Members of Congress and others have questioned whether expanding the scope of the Medicare graduate medical education (GME) program to include nurse practitioners (NPs) and physician assistants (PAs) could help mitigate the effects of a physician shortage in the United States. A Senate Committee on Appropriations report asked the US Government…

Challenges in collecting comprehensive health surveillance data on people with intellectual and developmental disabilities (IDD) are numerous. A number of important issues and strategies are discussed in the articles contained in this special issue of "Intellectual and Developmental Disabilities." In this article, we focus on the…

Suicidality is significantly more common in autistic adults than the general population, yet the factors that increase risk for suicidality among autistic adults remain largely unknown. We identified characteristics associated with suicidal ideation and suicide attempts/self-inflicted injury in a U.S. national sample of Medicare-enrolled autistic…

"A Guide to Expanding Medicaid-Funded School Health Services" provides background on school-based Medicaid and outlines various opportunities to advance state policy changes required to access federal funds. In December 2014, the Centers for Medicare and Medicaid Services clarified Medicaid reimbursement in school-based settings, opening…

Research shows that access to school health services improves health and academic outcomes, particularly for students with chronic health issues. Finding sustainable funding has been an ongoing struggle. This policy brief presents opportunities to expand access to--and resources for--school health services using available Medicaid funds. In…

Medicare home health care provides critical skilled nursing and therapy services to patients in their homes, generally after a period in an inpatient facility or nursing home. Disparities in access to, or outcomes of, home health care can result in patient deterioration and increased cost to the Medicare program if patient care needs intensify.…

Background: School health services improve health and academic outcomes; however, sustainable funding for these services is an ongoing struggle. In December 2014, the Centers for Medicare & Medicaid Services clarified how Medicaid will reimburse school health services. School districts, once restricted to reimbursement for services delivered…

This policy brief describes how State VR agencies are using and can use benefits planning services, as a VR agency-funded service, to help SSDI and SSI beneficiaries address concerns and fears about the potential loss of cash benefits and healthcare benefits (i.e., Medicaid and/or Medicare) as they move into jobs paying substantial wages. The…

Illinois has an important opportunity to dramatically expand comprehensive school-based health services for the state's most vulnerable children by making a simple change to its Medicaid policy. In 2014, the Centers for Medicare & Medicaid Services (CMS) issued a letter to state Medicaid directors clarifying which health services could be…

Surveys often spend substantial money on multiple mailings and telephone calls to ensure high overall response rates and adequate representation of hard-to-reach demographic subgroups. We examine the extent to which an additional mailing and additional sets of telephone calls are effective in attaining these goals across a variety of subgroups in…

Access to health care is, in part, determined by the availability of physicians, a function of the physician supply. Policymakers have demonstrated a long-standing interest in access to care, both in general and for specific populations. Moreover, federal support for medical residency training (a.k.a., graduate medical education [GME]) is the…

The Medicare prescription drug benefit (Medicare Part D) is the biggest change to Medicare in decades. Knowledge of the plan among social work undergraduate students and older adults in the community was assessed. Sequential cohorts of students completed a short questionnaire assessing knowledge about Medicare Part D. Among social work students,…

Purpose: To examine the impact of an experimental consumer-choice voucher benefit on the selection of independent and agency personal assistance services (PAS) providers among rural and urban Medicare beneficiaries with disabilities. Methods: The Medicare Primary and Consumer-Directed Care Demonstration enrolled 1,605 Medicare beneficiaries in 19…

The federal government devotes roughly one-sixth of its spending to 10 major means-tested programs and tax credits, which provide cash payments or assistance in obtaining health care, food, housing, or education to people with relatively low income or few assets. Those programs and credits consist of the following: (1) Medicaid; (2) the low-income…

Public spending on children aims to support their healthy development and help them fulfill their human potential. As such, federal spending on children is an investment in the nation's future. To inform policymakers, children's advocates, and the general public about how public funds are spent on children, this 13th edition of the annual…