COMMONWEALTH FUND BLOG BY IDHPS DIRECTOR

Monday, June 5, 2017

The blog Why and How to Avoid High-Risk Pools for Americans with Preexisting Conditions provides information about the House passed AHCA legislation and how people with preexisting conditions could face high costs in the state-based high risk pools. Reinsurance programs, unlike high-pools are a better option that would maintain a large pool while helping insurance.


DR. JEAN HALL PUBLISHED IN ANNALS OF INTERNAL MEDICINE

Tuesday, May 23, 2017

In an invited commentary, High-Risk Pools: An Illusion of Coverage That May Increase Costs for All in the Long-Term, IHDPS director Dr. Jean Hall, provides insight and expert opinion on the provisions in the American Health Care Act (AHCA) recently passed by the US House of Representatives. Specifically, how the AHCA's use of state optional high-risk pools would end up increasing insurance costs for all Americans and providing relatively poor and expensive coverage for those with pre-existing conditions.


MANAGED CARE MAGAZINE ARTICLE ON HIGH-RISK POOLS CITES IHDPS DIRECTOR

Monday, May 1, 2017

An interview with IHDPS Director, Dr. Jean Hall was featured in the Managed Care, GOP Jumps Back Into High-Risk Pools. But Will the Money Run Dry Again? The article discusses how the money earmarked for high-risk pools in the latest proposed health reform legislation falls short of what is actually needed.


IHDPS DIRECTOR QUOTED IN TIME MAGAZINE REGARDING PRE-EXISTING CONDITIONS AND HEALTH REFORM

Friday, April 28, 2017

In a follow up to a previous article (listed below from April 25th), Dr. Jean Hall was interviewed concerning pre-existing conditions and the health reform legislation currently being debated. The article, AARP Says GOP Health Plan Could Raise Pre-Existing Conditions Premiums to $25,700, comes after news that proposed legislation could significantly increase premiums for people with pre-existing conditions.


MONEY MAGAZINE OVER HIGH-RISK POOLS

Tuesday, April 25, 2017

Dr. Jean Hall was interviewed for her expertise in high-risk pools for the MONEY article, What You Need to Know About High-Risk Insurance Pools. The article discusses high-risk pools before implementation of the Affordable Care Act (ACA) and discusses why they were problematic.


THE COMMONWEALTH FUND PUBLISHES BLOG ON HIGH-RISK POOLS BY IHDPS DIRECTOR, JEAN HALL

Wednesday, March 29, 2017

Dr. Jean Hall's blog, High-Risk Pools for People with Preexisting Conditions: A Refresher Course, highlights the reality of high-risk insurance pools for people with preexisting conditions. This blog comes as a response to the individuals who point towards high-risk pools as a potential solution in health care reform.


IHDPS DIRECTOR INTERVIEWED IN PUBLIC RADIO SEGMENT

Wednesday, March 8, 2017

Dr. Jean Hall, IHDPS Director, was recently interviewed in the KMUW radio segment, High-Risk Pools Could Return To Kansas Under New Federal Health Care Law. In the segment, Dr. Hall revisits her research on high-risk pools, with specific regards to Kansas enrollees, in light of recently proposed changes to the Affordable Care Act.


JEAN HALL, IHDPS DIRECTOR, QUOTED IN THE GUARDIAN

Thursday, January 26, 2017

In a recent article in The Guardian, Here's how 'Obamacare' covered Americans with pre-existing conditions. What happens next?, IHDPS Director, Dr. Jean Hall was interviewed regarding the history of high-risk insurance coverage pools in the United States and their impact on the individuals enrolled in them.


IDHPS DIRECTOR INTERVIEWED ABOUT HIGH-RISK POOLS AS PART OF POTENTIAL ACA REPLACEMENT

Friday, January 13, 2017

A recent article on issues concerning potential Affordable Care Act alternatives was published this week. In the article, IHDPS Director, Jean Hall, was interviewed due to her expertise on high-risk pools and their impact on individuals with chronic illnesses. See the full article here.


MEDICAID EXPANSION RESEARCH CO-AUTHORED BY IHDPS STAFF FEATURED ON REUTERS HEALTH NEWS

Tuesday, December 27, 2016

IHDPS Director, Jean Hall, was interviewed regarding research she recently co-authored, Medicaid Expansion Tied to Employment Among People with Disabilities.


IHDPS RESEARCHERS CO-AUTHOR NEW FINDINGS ON MEDICAID EXPANSION

Tuesday, December 20, 2016

The American Journal of Public Health (AJPH) has recently published new research co-authored by IHDPS staff showing that individuals with disabilities are significantly more likely to be employed if they live in a state that has expanded Medicaid under the Affordable Care Act (ACA).
Effect of Medicaid Expansion on Workforce Participation for People with Disabilities, AJPH
University of Kansas press release


IHDPS DIRECTOR QUOTED IN CNN MONEY ARTICLE ON HIGH-RISK INSURANCE POOLS

Tuesday, November 15, 2016

Dr. Jean Hall was quoted in CNN Money, How Trump May Cover Americans with Pre-Existing Conditions. The article addresses how high-risk insurance pools may be utilized for individuals with pre-existing conditions if the Affordable Care Act is repealed and what that may mean for the individuals who may be enrolled in them.


IHDPS DIRECTOR PRESENTS RESEARCH FINDINGS AT AMERICAN PUBLIC HEALTH ASSOCIATION (APHA) CONFERENCE

Wednesday, October 19, 2016

Dr. Jean Hall presented findings from the Collaborative on Health Reform and Independent Living's (CHRIL) research on the impact of Medicaid Expansion on the access to health care and employment of people with disabilities at the APHA annual conference in Denver, CO on November 1. Findings presented will be published in the APHA journal in the coming months.


IHDPS RECEIVES CDC FUNDING FOR DISABILITY AND HEALTH PROGRAM

September, 2016

The IHDPS has been awarded funding to help improve the health of individuals with disabilities by increasing accessibility to programs and removing barriers to services designed to promote healthy living. See the project page and read the release.


IHDPS DIRECTOR PRESENTS AT ACADEMYHEALTH ANNUAL RESEARCH MEETING (ARM)

Saturday, June 25, 2016

Dr. Jean Hall presents early findings from the Collaborative on Health Reform and Independent Living (CHRIL) research on the impact of the Affordable Care Act (ACA) at the Disability Research Interest Group (DRIG) AcademyHealth Annual Research Meeting. Findings presented will be published soon, check back here for more information.
 


IHDPS RECEIVES FUNDING TO STUDY THE IMPACT OF THE AFFORDABLE CARE ACT (ACA) ON PEOPLE WITH DISABILITIES

Tuesday, December 8, 2015

In collaboration with Washington State University and Independent Living Research Utilization (ILRU), IHDPS researchers were awarded funding from the National Institute on Disability, Independent Living and Rehabilitation Research (NIDILRR) to study how implementation of the ACA is impacting the health, quality of life and community participation of people with disabilities across the country. The grant establishes the Collaborative on Health Reform and Independent Living (CHRIL) with IHDPS researchers leading primary data collection efforts through national surveys and interviews with people with disabilities. See press release for more information, here.


RESEARCHERS ACROSS KANSAS PARTICIPATE IN SYMPOSIUM ON DISABILITY AND AGING

Monday, November 9, 2015

IHDPS co-sponsor and present at a Leadership in Research Symposium on the KU-Lawrence campus, Experience of Aging for People with Long-Term Disabilities: Opportunities to Further Research. With a keynote address by Kathy Greenlee, Director of the HHS Administration on Community Living (ACL) and former Kansan, the symposium brought thought-leaders from across Kansas together to discuss the future of aging and disability. For more information on the symposium and see presentations, please visit: http://rtcil.org/wgcl-symposium-presentations
 


IHDPS NOW WITHIN THE KU LIFE SPAN INSTITUTE

Wednesday, July 1, 2015

The Institute on Health & Disability Policy Studies has moved and will now be a research entity within the University of Kansas, Schiefelbusch Institute for Life Span Studies (Life Span Institute, LSI). Established in 1990 with the mission of "discovery in the service of human health services", the goals and vision of LSI and IHDPS align and strengthen one another. For more information about LSI please visit, http://www2.ku.edu/~lsi/aboutus/index.shtml


IHDPS DIRECTOR PUBLISHES CHAPTER IN REPORT BY NATIONAL COUNCIL ON DISABILITY

Tuesday, February 24, 2015 

In this report, NCD reviews the research on outcomes since Olmstead, and finds that strong trends indicate that smaller, more dispersed and individualized community settings further integration and positive outcomes for individuals with disabilities. Specifically, greater individual choice, satisfaction, housing stability, and higher levels of adaptive behavior and community participation are associated with living in residential settings of smaller size. In the chapter, “Health Care Access for Working People with Disabilities: Medicaid Buy-in,” (pp. 31-41) written by Dr. Jean Hall, Medicaid Buy-In (MBI) programs are defined and discussed at length.

You can read Dr. Hall’s chapter as well as the entire NCD report here.


COMMONWEALTH FUND RELEASES NEW BLOG BY IHDPS DIRECTOR

Friday, February 13, 2015 

As the new Congress convenes and the Supreme Court prepares to hear arguments in the King v. Burwell case challenging tax subsidies for insurance purchased through the federally facilitated marketplaces, proposals to repeal and replace the Affordable Care Act (ACA) are resurfacing. Risk pools have been suggested as a viable alternative to the ACA’s ban on preexisting condition exclusions in the individual market and the marketplaces. IHDPS Director, Dr. Jean Hall’s, explains why high-risk pools simply are not a realistic alternative to coverage requirements under the ACA.

This blog is available at: Why High-Risk Pools Still Don’t Work


IHDPS RESEARCH ON MANAGED CARE FOR PEOPLE WITH DISABILITIES PUBLISHED

Thursday, January 01, 2015 

With many states increasingly turning to managed care arrangements to control costs in their Medicaid programs, IHDPS researchers surveyed people with disabilities participating in the Kansas Medicaid managed care program, KanCare. Usually managed care programs across the country have excluded people with disabilities who use long-term services and supports (LTSS) due to their complex needs, however, like Kansas, other states are beginning to move this population to managed care. During April-August of 2013, IHDPS researchers documented the first-hand experiences of Medicaid enrollees with disabilities using LTSS during this transition to Medicaid managed care in Kansas through surveys and qualitative data analysis.

The published article is available online at the Disability and Health Journal website.
http://www.disabilityandhealthjnl.com/


IHDPS RESEARCH PRESENTED AT ACADEMYHEALTH ANNUAL RESEARCH MEETING

Wednesday, April 23, 2014 

Findings from an IHDPS qualitative study on Medicaid Managed Care for people with disabilities in Kansas will be presented at the AcademyHealth Annual Research Meeting (ARM) in San Diego on June 8th. IDHPS staff will present their findings from a short survey conducted in Spring/Summer of 2013 after implementation of managed care in Kansas Medicaid. The findings from this small, one-state study will be shared with the goal of informing other state Medicaid programs and other stakeholders and policy makers about the potential barriers that could be encountered when using a managed care model for people with disabilities who need consistent access to the long-term services and supports in addition to traditional medical services.

The presentation is available for download at the ARM website. For more information, contact Dr. Jean Hall at jhall@ku.edu.

Academy Health Annual Research Meeting


IHDPS DIRECTOR PRESENTING AT APHA ANNUAL CONFERENCE

Friday, November 01, 2013 

Dr. Jean Hall, IHDPS Director, is presenting research findings regarding asset attainment and the Affordable Care Act (ACA) at the 141st annual American Public Health Association (APHA) conference in Boston, MA on Monday November 4th. Utilizing findings from previous research studies, Dr. Hall will describe how the ACA, with its elimination of asset-testing, has the potential to divert people with disabilities from dependence on federal disability programs, especially younger individuals.Dr. Hall’s presentation is available to download HERE

Questions about the presentation and the ACA? Contact Dr. Hall at jhall@ku.edu.


NATIONAL PUBLIC RADIO PIECE ON HIGH-RISK INSURANCE POOLS

Tuesday, July 23, 2013 

Dr. Jean Hall, IHDPS Director, was quoted in a National Public Radio piece, “Time to Get out of the High-Risk Health Pool?” The piece can accessed online by clicking HERE

Questions about this story featured on NPR and high-risk insurance pools and the ACA? Contact Dr. Hall at jhall@ku.edu.


IHDPS DIRECTOR QUOTED IN WASHINGTON POST

Monday, July 22, 2013 

IHDPS Director, Dr. Jean Hall, is a national expert on high-risk pool insurance coverage. The Washington Post interviewed her for a report on how those currently covered by state high-risk pools could be affected by the upcoming implementation of the Affordable Care Act (ACA) insurance exchanges. The article can accessed online by clicking HERE


IHDPS STAFF AND KUMC PARTNERS PRESENT FINDINGS AT 2013 ACADEMYHEALTH ANNUAL RESEARCH MEETING

Monday, June 24, 2013 

Findings from IHDPS research conducted over the past year is being presented at the 2013 AcademyHealth Annual Research Meeting in Baltimore this week by Dr. Ellen Averett, KUMC partner. The presentation, “Asset Building: One way the ACA can improve health and employment outcomes for people with disabilities,” shares data that shows a correlation between asset attainment and health status. While many Medicaid Buy-In programs allow participants to accumulate assets in excess of $2,000, most programs cap the amount that can be accumulated. Medicaid expansion under ACA does not consider asset levels in determining eligibility, and does not require a disability determination. Especially for younger individuals with disabilities and low income, coverage under Medicaid expansion could allow a greater accumulation of assets and potentially better health and quality of life. For more information on these data and findings, email the project PI, Dr. Jean Hall, jhall@ku.edu


WEBINAR: EMPLOYMENT AS A HEALTH DETERMINANT IN A MEDICAID POPULATION WITH DISABILITIES

Thursday, February 28, 2013 

On February 28th, Dr. Jean Hall presented ‘Employment as a Health Determinant in a Medicaid Population with Disabilities.’ The presentation highlighted findings from two research studies funded by the Kansas Department of Health & Environment (KDHE) and the National Institute on Disability and Rehabilitation Research (NIDRR). The webinar is close-captioned and can be viewed in its entirety by clicking HERE
To download slides from this presentation, click HERE


DR. JEAN HALL MODERATES & PUBLISHES IN SPECIAL ISSUE OF DISABILITY & HEALTH JOURNAL

Wednesday, February 06, 2013 

This special section of the Disability & Health Journal on working-age adults with disabilities dually eligible for Medicare and Medicaid is based on two panel presentations at the June 2012 meeting of the AcademyHealth Disability Research Interest Group (DRIG). The papers included in the issue consider health care access and outcomes as well as employment for this group of approximately four million individuals, many with complex health care needs and high costs. Dr. Jean Hall provides an introduction to 8 papers presented in this issue (see link below). 

Dr. Hall, Noelle Kurth and Suzanne Hunt also have an article published in the issue, “Employment as a health determinant for working-age, dually-eligible people with disabilities.” This article provides research findings that indicated participants with any level of paid employment had significantly lower rates of smoking and better quality of life; self-reported health status was significantly higher, while per person per month Medicaid expenditures were less. Employment, even at low levels, was associated with better health and health behaviors as well as lower costs. Participants reported being discouraged from working by medical professionals and federal disability policies., please click the links below:

Hall, J.P. (2013). Dually-eligible working-age adults with disabilities: Issues and challenges as health reform is implemented. Disability & Health Journal. [online first].

Hall, J.P., Kurth, N.K. & Hunt, S. (2012). Employment as a health determinant for working-age, dually-eligible people with disabilities. Disability and Health Journal. [online first]. DOI: 10.1016/j.dhjo.2012.11.001.

 


NEW COMMONWEALTH FUND BLOG POST BY DR. JEAN HALL

Friday, January 25, 2013 

In a new blog post, “Building State Health Insurance Marketplaces: Lessons from the Pre-Existing Condition Insurance Plan,” Dr. Jean Hall explains how early findings from the Pre-existing Conditions Insurance Plans (PCIPs) can inform insurance marketplace administrators as they work to build insurances exchanges under the Affordable Care Act (ACA). Experiences from PCIPs suggests that while costs in the marketplaces may be high early on, they should decline over time. The elimination of coverage exclusions on the basis of preexisting conditions and the availability of affordable, continuous coverage should help, as should spreading costs across the marketplaces’ broader risk pool. Marketplace administrators in each state may wish to consult their PCIP administrators to learn more about specific issues encountered in outreach, enrollment, and early claims patterns. To access the blog, click here


JEAN HALL QUOTED IN WASHINGTON POST, NOVEMBER 2012

Friday, November 30, 2012 

November 5, 2012. Jean Hall was quoted in the Washington Post for her expertise in provisions of the Affordable Care Act (ACA) and the Pre-Existing Condition Insurance Plans (PCIPs). In the article she provides an example of PCIPs across state lines “If your son is enrolled in the West Virginia PCIP, he can transfer to the Florida PCIP immediately…transfers between PCIPs don’t require another waiting period.” Click here.


HALL, CHAPMAN & KURTH PUBLISH ARTICLE IN JOURNAL OF PUBLIC HEALTH DENTISTRY

Wednesday, October 31, 2012 

Dr. Jean Hall with her colleagues Dr. Shwana Chapman and Noelle Kurth have published an article in the Journal of Public Health Dentistry, “Poor oral health as an obstacle to employment for Medicaid beneficiaries with disabilities.” The article provides information about the oral health-care needs of a Medicaid population with disabilities who are employed and enrolled in a state Medicaid Buy-In program. Findings from the study indicate that more comprehensive dental benefits could result in increased oral and overall health, and eventual cost savings to Medicaid as more people work, have improved health, and pay premiums for coverage.The article is currently available online through the journal’s website before its print publication date, please click the link below:

Hall, J.P., Chapman, S.C, & Kurth, N.K. (2012). Poor oral health as an obstacle to employment for Medicaid beneficiaries with disabilities. Journal of Public Health Dentistry. [online first]. DOI: 10.1111/j.1752-7325.2012.00359.x


JEAN HALL AND NOELLE KURTH PRESENT AT TWO NATIONAL CONFERENCES

Thursday, October 11, 2012 

Southwest Conference on Disability, October 11, in Albuquerque NM

Disability Research Interest Group meeting at the AcademyHealth Annual Research Meeting, June 23, 2012 in Orlando FL (http://www.academyhealth.org/Communities/content.cfm?ItemNumber=6545&navItemNumber=2026).

At both meetings, IHDPS staff presented findings that indicate employment is a health determinant among working-age adults with disabilities. Content from the presentations was published in a 2013 issue of the Disability and Health Journal:

Hall, J.P., Kurth, N.K. & Hunt, S. (2013). Employment as a health determinant for working-age, dually-eligible people with disabilities. Disability and Health Journal. [online first]. DOI: 10.1016/j.dhjo.2012.11.001


ISSUE BRIEF PUBLISHED BY JEAN HALL AND JAN MOORE

Thursday, September 13, 2012 

Jean Hall and Jan Moore recently published an issue brief through The Commonwealth Fund titled, “The Affordable Care Act’s Pre-Existing Condition Insurance Plan: Enrollment, Costs, and Lessons for Reform.” The authors discuss the relatively low enrollment and high costs of the program and how these issues will be addressed when exchange plans are implemented in 2014. The brief has been cited in national media including Politico Pro and CQ Healthbeat.


The issue brief is available to download at www.commonwealthfund.org and you can read the full press release on the KU Center for Research on Learning’s site.


CHAPMAN, HALL & MOORE PUBLISH ARTICLE IN JOURNAL OF DISABILITY POLICY STUDIES

Thursday, April 19, 2012 

Dr. Jean Hall with her colleagues Dr. Shwana Chapman of Duke University and Jan Moore have published an article in the Journal of Disability Policy Studies, “Health Care Access Affects Attitudes About Health Outcomes and Decisions to Apply for Social Security Disability Benefits.” This article reports on qualitative findings from a mixed methods study that explored the efficacy of providing enhanced health benefits and services to people with chronic health conditions to reduce their application rates to federal disability programs. The article is currently available online through the journal’s website before the print edition coming in April 2013, please click the link below:

Chapman, S.C., Hall, J.P. & Moore, J.M. (2012). Health care access affects attitudes about health outcomes and decisions to apply for Social Security disability benefits. Journal of Disability Policy Studies. [online first]. DOI: 10.1177/1044207312437743


JEAN HALL QUOTED IN THE WASHINGTON POST

Thursday, February 02, 2012 

Jean Hall has recently been quoted in the Washington Post for her expertise in preexisting-condition insurance plans (PCIPs). In the article she states, “The people coming into the PCIPs act more like the long-term uninsured…They’re not accustomed to managing on a day-to-day basis; they’re accustomed to going to the emergency department when things get bad.” To access the full article, “People with Preexisting Medical Conditions are Stuck in High-Risk Pools Until 2014,” click here.


RECENT ARTICLE PUBLISHED BY JEAN HALL & NOELLE KURTH

Wednesday, February 01, 2012 

Dr. Jean Hall and Noelle Kurth have published an article in the Disability and Health Journal, “Discrepancy among Behavioral Risk Factor Surveillance System, Social Security, and Functional Disability Measurement.” In this article, the authors examine and discuss the found limitations in using the Behavioral Risk Factor Surveillance System for measuring disability prevalence, and implications for the new federal standards for the measurement of disability status. To access the article through the journal’s online website, please click the link below:

Hall, J.P., Kurth, N.K., & Fall, E. (2012). Discrepancy among behavioral risk factor surveillance system, social security, and functional disability measurement. Disability and Health Journal, 5(1), 60-63


JEAN HALL BLOG: PCIP ENROLLMENT

Tuesday, December 06, 2011 

In a new blog post, Jean Hall takes a close look at the drivers of Pre-Existing Conditional Insurance Plan (PCIP) enrollment. State enrollment numbers, she says, are significantly influenced by the restriction in eligibility to those uninsured for six months, the number of uninsured and availability of prior preexisting insurance coverage in each state, the high cost of coverage, and other factors. To access the blog, click here.


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