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The Effects of Health Care Benefits on Health Care Use and Health

A Randomized Trial for Disability Insurance Beneficiaries

Bibliographic Data

ID9099153
AuthorsCharles Michalopoulos (Manpower Demonstration Research Corporation, corresponding author), David Wittenburg (Mathematica Policy Research), Dina A R Israel (Manpower Demonstration Research Corporation), Anne Warren (Manpower Demonstration Research Corporation, corresponding author)
Year2012
Volume50
Issue9
Pages764-771
Publication date2012-09-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0b013e31825a8bfc
PMID22643198
OpenAlexW2077525284
LanguageEN
Citations received3
References cited12

BACKGROUND: Under current law, most Social Security Disability Insurance (SSDI) beneficiaries are not eligible for Medicare until 29 months after the Social Security Administration determines the onset of their disability. During this waiting period, >1 in 5 lacks health insurance. This study investigated the effects of providing health care benefits on the health, employment, and other services of uninsured beneficiaries. METHODS: New SSDI beneficiaries without health insurance were randomly assigned to receive health care benefits, health care benefits plus additional supports, or a control group. RESULTS: Compared with a control group, those provided health care benefits used more health care, had fewer unmet medical needs, spent less out of pocket on health care, and reported improved health. In addition, those provided the additional supports were more likely to look for work, but the supports did not affect work or SSDI benefits at this very early period. CONCLUSIONS: The results provide rigorous evidence that health care benefits can increase health care use and health outcomes. Longer-term follow-up is needed to fully assess the program's effects on its ultimate benefits and costs, including its long-term effects on health, employment, and benefit receipt

Affect (linguistics) · Business · Disability insurance · Economic growth · Environmental health · Health benefits · Health care · Public health · Receipt · Social security · Healthcare Policy and Management · Medicine · Nursing · Psychology · Retirement, Disability, and Employment · Workplace Health and Well-being · Health Policy

  • The Impact of Rehabilitation and Counseling Services on the Labor Market Activity of Social Security Disability Insurance (SSDI) Beneficiaries

    Open Access•Robert R Weathers, Robert Weathers et al.•Journal of Policy Analysis and…•2014

  • Disability, Health Insurance, and Psychological Distress among US Adults

    Open Access•Alang, Donna D Mcalpine et al.•Society and Mental Health•2014

  • Employment Benefit Receipt Among Ontario Public Disability Benefit Recipients with a Disability Related to a Mental Disorder

    Open Access•Carolyn S Dewa•Community Mental Health Journal•2015

  • Unmet Health Needs of Uninsured Adults in the United States

    John Z Ayanian•JAMA•2000

  • The Impact of Nearly Universal Insurance Coverage on Health Care Utilization

    David Card, Carlos Dobkin et al.•American Economic Review•2008

  • The MOS 36-ltem Short-Form Health Survey (SF-36)

    John E Ware, Cathy Donald Sherbourne•Medical Care•1992

  • The Cost of Eliminating the 24-Month Medicare Waiting Period for Social Security Disabled-Worker Beneficiaries

    Gerald F Riley•Medical Care•2004

Unique citing works3
Citations per year0,25
Citation span2014 - 2015 (2)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 3

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