Thursday, November 13, 2008

Medicaid Buy-In Reports

How Do Employment Outcomes of Medicaid Buy-In Participants Vary Based on Prior Medicaid Coverage? An Example from Massachusetts This brief, the eighth in a series on working with disability, looks at the employment outcomes of participants in CommonHealth Working (CHW), Massachusetts’s Medicaid Buy-In program. Differences in post-enrollment employment rates, monthly hours worked and earnings, and private health insurance coverage are compared between new CHW enrollees previously covered by MassHealth, Massachusetts’s Medicaid program, and those without prior MassHealth coverage. How Do Medicaid Buy-In Participants Compare with Other Medicaid Enrollees with Disabilities? Answering the question posed in the title is one key to evaluating Medicaid Buy-In (MBI) programs. This issue brief, the fifth in a series on workers with disabilities, compares demographics, health status, and expenditures between these groups. Significant areas of difference that were identified are race, gender, diagnoses, and expenditures. Interaction of Medicaid Buy-In and other Federal Efforts to Improve Access to Health Coverage for Adults with Disabilities The Medicaid Buy-In (MBI), Social Security Disability Income (SSDI), and Supplemental Security Income (SSI) programs all provide workers with disabilities options to maintain health coverage if they earn too much for Medicaid or Medicare benefits. The first issue brief explains how these programs compare and interact in terms of eligibility, coverage, populations, and enrollment. The second examines how MBI participants that collect SSDI utilize SSDI work incentives. Program Interaction PDF Dual Eligibles PDF

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