Write a critical summary of the paper and make a suggestion for 1 or 2 other variables or factors that the author could have used in the paper

Write a critical summary of the paper and make a suggestion for 1 or 2 other variables or factors that the author could have used in the paper

Write a critical summary of the paper and make a suggestion for 1 or 2 other variables or factors that the author could have used in the paperInclude a Lessons Learned paragraph.Research PaperReturn to work: A critical aspect of care coordination for youngerdual eligiblesJae Kennedy Ph.D.a* Gilbert Gimm Ph.D.b and Elizabeth Blodgett M.H.P.A.caDepartment of Health Policy and Administration Washington State University Spokane WA 99210-1495 USAbDepartment of Health Administration and Policy George Mason University Fairfax VA 22030-4444 USAcDepartment of Health Policy and Management University of North Carolina Chapel Hill NC 27599-7411 USAAbstractBackground: Annual health care costs for dual eligibles now top $300 billion. Many dual eligibles are under age 65 and their needsdiffer significantly from retired elderly dual eligibles. For younger dual eligibles successful return to work is an important objective forcoordinated care.Objectives: To assess relative rates of dual eligibility by age group and program enrollment (SSDI or OASI) and to identify the prevalenceamong these subgroups of factors associated with return to work.Methods: Population estimates and logistic regression analysis of the 2010 Medicare Current Beneficiary Survey (MCBS).Results: Although they make up only 16% of the total Medicare beneficiary population disabled workers under age 65 constitute 42%of all dual eligibles. SSDI beneficiaries under age 45 have 20 times greater odds of receiving Medicaid benefits compared to retirees(AOR 5 19.8 95% CI 5 16.2e24.2). The youngest dual eligible adults are more likely to work have fewer chronic conditions and reportbetter health status than other dual eligibles. However they are more likely to report problems with obtaining health care and be dissatisfiedwith the quality of the care they receive.Conclusions: Dual eligible workers with disabilities are an important target population for coordinated services because of their highlifetime program costs e many will receive SSDI SSI Medicare and Medicaid benefits for decades. Return to work and continued employmentare important policy objectives for younger dual eligibles and should provide the greatest return in terms of reduced dependence onfederal disability programs. 2013 Elsevier Inc. All rights reserved.Keywords: Medicaid; Medicare; SSDI; Disabled workers; Return to work; Coordinated careThe Medicare and Medicaid programs combined spendover $300 billion annually for the 9.2 million adults whoare enrolled in both programs. Slowing the growth of thesecosts is a priority for the Federal Coordinated Health CareOffice (FCHCO) and the Center for Medicare and MedicaidInnovation (CMMI). At present most cost-containmentefforts are focused on avoiding hospitalizations and nursinghome admissions among older dual eligibles. However42% of dual eligible beneficiaries are working age(i.e. under age 65) and therefore eligible for Medicare asSocial Security Disability Insurance (SSDI) beneficiaries.This group has received relatively little research or policyattention.1 In this paper we show how the needs of lowincomedisabled workers can be quite different from thoseof retired elderly dual eligibles.Dual eligibles receive Medicaid coverage when theymeet state categorical and income eligibility criteria.Although Medicaid is considered to be a second payerwhen there is an overlap in service coverage with Medicaremany essential disability support services like personalassistance are only covered through Medicaid. Most youngdual eligibles also receive Supplemental Security Income inaddition to SSDI benefit payments. Because they areenrolled in at least three public programs younger dualeligibles represent a significant cost to the Social SecurityAdministration (SSA) and to states.2Average annual Medicare and Medicaid costs incurred byyounger dual eligibles ($19000) are slightly lower thanthose incurred by older dual eligibles ($19700) but youngerdual eligibles account for decades more of enrollmentresulting in higher lifetime costs. Their financial assistanceFunding for this study was provided by the National Institute onDisability and Rehabilitation Research (Grant H133G070055 Jae KennedyPI) and the WA Life Sciences Discovery Fund (Grant LSDF08-02 John Roll PI). These agencies had no further role in study designin the collection analysis and interpretation of data or in the writing of thereport.* Corresponding author. Tel.: 1 509 368 6971; fax: 1 509 358 7984.E-mail address: jjkennedy@wsu.edu (J. Kennedy).1936-6574/$ see front matter 2013 Elsevier Inc. All rights reserved.http://dx.doi.org/10.1016/j.dhjo.2013.01.003Disability and Health Journal 6 (2013) 95e99www.disabilityandhealthjnl.com

"You need a similar assignment done from scratch? Our qualified writers will help you with a guaranteed AI-free & plagiarism-free A+ quality paper, Confidentiality, Timely delivery & Livechat/phone Support.

Discount Code: CIPD30

Click ORDER NOW..