nep-ias New Economics Papers
on Insurance Economics
Issue of 2015‒01‒14
47 papers chosen by
Soumitra K. Mallick
Indian Institute of Social Welfare and Business Management
  1. Denmark: Detailed Assessment of Observance of the Insurance Core Principles By International Monetary Fund. Monetary and Capital Markets Department
  2. Completing the Picture: Key Features of the Social Security Disability Insurance Program By David R. Mann; David C. Stapleton; Bonnie L. O'Day
  3. Georgia: Financial System Stability Assessment By International Monetary Fund. Monetary and Capital Markets Department
  4. ECONOMIC ANALYSIS OF LIFE INSURANCE MARKET IN REPUBLIC OF SERBIA By Nedeljko Prdiæ, Milan Mihajloviæ, Duško Jovanoviæ
  5. To Apply or Not to Apply: The Employment and Program Participation of Social Security Disability Insurance Applicants and Non-Applicants By Allison Thompkins; Todd Honeycutt; Claire Gill; Joseph Mastrianni; Michelle Bailey
  6. Reconciling Findings on the Employment Effect of Disability Insurance By John Bound; Stephan Lindner; Timothy Waldmann
  7. State Vocational Rehabilitation Programs and Federal Disability Insurance: An Analysis of Virginia's Vocational Rehabilitation Program By David Dean; John V. Pepper; Robert M. Schmidt; Steven Stern
  8. Dental Usage Under Changing Economic Conditions By Richard J. Manski; John F. Moeller; Haiyan Chen; Jody Schimmel; Patricia A. St. Clair; John V. Pepper
  9. Do Migrants Send Remittances as a Way of Self-Insurance? By Catia Batista; Janis Umblijs
  10. The Employment-Related Health Insurance and Service Delivery Needs of Persons with Disabilities By John Gettens Alexis D. Henry
  11. Migration Patterns for Medicaid Enrollees: 2005-2007 By David K. Baugh Shinu Verghese
  12. Pre-Application Activities of Social Security Disability Insurance Applicants By Todd Honeycutt; Allison Thompkins; Michelle Bailey
  13. Medicare Advantage 2015 Data Spotlight: Overview of Plan Changes By Gretchen Jacobson; Anthony Damico; Tricia Neuman; Marsha Gold
  14. Finding Alternatives to Disability Benefit Receipt By Gina Livermore; David Wittenburg; David Neumark
  15. Initial Impacts of the Ticket to Work Program for Young New Social Security Disability Awardees: Estimates Based on Randomly Assigned Mail Months By David Stapleton; Arif Mamun; Jeremy Page
  16. New MedicareMedicaid Enrollees The Transition to Medicaid Coverage Among Medicare Beneficiaries By Carol V. Irvin; Rosemary Borck; Wilfredo Lim
  17. Participant and Provider Outcomes Since the Inception of Ticket to Work and the Effects of the 2008 Regulatory Changes By Jody Schimmel; David Stapleton; David R. Mann; Dawn Phelps
  18. Medicare Part D Prescription Drug Coverage for Medicare-Medicaid Enrollees in the Capitated Financial Alignment Demonstration By James M. Verdier
  19. Medicare 101 and 201: Key Issues for State Programs for Medicare-Medicaid Enrollees By Julie Klebonis; Michelle Herman Soper; Jim Verdier
  20. The Effect of Vocational Rehabilitation on the Employment Outcomes of Disability Insurance Beneficiaries: New Evidence from Canada By Michele Campolieti; Morley K.L. Gunderson; Jeffrey A. Smith
  21. Analysis of the Variation in Efficiency of Medicare Advantage Plans By Marsha Gold Maria Cupples Hudson
  22. Income Eligibility for Assistance Under the ACA: The Question of Monthly vs. Annual Income By John L. Czajka
  23. Unemployment Compensation During the Great Recession: Theory and Evidence By Walter Nicholson; Karen Needels; Heinrich Hock
  24. Medicare Health Plans and Dually Eligible Beneficiaries Industry Perspectives on the Current and Future Market By Marsha Gold; Winnie Wang; Gretchen Jacobson
  25. What Do We Know About Health Care Access and Quality in Medicare Advantage Versus the Traditional Medicare Program? By Marsha Gold Giselle Casillas
  26. Transitions from Medicare-Only to Medicare-Medicaid Enrollment By Rosemary Borck; Carol V. Irvin; Wilfredo Lim
  27. Examining the Effect of EVS Spending on HCAHPS Scores: A Value Optimization Matrix for Expense Management By Deirdre McCaughey; Samantha Stalley; Eric Williams
  28. Measuring Consumer Valuation of Limited Provider Networks By Keith Marzilli Ericson; Amanda Starc
  29. Identifying Medicare Beneficiaries with Disabilities: Improving on Claims-Based Algorithms (Presentation) By Yonatan Ben-Shalom David Stapleton
  30. Trends in the Composition and Outcomes of Young Social Security Disability Awardees By Yonatan Ben-Shalom David Stapleton
  31. Social Security Disability Benefits: Finding Alternatives to Benefit Receipt By Edited by Gina Livermore; David Neumark; David Wittenburg
  32. KidsWell: Securing Coverage for Children by Advocating for the ACA By Sheila Hoag; Debra Lipson; Michaella Morzuch; Victoria Peebles
  33. Dedication to David Dean By Joseph M. Ashley; John V. Pepper; Kirsten L. Rowe; Robert M. Schmidt; Steven Stern
  34. Effect of PACE on Costs, Nursing Home Admissions, and Mortality: 2006-2011 By Arkadipta Ghosh; Robert Schmitz; Randall Brown
  35. Evaluating PACE: A Review of the Literature By Arkadipta Ghosh; Cara Orfield; Robert Schmitz
  36. Sources of Geographic Variation in Health Care: Evidence from Patient Migration By Amy Finkelstein; Matthew Gentzkow; Heidi Williams
  37. Testimony for Hearing on Medicare Advantage By Marsha R. Gold
  38. Factors Predicting Transitions from Medicare-Only to Medicare-Medicaid Enrollee Status By Wilfredo Lim; Carol V. Irvin; Rosemary Borck
  39. Care Coordination Programs for Improving Outcomes for High-Need Beneficiaries: What's the Evidence? By Randy Brown
  40. South Africa: Financial System Stability Assessment By International Monetary Fund. Monetary and Capital Markets Department
  41. Moving Markets: Lessons from New Hampshire's Health Care Price Transparency Experiment By Ha Tu Rebecca Gourevitch
  42. FFY 2013 Adult Core Set Reporting in CARTS By Karen Llanos; Jason Williams; Katie Adamek; Bailey Orshan
  43. National and State Trends in Enrollment and Spending for Dual Eligibles Under Age 65 in Medicaid Managed Care By Jenna Libersky; Allison Hedley Dodd; Shinu Verghese
  44. Medication Discontinuation and Reinitiation Among Medicare Part D Beneficiaries Taking Costly Medications By Margaret S. Colby; Dominick Esposito; Seth Goldfarb; Daniel E. Ball; Vivian Herrera; Leslie J. Conwell; Susan B. Garavaglia; Eric S. Meadows; Martin D. Marciniak
  45. Encounter Data Toolkit By Vivian Byrd; Jessica Nysenbaum; Debra Lipson
  46. Leveraging Medicaid in a Multi-Payer Medical Home Program: Spotlight on Rhode Island's Chronic Care Sustainability Initiative By Julia Paradise; Marsha Gold; Winnie Wang
  47. Effectiveness of Alternative Ways of Implementing Care Coordination Components in Medicare DSNPs By Jelena Zurovac; Randy Brown; Bob Schmitz
  1. By: International Monetary Fund. Monetary and Capital Markets Department
    Keywords: Financial Sector Assessment Program;Insurance regulations;Insurance supervision;Reports on the Observance of Standards and Codes;Denmark;
    Date: 2014–12–18
    URL: http://d.repec.org/n?u=RePEc:imf:imfscr:14/350&r=ias
  2. By: David R. Mann; David C. Stapleton; Bonnie L. O'Day
    Abstract: This issues brief summarizes the Social Security Disability Insurance Program. Program eligibility and application, caseload growth, benefit amounts, and return-to-work incentives are discussed.
    Keywords: SSDI, Social Security Disability Insurance, Disability, Long-Term Care
    JEL: I J
    Date: 2014–03–30
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:d45e3d13b0d54f72855ea871545ef5c9&r=ias
  3. By: International Monetary Fund. Monetary and Capital Markets Department
    Keywords: Financial system stability assessment;Financial sector;Commercial banks;Bank resolution;Deposit insurance;Bank supervision;Stress testing;Capital markets;Insurance;Reports on the Observance of Standards and Codes;Georgia;
    Date: 2014–12–19
    URL: http://d.repec.org/n?u=RePEc:imf:imfscr:14/355&r=ias
  4. By: Nedeljko Prdiæ, Milan Mihajloviæ, Duško Jovanoviæ (JKP Market, Novi Sad; Modern Business School, Belgrade;The Academy of Business Economics, Cacak)
    Abstract: The main goal of this is to evaluate the possibility of efficient expansion of the life insurance market in the Republic of Serbia, as well as the economical and social influence that the development of this market would have on Serbia’s economy. The growth of life insurance market would definitely contribute to a better and safer life, general prosperity of the country, expansion of the economy, and the social structure of the country as a whole. The perspectives of the life insurance market in Serbia are great, since the market is rich enough and incomes have risen, and a very small number of people are insured.
    Keywords: life insurance, insurance, insurance companies, perspectives, development of life insurance.
    JEL: D40 D49
    Date: 2014–09
    URL: http://d.repec.org/n?u=RePEc:esb:casdrg:2014-215&r=ias
  5. By: Allison Thompkins; Todd Honeycutt; Claire Gill; Joseph Mastrianni; Michelle Bailey
    Abstract: This paper provides information on the services and supports used by workers with disabilities at risk of applying for disability insurance (DI) and helps build the evidence base for policies that enable workers with disabilities to avoid applying for DI and for the supports necessary to keep them in the workforce.
    Keywords: Employment, Program Participation, SSDI, Social Security Disability Insurance, Applicants, Disability
    JEL: I J
    Date: 2014–06–15
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:a1df73c5b1084bfd93ccad9a1c416a31&r=ias
  6. By: John Bound; Stephan Lindner; Timothy Waldmann
    Abstract: Over the last 25 years, the Social Security Disability Insurance Program (DI) has grown dramatically. During the same period, employment rates for men with work limitations showed substantial declines in both absolute and relative terms. While the timing of these trends suggests that the expansion of DI was a major contributor to employment decline among this group, raising questions about the targeting of disability benefits, studies using denied applicants suggest a more modest role of the DI expansion.
    Keywords: Social security disability insurance program, Employment trends, Disability
    JEL: I J
    Date: 2014–07–21
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:13514294569349e1a9d2f68f4d84adb6&r=ias
  7. By: David Dean; John V. Pepper; Robert M. Schmidt; Steven Stern
    Abstract: We examine the association between the receipt of vocational rehabilitation (VR) services and Federal Disability Insurance using a unique panel data source on persons who applied for assistance from Virginia’s VR program in 2000. Three central findings emerge: first, VR services are associated with lower rates of participation in disability insurance programs-a nearly 2 point drop in SSDI receipt and 1 point drop in SSI receipt. Second, VR service receipt is associated with lower take-up rates of SSDI/SSI. Finally, among VR applicants on SSDI/SSI, those who receive substantive VR services are more likely to be employed.
    Keywords: Vocational rehabilitation, Disability insurance
    JEL: I J
    Date: 2014–07–21
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:e12c473acc9548a18a0682b175f87891&r=ias
  8. By: Richard J. Manski; John F. Moeller; Haiyan Chen; Jody Schimmel; Patricia A. St. Clair; John V. Pepper
    Abstract: This article considers differences in dental use by wealth levels across households.
    Keywords: dental, utilization, dentistry insurance, coverage wealth income, retirement
    JEL: I
    Date: 2014–12–30
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:7744cc6c8995486e91ca8198ed93072c&r=ias
  9. By: Catia Batista; Janis Umblijs
    Abstract: How do risk preferences affect migrant remittance behaviour? Examination of this relationship has only begun to be explored. Using a tailored representative survey of 1500 immigrants in the Greater Dublin Area, Ireland, we find a positive and significant relationship between risk aversion and migrant remittances. Risk-averse individuals are more likely to send remittances home and are, on average, likely to remit a higher amount, after controlling for a broad range of individual and group characteristics. The evidence we obtain is consistent with a “purchase of self-insurance” motive to remit in that we also find support for more remittances being sent by risk-averse immigrants who face higher wage risks and to individuals with more financial resources. JEL codes: D81, F22, F24, J15, J61
    Keywords: Migration, Risk Aversion, Remittances, Self-Insurance
    Date: 2014
    URL: http://d.repec.org/n?u=RePEc:unl:novafr:wp1402&r=ias
  10. By: John Gettens Alexis D. Henry
    Abstract: To address the unmet need for employment-related health care services among persons with disabilities, an alternative and potentially viable policy solution is the development of a new type of subsidized coverage to ‘wrap-around’ the new ACA coverage or other private and public coverage. Additional information on the employment-related health care needs of persons with disabilities is needed to inform the potential development of these plans.
    Keywords: Employment, Health Insurance, Service Delivery, Disabilities
    JEL: I J
    Date: 2014–04–30
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:b65f73905e53403e8aaa4bda1c5efa9f&r=ias
  11. By: David K. Baugh Shinu Verghese
    Abstract: This study used unduplicated Medicaid enrollment records from 2005 to 2007 to examine enrollees' migration across states. Over the study period, only 3.7 percent moved to another state at least once. This provides a benchmark for adjusting national Medicaid statistics to reduce over-counting. Most moves were not associated with enrollment gaps, but 8.2 percent of moves were associated with short-term gaps. These gaps could indicate a lack of health insurance coverage, leading to concerns about patients' outcomes and higher systemwide costs.
    Keywords: MAX Medicaid Eligibility Enrollment, Migration, Moving
    JEL: I
    Date: 2013–12–30
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:bab4d15104294803acfedc44f15f6a35&r=ias
  12. By: Todd Honeycutt; Allison Thompkins; Michelle Bailey
    Abstract: In this brief, we describe the employment and program participation patterns of people with disabilities before they apply for SSDI, adding to the existing literature by focusing on patterns as much as 42 months before application and including a range of programs. A better understanding of the experiences of people immediately before SSDI application can inform policies and programs designed to help potential applicants remain in the workforce and stem growth in the SSDI rolls.
    Keywords: SSDI, Social Security Disability Insurance, Applicants, Disability
    JEL: I J
    Date: 2014–04–30
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:3a91dda97dff417986f4773a720e790e&r=ias
  13. By: Gretchen Jacobson; Anthony Damico; Tricia Neuman; Marsha Gold
    Abstract: In 2014, more than 16 million Medicare beneficiaries (30%) were enrolled in Medicare Advantage plans – private plans, such as HMOs or preferred provider organization (PPOs) that receive funds from the federal government (Medicare) to provide Medicare-covered benefits to enrollees.
    Keywords: Medicare Advantage, Data Spotlight, Plan Changes, Medicare Beneficiaries, HMOs, PPOs
    JEL: I
    Date: 2014–12–10
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:5321106981d4410ca6d8f9061ccddcbb&r=ias
  14. By: Gina Livermore; David Wittenburg; David Neumark
    Abstract: This introduction offers a context for the articles in this thematic series by providing an overview of the programs that provide cash and in-kind supports to people with disabilities in the United States, summarizes the increasing reliance on these programs, and describes the challenges associated with reducing dependency on these programs. It then briefly discusses the articles in this thematic series in light of these issues.
    Keywords: Disability, Employment, Social Security Disability Insurance
    JEL: I J
    Date: 2014–07–21
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:6565059a0db04b1d97785e52ee9024f2&r=ias
  15. By: David Stapleton; Arif Mamun; Jeremy Page
    Abstract: This report presents impact estimates for the original Ticket to Work program, prior to the 2008 regulatory changes. Although distribution of Tickets significantly increased service enrollment, there was little evidence of increased suspensions or terminations of benefits due to work.
    Keywords: Ticket to Work, Impact Analysis, Social Security Disability, Awardees, Disability Insurance Beneficiaries, Randomly Assigned, Ticket, Mail Months
    JEL: I J
    Date: 2013–07–30
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:1055ab5ca04c4b888b956bd355c22338&r=ias
  16. By: Carol V. Irvin; Rosemary Borck; Wilfredo Lim
    Keywords: Medicare Medicaid Enrollees Medicaid Coverage Medicare Beneficiaries
    JEL: I J
    Date: 2013–03–11
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:e2da7a1ce2014c14875f45227ed7a4b6&r=ias
  17. By: Jody Schimmel; David Stapleton; David R. Mann; Dawn Phelps
    Abstract: This report provides statistics on employment and benefit outcomes for Ticket to Work (TTW) participants since program inception in 2002 and compares them to outcomes for other Social Security Disability Insurance and Supplemental Security Income beneficiaries.
    Keywords: Ticket to Work Evaluation, Social Security Disability Programs, Employment of People with Disabilities, Nonpayment status for suspension or termination for work, NSTW , Regulatory changes, Labor, Disability, TTW
    JEL: I J
    Date: 2013–07–25
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:da05daa8491f4a5e804380c686ddd22d&r=ias
  18. By: James M. Verdier
    Abstract: This technical assistance brief, prepared for the Integrated Care Resource Center, provides basic information for states participating in the Centers for Medicare & Medicaid Services’ capitated Financial Alignment Demonstration covering Medicare-Medicaid enrollees. Although not a comprehensive overview of the Medicare Part D prescription drug benefit, it covers beneficiary enrollment, drug payment, drug coverage, and drug utilization. It also reviews how the Medication Therapy Management Program works.
    Keywords: Medicare , Medicaid, Part D , Prescription Drugs, Drug Utilization
    JEL: I
    Date: 2013–03–30
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:aff6de5c25fe456ca559dc972e5f026f&r=ias
  19. By: Julie Klebonis; Michelle Herman Soper; Jim Verdier
    Keywords: Medicare, State Programs, Medicaid Enrollees, Health
    JEL: I
    Date: 2014–03–13
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:8f372e4405504edba52b069e30b99a74&r=ias
  20. By: Michele Campolieti; Morley K.L. Gunderson; Jeffrey A. Smith
    Abstract: We estimate the effects of the vocational rehabilitation (VR) program run by the Canada Pension Plan Disability Program using administrative data. Identification relies on “selection on observed variables†plus careful comparison group selection and institutional knowledge regarding sources of conditional variation in participation.
    Keywords: Vocational rehabilitation, Disability, Evaluation, Matching
    JEL: I J
    Date: 2014–07–21
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:bcacf7439f25478da771aa1423b7e68a&r=ias
  21. By: Marsha Gold Maria Cupples Hudson
    Abstract: The Affordable Care Act has altered payment policy for private Medicare Advantage (MA) plans, with the goal of lowering costs to bring them closer to the costs of traditional Medicare. Using new information on 2009 MA costs, an issue brief compares plans’ estimates of per capita costs for providing Parts A and B benefits to their enrollees, on a risk-adjusted basis, against government data on the same costs for traditional Medicare program beneficiaries in the same county. On average, risk-adjusted MA plan costs were 4 percent higher than traditional Medicare costs (104 percent). Among plan types, only HMOs had lower average costs than traditional Medicare. The wide variation in costs for MA plans relative to those for traditional Medicare suggests room for greater efficiency in care delivery.
    Keywords: Medicare Advantage Efficiency Variation Health
    JEL: I
    Date: 2013–04–24
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:708d7edfabd94a23822450b2010b701a&r=ias
  22. By: John L. Czajka
    Abstract: This brief examines the practical coverage continuity issues raised by determining Medicaid eligibility on a monthly basis while determining subsidy eligibility on an annual basis.
    Keywords: SHARE, Income Eligibility, Affordable Care Act, Annual Income , Assistance, Health
    JEL: I
    Date: 2013–05–30
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:e9aac2772b794ba4978f710382a96712&r=ias
  23. By: Walter Nicholson; Karen Needels; Heinrich Hock
    Abstract: This paper summarizes federal legislation passed in response to unemployment after the Great Recession, as well as related research. The paper focuses on the durations of congressionally legislated emergency unemployment benefits that, in conjunction with other unemployment benefits, could total up to 99 weeks, but it also includes other initiatives. Although the research focuses on the United States, the authors touch on European literature that addresses many of the same policy issues.
    Keywords: Unemployment Insurance, Compensation, Federal Policy , Great Recession
    JEL: J
    Date: 2014–03–30
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:c32c72f32d30486da535584dca47d5cb&r=ias
  24. By: Marsha Gold; Winnie Wang; Gretchen Jacobson
    Abstract: With federal and state governments pursuing efforts to better coordinate care and reduce costs for people dually eligible for both Medicare and Medicaid, this brief examines how insurers serving these markets view the opportunities and challenges. Based on interviews with senior executives at 13 large firms that contract with the Medicare and Medicaid programs, the brief finds almost all of the insurers expect dually eligible beneficiaries will become more important to their business over time.
    Keywords: Medicare Dual Eligibiles Health Plans Health
    JEL: I
    Date: 2013–03–30
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:859769acf35d4c8d855f4de2aba96e97&r=ias
  25. By: Marsha Gold Giselle Casillas
    Keywords: Medicare Advantage, Traditional Medicare, Quality, Health Care Access
    JEL: I
    Date: 2014–11–30
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:e640dda97d0c440bbbe1082ec1a3c5fb&r=ias
  26. By: Rosemary Borck; Carol V. Irvin; Wilfredo Lim
    Abstract: We assessed transitions from Medicare-only to Medicare-Medicaid enrollment (MME) in 2009, examining variations in transition rates by age group, in use of long-term care (LTC) services, and across states.
    Keywords: Medicare, dual eligible, Medicare-Medicaid enrollment, long-term care, nursing home, state variations
    JEL: I
    Date: 2014–01–31
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:e1238ad481cd4bcd837c0f2ae308a009&r=ias
  27. By: Deirdre McCaughey; Samantha Stalley; Eric Williams
    Abstract: This article examines environmental services (EVS) expenses and HCAHPS ratings on hospital cleanliness and overall patient experience ratings to determine how these variables are related.Insurance (SSDI) beneficiaries. Using multivariate models based on agency order of selection characteristics and a measure of the usual wait time for VR services, the study found that longer wait times are associated with lower employment outcomes at VR closure and throughout SSA administrative data.
    Keywords: HCAHPS Hospital, Consumer Assessment of Healthcare Providers and Systems, Survey Hospital Management, Expense Management
    JEL: I
    Date: 2013–10–01
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:2c3686f2fde044cb992c914db2cd63ae&r=ias
  28. By: Keith Marzilli Ericson; Amanda Starc
    Abstract: We measure provider coverage networks for plans on the Massachusetts health insurance exchange using a two measures: consumer surplus from a hospital demand system and the fraction of population hospital admissions that would be covered by the network. The two measures are highly correlated, and show a wide range of networks available to consumers. We then estimate consumer willingness-to-pay for network breadth, which varies by age. 60-year-olds value the broadest network approximately $1200-1400/year more than the narrowest network, while 30-year-olds value it about half as much. Consumers place additional value on star hospitals, and there is significant geographic heterogeneity in the value of network breadth.
    JEL: I10 I11 I13 L14
    Date: 2014–12
    URL: http://d.repec.org/n?u=RePEc:nbr:nberwo:20812&r=ias
  29. By: Yonatan Ben-Shalom David Stapleton
    Keywords: Medicare Beneficiaries , Disability Claims-Based Algorithms , CEDR
    JEL: I J
    Date: 2013–03–11
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:96d51a2439d1462bb3428662cac255e6&r=ias
  30. By: Yonatan Ben-Shalom David Stapleton
    Abstract: This paper provides new descriptive information on trends in the composition and outcomes of young (under age 40) Social Security Disability (SSD) beneficiaries first awarded benefits between 1996 and 2007, particularly differences between disabled workers and disabled adult children (DAC), and between beneficiaries with and without a Supplemental Security Income (SSI) history as children or adults. In 2007, compared to 1996, relatively more SSD awards to individuals under age 40 went to DAC versus disabled workers, to disabled workers and DAC who had received SSI benefits (especially as children) versus those with no SSI history, and to disabled workers and DAC with psychiatric disorders versus those with other types of impairments.
    Keywords: Supplemental Security Income, SSDI, Social Security Disability Insurance, disabled workers , Disability, Labor
    JEL: I J
    Date: 2013–07–30
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:11a2e93ee9b1466baf236585472d20ad&r=ias
  31. By: Edited by Gina Livermore; David Neumark; David Wittenburg
    Keywords: Social Security, Disability Benefits
    JEL: I J
    Date: 2014–07–21
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:44342cb5ab2640cb92269f78e3aa41fd&r=ias
  32. By: Sheila Hoag; Debra Lipson; Michaella Morzuch; Victoria Peebles
    Abstract: KidsWell's premise is that the Affordable Care Act is the most viable near term policy option to cover all children.
    Keywords: KidsWell, Coverage for Children, ACA, Health
    JEL: I
    Date: 2014–06–03
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:e40ef4319fae4a5baec24443399b8992&r=ias
  33. By: Joseph M. Ashley; John V. Pepper; Kirsten L. Rowe; Robert M. Schmidt; Steven Stern
    Abstract: This special volume is dedicated to David H. Dean who passed away on August 11th, 2013. This dedication describes David’s impact on the academic research on disability and, most notably, the vital interaction between research and policy. It discusses his influence in shaping perspectives on evaluating the effectiveness of programs to increase employment. Finally, it describes David as a person and why he was influential as a researcher and college professor.
    Keywords: Vocational rehabilitation, Disability insurance, David Dean
    JEL: I J
    Date: 2014–07–21
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:ce607e1b6adc4026a5d39f64737d8eee&r=ias
  34. By: Arkadipta Ghosh; Robert Schmitz; Randall Brown
    Abstract: This study—examining the effects of the Program of All-Inclusive Care for the Elderly (PACE) on Medicare and Medicaid expenditures, use of nursing home services, and mortality—was conducted as part of the Center of Excellence on Disability Research project. PACE plans provide coordinated acute and long-term care services to nursing home–eligible older adults in the community. Two separate components constituted the study: (1) a comprehensive review of existing evaluations of PACE, and (2) an empirical analysis of costs and outcomes for PACE enrollees relative to a matched comparison group. This report presents findings from the empirical evaluation.
    Keywords: PACE, Program of All-Inclusive Care for the Elderly, Medicare costs, Medicaid costs, Nursing Home admissions, mortality, Mortality
    JEL: I
    Date: 2014–01–30
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:a15671e45a6c4ec49d72ce26e5b3b89d&r=ias
  35. By: Arkadipta Ghosh; Cara Orfield; Robert Schmitz
    Abstract: Conducted as part of the Center of Excellence in Research on Disability Services and Care Coordination and Integration project, this study examined the effects of the Program of All-Inclusive Care for the Elderly (PACE) on Medicare and Medicaid expenditures, use of nursing home services, and mortality. PACE plans provide coordinated acute and long-term care services to nursing home–eligible older adults in the community. The study included two separate components: (1) a comprehensive review of existing evaluations of PACE, and (2) an empirical analysis of costs and outcomes for PACE enrollees relative to a matched comparison group. This report presents findings from the literature review.
    Keywords: PACE, Medicare costs, Medicaid costs, hospitalizations, nursing home admissions, quality of care, mortality
    JEL: I
    Date: 2014–01–31
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:286857291884466ebe23ba2526b86282&r=ias
  36. By: Amy Finkelstein; Matthew Gentzkow; Heidi Williams
    Abstract: We study the drivers of geographic variation in US health care utilization, using an empirical strategy that exploits migration of Medicare patients to separate the role of demand and supply factors. Our approach allows us to account for demand differences driven by both observable and unobservable patient characteristics. We find that 40-50 percent of geographic variation in utilization is attributable to patient demand, with the remainder due to place-specific supply factors. Demand variation does not appear to result from differences in past experiences, and is explained to a significant degree by differences in patient health.
    JEL: H51 I1 I11
    Date: 2014–12
    URL: http://d.repec.org/n?u=RePEc:nbr:nberwo:20789&r=ias
  37. By: Marsha R. Gold
    Abstract: Testimony for the U.S. House of Representatives, Committee on Energy and Commerce, Health Subcommittee.
    Keywords: Medicare Advantage Medicare + Choice Health Testimony
    JEL: I
    Date: 2013–12–04
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:862dbaaf44124ff69c9a8a49dd55c374&r=ias
  38. By: Wilfredo Lim; Carol V. Irvin; Rosemary Borck
    Abstract: This is one volume of a two-part study to understand the rates and patterns of enrollment in Medicaid among individuals already enrolled in Medicare, the factors that predict this transition to dual coverage, and factors that predict nursing home entry. This volume provides estimated econometric models that predict beneficiaries’ enrollment in Medicaid and their entry into long-term nursing home stays.
    Keywords: Medicare, Medicaid, Enrollee Status, Disability, dual eligibility
    JEL: I J
    Date: 2014–01–31
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:ca28627bafb141c995ed4e54ba0d2773&r=ias
  39. By: Randy Brown
    Keywords: Care Coordination, Long-Term Care Beneficiaries, High-Need beneficiaries, Health
    JEL: I
    Date: 2013–07–17
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:c223533fb2a446c7b7300f7d6e9aaf1a&r=ias
  40. By: International Monetary Fund. Monetary and Capital Markets Department
    Abstract: EXECUTIVE SUMMARY AND OVERALL ASSESSMENT South Africa’s financial sector operates in a challenging economic environment. Despite remarkable progress since the end of apartheid in 1994, South Africa still has one of the world’s highest unemployment and income inequality rates. Slow economic growth since 2008 has further aggravated unemployment, real disposable income is stagnant, and households are heavily indebted. As a result, banks are increasingly exposed to credit risk, while households and firms are vulnerable to a rise in interest rates. The large fiscal and current account deficits, a weak growth outlook, the reliance of banks on money market funds (MMFs) for short-term wholesale funding, and banks’ active trading in the over-the-counter (OTC) derivatives market make South Africa susceptible to contagion and sudden stops of capital flows. This susceptibility and potential for spillovers have been exacerbated by the significant concentration and interconnections in the financial system, and the substantial expansion of South African banks into sub-Saharan Africa. These vulnerabilities became apparent in August 2014. African Bank, a boutique lender catering mainly to low-income households, was placed under curatorship after record losses from unsecured lending. Although its small size would have suggested no systemic implications, its problems are a reminder that asset quality can quickly deteriorate in a weak economy and even small institutions can entail systemic risk due to high interconnectedness. Relatively high capital buffers as well as sound regulation and supervision have helped mitigate the risks. Banks and insurers are well capitalized and profitable. The South African Reserve Bank (SARB) is a proactive supervisor, with a high level of compliance with international standards on effective banking supervision. The SARB’s decisive action in placing African Bank under curatorship limited contagion. Its proposed bail-in of senior unsecured creditors to share in the burden of resolution is also welcome and a step in the right direction of reducing the “too big to fail premium” for the large banks. Overall, financial sector risks and vulnerabilities are elevated but manageable. Stress tests (ST) confirm the capital resiliency of banks and insurance companies to severe shocks but illustrate a vulnerability to liquidity shortfalls. Some banks have difficulty meeting Basel’s requirement to hold enough high quality liquid assets (HQLA) to survive a stress scenario lasting 30 days without assistance from the SARB. They face even bigger challenges meeting a more stringent requirement to hold a minimum amount of stable funding over a one year horizon. Although these requirements will be gradually phased in, African Bank’s experience highlights the importance of ensuring the large banks maintain adequate liquidity. Given significant downside risks to the economy, strong regulation and supervision are essential to ensure financial sector resilience. The outlook for lackluster growth amid an uncertain global environment requires intensifying scrutiny on asset quality. Remaining gaps in the supervisory and regulatory framework should also be closed. The FSAP recommends the following actions: • Reduce systemic liquidity risk by introducing deposit insurance and variable net asset value (NAV) for MMFs.
    Keywords: Financial system stability assessment;Financial sector;Banks;Credit risk;Bank resolution;Stress testing;Insurance;Corporate sector;Anti-money laundering;Combating the financing of terrorism;Reports on the Observance of Standards and Codes;South Africa;
    Date: 2014–12–11
    URL: http://d.repec.org/n?u=RePEc:imf:imfscr:14/340&r=ias
  41. By: Ha Tu Rebecca Gourevitch
    Abstract: This report examines efforts by New Hampshire state government over the past decade to use health care price transparency—notably through the creation of HealthCost, a public website comparing costs of median health care bundled prices—to encourage cost-conscious behavior by consumers and increase competition and efficiency among health care providers. The study found that although state transparency initiatives did not directly alter consumers' behavior, they have helped change health care market dynamics in important ways. By highlighting wide provider price gaps within the state, New Hampshire's transparency initiatives increased pressure on high-price hospitals to lower their rate demands and accelerated a statewide trend toward new insurance products that reward consumers for choosing efficient providers.
    Keywords: New Hampshire, Health Care Price Transparency Experiment, Health
    JEL: I
    Date: 2014–04–30
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:13b6fa615b534a58bbce87f293a73cf9&r=ias
  42. By: Karen Llanos; Jason Williams; Katie Adamek; Bailey Orshan
    Keywords: Medicaid, Adult Core Set, Adult Health Care Outcomes, Technical Assistance, Medicaid Health Care Quality, CARTS, Adult CARTS
    JEL: I
    Date: 2013–11–21
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:430d6d9e9fb940c3ad52680677b45d17&r=ias
  43. By: Jenna Libersky; Allison Hedley Dodd; Shinu Verghese
    Abstract: This article uses 2005 and 2008 Medicaid Analytic eXtract (MAX) data to present spending and enrollment trends for adults with disabilities who are dually eligible for Medicare and Medicaid. Nationwide, the proportion of adult duals in managed care increased from 2005 to 2008, with the expansion of prepaid health plans (PHPs), particularly behavioral health PHPs, driving the increase. Although overall use of managed care has increased, there has been little expansion in the use of comprehensive managed care among adult dual eligible beneficiaries, particularly when compared with their Medicaid-only disabled adult peers. This imbalance suggests room to remove barriers preventing dually eligible adults, from enrolling in comprehensive, integrated managed care.
    Keywords: Medicaid Dual Eligibles Managed Care Disability
    JEL: I J
    Date: 2013–04–30
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:6f14ab1dff1c46d0b1639a4fa30e1733&r=ias
  44. By: Margaret S. Colby; Dominick Esposito; Seth Goldfarb; Daniel E. Ball; Vivian Herrera; Leslie J. Conwell; Susan B. Garavaglia; Eric S. Meadows; Martin D. Marciniak
    Abstract: This study looked at the impact of Medicare Part D coverage gaps by examining drug discontinuation and reinitiation among Medicare beneficiaries using medications for cancer or rheumatoid arthritis. The study found that patients in the arthritis or cancer groups—28 and 21 percent, respectively—discontinued medications for these conditions in 2006; about three-fourths reinitiated therapy in the first 90 days of 2007. Although medication discontinuation is often temporary, the effect is complex. Some patients might discontinue before reaching the coverage gap to avoid out-of-pocket costs. For those who spend into or through the coverage gap before discontinuing, cumulative out-of-pocket expenditures might be too high to resume treatment the following year.
    Keywords: Medication Discontinuation, Medicare Part D Beneficiaries, Health, Costly Medications
    JEL: I
    Date: 2013–05–01
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:b9130b96109c4466a513c3f6e4da288c&r=ias
  45. By: Vivian Byrd; Jessica Nysenbaum; Debra Lipson
    Abstract: This toolkit provides a practical guide to collecting, validating, and reporting Medicaid managed care encounter data.
    Keywords: data collection, data validation, encounter data, Medicaid beneficiaries, managed care plans, managed care organizations, Medicaid Statistical Information System
    JEL: I
    Date: 2013–11–30
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:31bb7f4ca5bf420884693af69b11538b&r=ias
  46. By: Julia Paradise; Marsha Gold; Winnie Wang
    Abstract: This brief, the last of three case studies examining key operational aspects of coordinated care initiatives in Medicaid, focuses on Rhode Island's Chronic Care Sustainability Initiative. This multi-payer, patient-centered medical home initiative includes the one Medicaid health plan in the state and commercial health plans.
    Keywords: Medical Home Rhode Island Chronic Care Sustainability Initiative Medicaid
    JEL: I
    Date: 2013–11–30
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:d40e4911b1614774bd393abe9244feaf&r=ias
  47. By: Jelena Zurovac; Randy Brown; Bob Schmitz
    Keywords: Care Coordination Medicare Dual Eligibles Special Needs Plans
    JEL: I J
    Date: 2013–03–11
    URL: http://d.repec.org/n?u=RePEc:mpr:mprres:57a6715d8b914f4ca2b45fc911ede157&r=ias
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