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Preventing Disability Among Working Participants in Kansas’ High-risk Insurance Pool: Implications for Health Reform
dc.contributor.author | Hall, Jean P. | |
dc.contributor.author | Moore, Janice M. | |
dc.contributor.author | Welch, Greg W. | |
dc.date.accessioned | 2013-07-03T15:50:42Z | |
dc.date.available | 2013-07-03T15:50:42Z | |
dc.date.issued | 2011-01-01 | |
dc.identifier.citation | Journal Title - Journal of Vocational Rehabilitation Article Title - Preventing disability among working participants in Kansas' high-risk insurance pool: Implications for health reform Volume - Volume 34 Issue - 2 First Page - 119 Last Page - 128 Issue Cover Date - 2011-01-01 Author - Jean P. Hall Author - Janice M. Moore Author - Greg W. Welch DOI - 10.3233/JVR-2010-0540 Link - http://iospress.metapress.com/content/M171461057769007 | |
dc.identifier.uri | http://hdl.handle.net/1808/11372 | |
dc.description.abstract | Health conditions that prevent individuals from working full time can restrict their access to health insurance. For people living in the 35 states that offer high-risk pools, coverage is available but premiums are 125–200% of standard rates. Additionally, high cost-sharing means enrollees often defer needed care because they must pay large amounts out of pocket. Lack of access may lead to poor health outcomes and disability. The Kansas DMIE investigated whether improving insurance coverage for such a group would improve their health status and reduce their risk of transition to full Social Security disability. Half of the 508 participants received enhanced benefits and nurse case management, the other half received usual risk pool coverage. Outcomes were measured through telephone surveys, focus groups, and claims analysis. Utilization of services increased and health status stabilized for the intervention group, while health status of the control group significantly declined. These findings have broad implications because some plans to be offered under the Patient Protection and Affordable Care Act of 2010 (P.L. 111–148) have similarly high out-of-pocket costs. Considering the long-term cost of full disability, providing adequate health insurance benefits for individuals at high risk of disability may be cost effective. | |
dc.description.sponsorship | Kansas Health Policy Authority, U.S. Department of Health and Human Services, Centers for Medicare and Medicaid Services (no. 11-P-92389/7-01). | |
dc.language.iso | en_US | |
dc.publisher | Journal of Vocational Rehabilitation | |
dc.relation.ispartofseries | Volume 34;Issue 2 | |
dc.relation.hasversion | http://iospress.metapress.com/content/m171461057769007/ | |
dc.relation.hasversion | http://ehis.ebscohost.com/ehost/detail?sid=190a5d97-42f9-4a82-9178-2ff8e539fe7e%40sessionmgr198&vid=1&hid=115&bdata=JnNpdGU9ZWhvc3QtbGl2ZQ%3d%3d#db=a9h&AN=63268211 | |
dc.title | Preventing Disability Among Working Participants in Kansas’ High-risk Insurance Pool: Implications for Health Reform | |
dc.type | Article | |
kusw.kuauthor | Hall, Jean P. | |
kusw.kuauthor | Moore, Janice M. | |
kusw.kudepartment | Division of Adult Studies | |
kusw.oastatus | fullparticipation | |
dc.identifier.doi | 10.3233/JVR-2010-0540 | |
dc.identifier.orcid | https://orcid.org/0000-0001-7236-1807 | |
kusw.oapolicy | This item meets KU Open Access policy criteria. | |
dc.rights.accessrights | openAccess |
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Institute for Health and Disability Policy Studies [12]