Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Insurance, Disability”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 1,513 records · Page 84Linked to original sources
PubMed1996

Case management: a management system for quality and cost effective outcomes.

1. Case management is an effective strategy for occupational health nurses to use to reduce corporate health insurance, workers' compensation, and disability expenditures. 2. Case management has evolved from a reactive to a proactive strategy useful in many arenas. While there are differences among group health, workers' compensation, and disability, the basic case management process is the same. 3. Early intervention and comprehensive assessment are the foundation of a successful case management process. 4. Occupational health nurses have extensive clinical, interpersonal, and management skills enabling them to excel as case managers.

Case Management↗
PubMed1998

Be prepared.

Remember back when Medicaid was Medicaid and Medicare was Medicare? These state and federal programs, which respectively provide medical assistance to low-income families and health insurance for individuals with disabilities and the elderly, were complicated enough when they became law as part of the Social Security Act in 1965. Now we've added managed care to the mix.

Humans↗
PubMed2001

Factors affecting health status in African Americans living with HIV/AIDS.

This study surveyed face-to-face 111 African American newly diagnosed and living with human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) from the Washington D.C. area, to ascertain the use of, and need for, early intervention services. The survey instrument included sections on demographics, level of health functioning and health indicators, social and financial support, and needed services. This article constructs a health status proxy variable from survey items and examines its relationship to biological and social variables. Variables found to have a significant relationship with health status are gender, type of health insurance, employment, receiving Social Security Disability Income, and level of education. A log-linear model for selection of parsimony found that the type of health insurance was most highly predictive of health status, when controlling for other variables. Persons who receive Medicaid report no better levels of health status than those without health insurance. Having private health insurance is associated with a 5.3-fold greater chance of having good or excellent health status.

Adult↗
PubMed2000

Children's disability law: the more things change, the more they stay the same.

The social security system insures both children and adults who are disabled. Over the years, the Social Security Administration and the courts have developed a number of tests to determine whether a child is eligible to receive social security benefits. In 1997, as part of its attempt to reform welfare, Congress laid out a new, arguably more restrictive standard that must be met before a child can be deemed "disabled." For all of the apparent changes, however, it is unclear how much the standards have changed in practice.

Child↗
PubMed2000

Risk adjusting capitation: applications in employed and disabled populations.

Risk adjustment may be a sensible strategy to reduce selection bias because it links managed care payment directly to the costs of providing services. In this paper we compare risk adjustment models in two populations (public employees and their dependents, and publicly-insured low income individuals with disabilities) in Washington State using two statistical approaches and three health status measures. We conclude that a two-part logistic/GLM statistical model performs better in populations with large numbers of individuals who do not use health services. This model was successfully implemented in the employed population, but the managed care program for the publicly insured population was terminated before risk adjustment could be applied. The choice of the most appropriate health status measure depends on purchasers' principles and desired outcomes.

Adolescent↗
PubMed2001

Patterns of informal and formal caregiving among elders with private long-term care insurance.

PURPOSE: The purpose of this report is to provide basic descriptive information on community-dwelling, disabled, private long-term care (LTC) insurance policyholders who have accessed policy benefits. We focus on how benefits are used, whether claimants feel they are getting appropriate value from their policies, and what the patterns are of formal and informal service use. DESIGN AND METHODS: Data were obtained from a nationally representative sample of 693 LTC insurance claimants who were receiving benefits while living in the community and 424 of their informal caregivers. Eight of the largest LTC insurance companies representing about 80% of the market participated in the study. RESULTS: LTC insurance benefits are well targeted; they serve those truly dependent on ongoing care. The vast majority of claimants are satisfied with their policies, understand their coverage, and find it easy to file claims. Because of their LTC benefits, substantial numbers of disabled elderly individuals report that they are able to remain at home instead of being forced to seek institutional care. The availability of LTC benefits reduces stress among informal caregivers. For most claimants, formal care did not replace informal caregiving. IMPLICATIONS: As the LTC insurance market continues to grow and mature, there will be changes in the profile of claimants, the service delivery system, and the design of policies. Expansions in the private market will be associated with a greater number of disabled elderly remaining in their homes with a maintenance of and enhanced resiliency of informal support networks.

Aged↗
PubMed1996

[Requirements and provision of services for severely handicapped patients according to SGBV regulations 1991-1993].

Benefits for non-institutionalised severely disabled persons by the German statutory health insurance system were introduced in 1989 and extended in 1991. They were provided depending upon a standardised medical examination. We analysed 4185 examinations carried out in the city and the region of Augsburg in Southern Germany during 1991-1993 with regard to social and medical conditions of applicants. A total of 2706 persons examined (64.7%) were considered to meet the criteria of permanent dependence on nursing. The majority of applicants were more than 75 years of age (56.9%) even though all age groups were represented. The leading cause for dependence on nursing were diseases of the circulatory system (29.4%), followed by diseases of the nervous system (20.5%) and musculoskeletal disorders (14.6%). The main burden of nursing care was borne by the relatives; professional institutions played only a minor role. The degree of dependence with regard to basic activities of daily living, especially "turning in bed", "dressing" and "using toilet" showed the strongest association with the overall assessment of nursing dependence. With the introduction of a new nursing care insurance system in Germany ("Pflegeversicherung") in January 1995, benefits for disabled persons have been extended further. To improve prevention of nursing-care dependence and to ensure the best possible care of patients in need of such care, further investigations are required which should focus on risk factors for both nursing-care dependence and long-term nursing home and hospital admission of disabled persons.

Activities of Daily Living↗
PubMed1997

The benefits of a partnership approach to disability management.

Taking a partnership approach to disability management and fostering a return-to-work culture can significantly reduce disability costs for employers and help disabled employees successfully return to work. Two rehabilitation case managers from ReliaStar Life Insurance Company share their perspective and experience, including three case studies that illustrate successful case management intervention and return-to-work strategies.

Cost-Benefit Analysis↗
PubMed2002

[Health and social insurance in Nordic countries].

BACKGROUND: There is no previous comparative review available of Nordic social insurance schemes for sickness benefits, rehabilitation allowance and disability pensions. METHODS: Based on existing publications, a Nordic expert group in social insurance and insurance medicine has compared important aspects of the Nordic schemes. RESULTS: The Nordic sickness benefit schemes have many similarities, but differ considerably in degree of compensation, with 100% coverage of salary in Denmark and Norway and less coverage in the other three countries. The length of the self certification period varies from 1 to 14 days. Longer sickness absence have to be certified by a doctor, usually the family physician. To counteract the increasing costs for sickness benefits, the follow-up of sick-listed persons is being intensified. Efforts are also directed towards earlier and more extensive medical and vocational rehabilitation. So far these efforts have had only marginal effect on sickness absence and disability pensioning. INTERPRETATION: Basic needs for social security are still met by public insurance schemes in all Nordic countries. Private insurance schemes complement these to varying extent.

Denmark↗