Source: http://eva.staudinger@ssa.gov/policy/docs/ssb/v70n4/v70n4p25-text.html
Timestamp: 2013-06-20 11:39:42
Document Index: 88029499

Matched Legal Cases: ['art 1', 'art 1', 'art 2', 'art 2', 'art 3', 'art 3', 'art 4', 'art 5']

Chart Descriptions - Expanding Access to Health Care for Social Security Disability Insurance Beneficiaries: Early Findings from the Accelerated Benefits Demonstration
Expanding Access to Health Care for Social Security Disability Insurance Beneficiaries: Early Findings from the Accelerated Benefits Demonstration
by Robert Weathers, Chris Silanskis, Michelle Stegman, John Jones, and Susan KalasunasSocial Security Bulletin, Vol. 70 No. 4, 2010
You are here: Social Security Online > Research, Statistics, & Policy Analysis > Research and Analysis > Social Security Bulletin > Social Security Bulletin, Vol. 70 No. 4
Text description for Chart 1.Anticipated flow of outcomes in Accelerated Benefits (AB) and AB Plus study groups
Chart 1 is a flow chart with fifteen labeled boxes linked by arrows. There are four starting points in the flow chart. The flow is one-directional; that is, none of the arrows point back to a previous box, although some arrows laterally connect boxes that descend from different starting points. The flows are divided into four distinct panels labeled intervention, direct outcomes, mediating outcomes, and ultimate outcomes.
The starting points represent benefits or services provided to members of the two treatment groups in the Advanced Benefits (AB) demonstration project. The treatment groups are AB Health Care benefits and AB Plus services. The AB Health Care benefits package represents one starting point. The other three starting points comprise the three distinct services provided under AB Plus.
The flows originating with each starting point are presented as lists.
Intervention: AB Health Care benefits.
Direct outcome: Access to care. Would reduce beneficiaries' health care expenditures, increase visits to providers, and reduce unmet medical needs.
Direct outcome: Better care. Both preventive general care and condition-specific care would improve.
Direct outcome: Improved self-care involving diet, exercise, and adherence to treatment and medication regimes.
Mediating outcome: Functional effects. Would improve beneficiaries' self-reported health status and ability to perform ordinary and instrumental activities of daily living and would reduce work limitations and depression.
Mediating outcome: Use of work supports such as Ticket to Work and state vocational rehabilitation agencies.
Mediating outcome: Short-term employment and earnings.
Ultimate outcome: Long-term employment and earnings. Beneficiary completes trial work period and meets substantial gainful activity criteria.
Ultimate outcome: Reduced Disability Insurance (DI) benefit payments.
Ultimate outcome: Reduced reliance on Medicare and Medicaid.
Starting point B
Intervention: AB Plus services, Medical care management (MCM). Identifies beneficiaries' unmet needs, makes referrals, and monitors treatment.
Starting point C
Intervention: AB Plus services, Progressive Goal Attainment Program (PGAP). Encourages beneficiaries to increase activity and overcome barriers to behavioral change.
Direct outcome: Change in perception of disability. Would reduce psychosocial barriers to the rehabilitation process and promote reintegration of life roles.
Direct outcome: Improved self-care—involving diet, exercise, and adherence to treatment and medication regimes. Direct outcome: Better care. Both preventive general care and condition-specific care would improve. Mediating outcome: Functional effects. Would improve beneficiaries' self-reported health status and ability to perform ordinary and instrumental activities of daily living and would reduce work limitations and depression.
Mediating outcome: Use of work supports—such as Ticket to Work and state vocational rehabilitation agencies.
Starting point D
Intervention: AB Plus services, employment and benefits counseling (EBC). Provides information on benefits, local employment supports, career counseling, and job search assistance.
Text description for Chart 2.Accelerated Benefits study Phase 2 sites
Atlanta, Georgia Austin, Texas Baltimore, Maryland Birmingham, Alabama Boston, Massachusetts-New Hampshire Buffalo, New York Charlotte, North Carolina-South Carolina Chicago, Illinois Cincinnati, Ohio-Kentucky-Indiana Cleveland, Ohio Columbus, Ohio Dallas, Texas Denver, Colorado Detroit, Michigan Fort Lauderdale, Florida Fort Worth, Texas Grand Rapids, Michigan Greensboro, North Carolina Hartford, Connecticut Houston, Texas Indianapolis, Indiana Jacksonville, Florida Kansas City, Missouri-Kansas Las Vegas, Nevada-Arizona Los Angeles, California Louisville, Kentucky-Indiana Miami, Florida Milwaukee, Wisconsin Minneapolis, Minnesota-Wisconsin Nassau-Suffolk, New York Newark, New Jersey New Orleans, Louisiana
New York, New York Norfolk, Virginia-North Carolina Oakland, California Oklahoma City, Oklahoma Orlando, Florida Orange County, California Philadelphia, Pennsylvania-New Jersey Phoenix, Arizona Pittsburgh, Pennsylvania Portland, Oregon-Washington Providence, Rhode Island-Massachusetts Richmond, Virginia Riverside, California Rochester, New York Sacramento, California San Antonio, Texas San Diego, California Seattle, Washington St. Louis, Missouri-Illinois Tampa, Florida Washington DC area Return to Chart 2 in main document
Text description for Chart 3.Accelerated Benefits (AB) study population selection
Chart 3 is a flow chart with thirteen labeled boxes linked by arrows. The flow is one-directional; that is, none of the arrows point back to a previous box.
The chart presents the seven-level process of selecting the population that ultimately participated in the Advanced Benefits (AB) demonstration project. Each box represents a population subgroup and includes a title identifying that subgroup and the number of people in Phase 1 and Phase 2 of the project comprising that subgroup. Boxes for subgroups that were excluded from the project sometimes also include reasons for exclusion. Some boxes include explanatory notes.
The boxes are arranged by level and described individually below. Those that flow to the next level are noted.
1. Title: Total cases identified as eligible. Numbers: Phase 1, 3,359; Phase 2, 25,953. Note: Social Security Administration (SSA) identified beneficiaries as meeting initial eligibility criteria based on administrative data and provided a list of these beneficiaries to Mathematica Policy Research, Inc. (MPR). Box 2 descends from this box.
2. Title: Sample selected. Numbers: Phase 1, 1,503; Phase 2, 21,109. Note: MPR selected a random sample of the beneficiaries identified by SSA and sent them a letter describing the demonstration project and inviting them to participate. Boxes 3A and 3B descend from this box.
3A. Title: Individuals not contacted: Numbers: Phase 1, 834; Phase 2, 3,233. Reasons not contacted: unlocatable, no longer met study criteria, or field period ended without contact.
3B. Title: Individuals contacted. Numbers: Phase 1, 669; Phase 2, 17,876. Boxes 4A and 4B descend from this box.
4A. Title: Completed health insurance questionnaire. Numbers: Phase 1, 358; Phase 2, 15,796. Boxes 5A and 5B descend from this box.
4B. Title: Ineligible for other reasons. Numbers: Phase 1, 311; Phase 2, 2,080. Reasons ineligible: refused before screening, language barriers, deceased, physical or cognitive barrier, or did not meet study criteria.
5A. Title: Eligible (uninsured). Numbers: Phase 1, 70; Phase 2, 1,979. Boxes 6A and 6B descend from this box.
5B. Title: Ineligible (insured). Numbers: Phase 1, 288; Phase 2, 13,817.
6A. Title: Nonparticipants. Numbers: Phase 1, 4; Phase 2, 40. Reasons not participating: field period ended, refused after screening, or became ineligible after screening.
6B. Title: Participants. Numbers: Phase 1, 66; Phase 2, 1,939. Boxes 7A, 7B, and 7C descend from this box.
7A. Title: AB Plus group. Numbers: Phase 1, 26; Phase 2, 590. Note: One AB Plus participant dropped out of the study after randomization.
7B. Title: AB group. Numbers: Phase 1, 13; Phase 2, 388.
7C. Title: Control group. Numbers: Phase 1, 27; Phase 2, 961.
Table equivalent for Chart 4. Uninsurance rate among Disability Insurance (DI) beneficiaries selected and contacted for Accelerated Benefits (AB) study, by site
Louisville, Kentucky-Indiana
Las Vegas, Nevada-Arizona
Charlotte, North Carolina-South Carolina
Providence, Rhode Island-Massachusetts
Philadelphia, Pennsylvania-New Jersey
St. Louis, Missouri-Louisiana
Portland, Oregon-Washington
Boston, Massachusetts-New Hampshire
Minneapolis, Minnesota-Wisconsin
Table equivalent for Chart 5. Number of months to reach the $100,000 spending limit, by primary diagnosis
Muscuskeletal impairments
Lower adjacent value
Upper adjacent value