmel J, Liu S. A Government Performance and Results Act (GPRA) Report: The Status of the Medicaid Infrastructure Grants Program as of 12/31/07. Washington, DC: Mathematica Policy Research; 2008;
  5. Crowley J, Elias R. Medicaid's Role for People With Disabilities. Washington, DC: The Henry J. Kaiser Family Foundation, The Kaiser Commission on Medicaid and the Uninsured; 2003;
  6. Adler N, Boyce T, Chesney M, et al. Socioeconomic status and health: The challenge of the gradient. Am Psychol. 1994;49:15–24
  7. Lynch J, Kaplan G. Understanding how inequality in the distribution of income effects health. J Health Psychol. 1997;2:297–314
  8. Lynch J, Kaplan G, Shema S. Cumulative impact on sustained economic hardship of physical, cognitive, psychological and social functioning. N Engl J Med. 1997;337:1889–1895
  9. Marmot M, Smith G, Stansfeld S, et al. Health inequalities among British civil servants: The Whitehall II study. Lancet. 1991;337:1387–1393
  10. Liu S, Ireys H,Thornton C. Participants in the Medicaid Buy-In program, 2000–2004: Characteristics, earnings, and medical expenditures J Disabil Policy Stud. OnlineFirst 2008: Available as doi: 10.1177/1044207308315282.
  11. Social Security Administration. 2002 Red Book on Employment Support: A Summary Guide to Employment Support Available to People With Disabilities Under the Social Security Disability Insurance and Supplemental Security Insurance Programs. SSA Publication No. 64-030; January 2002;
  12. Folkemer D, Jensen A, Silverstein R, et al. The Medicaid Buy-In Program: Lessons Learned From Nine Early Implementer States. Washington, DC: Office of Disability, Aging and Long-Term Care Policy; 2002;
  13. Work World. State 1619(b) threshold amounts—2003. 2008. Available from http://www.workworld.org/wwwebhelp/state_1619_b_threshold_amounts_2003.htm.
  14. Crowley J. Medically-Needy Programs: An Important Source of Medicaid Coverage. Washington, DC: The Henry J. Kaiser Family Foundation, The Kaiser Commission on Medicaid and the Uninsured; 2003;
  15. Gimm G, Davis S, Andrews K, et al. The Three E's: Enrollment, Employment, and Earnings in the Medicaid Buy-In Program, 2006. Washington DC: Mathematica Policy Research; 2008;
  16. Social Security Administration (SSA). Program Development and Research—Social Security Online: Benefit Offset Four-State Pilot Demonstration. Washington, DC: SSA; 2008;Available from http://www.ssa.gov/disabilityresearch/factsheets/offsetpilot.htm
  17. Alston R. African Americans with disabilities and the Social Security Administration's return-to-work incentives: A potential clash of culture and policy. J Disabil Policy Stud. 2004;14:216–221
  18. Foote S, Hogan C. Disability profile and health care costs of Medicare beneficiaries under age sixty five. Health Aff. 2001;20:242–253
  19. Kaiser Commission on Medicaid and the Uninsured. Dual enrollees: Medicaid's Role for Low-Income Medicare Beneficiaries. Fact Sheet 4091. Washington, DC: The Henry J. Kaiser Family Foundation, Kaiser Commission on Medicaid and the Uninsured; 2003;
  20. Dale S, Verdier J. Elimination of Medicare's Waiting Period For Seriously Disabled Adults: Impact on Coverage and Costs. New York: The Commonwealth Fund, Task Force on the Future of Health Insurance; 2003;
  21. Ireys H, Davis S, Andrews K. The Interaction of Policy and Enrollment in the Medicaid Buy-In Program, 2005. Washington, DC: Mathematica Policy Research; 2007;
  22. Jensen A. A Resource Guide to State Medicaid Infrastructure Grant (MIG) Initiatives Medicaid Buy-In Programs: Status and Design. 2007. Available from http://disability.law.uiowa.edu/lhpdc/rrtc/mig/#sectD2.
  23. U.S. House Committee on Commerce. Hearing on H.R. 1180, The Work Incentives Improvement Act of 1999. Report. March 23, 1999;106–115

 Financial disclosure: The authors have no conflicts of interest to declare. Research for this manuscript was supported in part through a contract with the Kansas Health Policy Authority (Award KHPA2007-055).

PII: S1936-6574(09)00035-1

doi: 10.1016/j.dhjo.2009.05.001

Disability and Health Journal
Volume 3, Issue 2 , Pages 99-106 , April 2010