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Biomedical subjects

M P Rymer

Publications and source records attributed to M P Rymer.

4 recordsLinked to original sources

Medicaid expenditures for the disabled under a work incentive program.

Congress enacted Section 1619 of the Social Security Act to enable the disabled receiving Supplemental Security Income (SSI) to obtain jobs and still retain Medicaid health benefits. Congress intended this work incentive to remove the fear of the severely disabled that by obtaining employment they would lose Medicaid benefits. Based on data from 11 States, our analysis found that Medicaid expenditures for Section 1619 enrollees were relatively small and only one-half the average Medicaid expenditure for the disabled. Retaining Medicaid appears to provide a significant work incentive because Medicaid expenditures represent 13 percent of Section 1619 enrollees' earnings.

Data Collection↗

Children and Medicaid: the experience in four states.

Medicaid coverage of children is analyzed in this article, using data from uniform Medicaid files (Tape-to-Tape) for California, Georgia, Michigan, and New York. Results show that Medicaid is a different program to children of different enrollment groups and ages. For children receiving cash assistance through either Aid to Families with Dependent Children or Supplemental Security Income, Medicaid represents a source of ongoing health coverage. However, for children in families not receiving cash assistance, coverage is more episodic and disproportionately related to acute care and hospitalization. Across all child enrollment groups, infants had higher than expected utilization and expenditures.

Aid to Families with Dependent Children↗

Survey of disabled children under SSI program.

The Office of Research and Statistics, under a contract with Urban Systems Research and Engineering, Inc., performed a national personal survey of blind and disabled children receiving supplemental security income (SSI) benefits. The purpose of the survey was to provide descriptive characteristics of the children and their families as well as assess SSI's effect on them. The survey has provided the research community with some interesting results. Not all children in the program live in families. Almost 15 percent of the children surveyed were not living with their parents; many of them were in foster care families or group homes. SSI children live in low-income families. Almost two-thirds of them live in families with annual income (including the child's benefit) of less than $7,000. Not only are the children handicapped, but a sizable number of children are in households where another person is also disabled and/or receiving SSI payments. Three-fourths of the families have had exposure to the welfare systems. Many of them have received or are receiving benefits from one or more of the following programs-- AFDC, Medicaid, and food stamps. Many families report that they are satisfied with SSI because in many instances the amount of the benefit meets the needs of the child and the program is administered with few forms and by staff who treat them courteously. A summary of the survey report is presented in the article that follows.

Child↗