After the introduction of the Long Term Care Insurance (LTCI), the number of persons who received the LTCI services increased very rapidly. This causes a rapid increase in LTCI expenditures and premium. In order to make LTCI scheme sustainable, it is pivotal how to maintain the ADL and health level of the elderly. For this purpose, we have investigated the causes of dependency among the LTCI us...

The successful adoption by clinicians of evidence-based clinical practice guidelines (CPGs) contained in clinical information systems requires efficient translation of free-text guidelines into computable formats. Natural language processing (NLP) has the potential to improve the efficiency of such translation. However, it is laborious to develop NLP to structure free-text CPGs using existing f...

This paper analyzes the income manipulation to thresholds in eligibility for a subsidized program in the Massachusetts health insurance reform, the statelevel precursor to federal health care reform. Using data from the American Community Survey, I test for the existence of income manipulation and nd clear evidence around the thresholds of 150 percent and 300 percent of Federal Poverty Level. T...

Beginning in 1986, States have made the reduction of infant mortality a major policy priority. As progress on important maternal and infant health indicators has slowed and/or worsened. States have taken advantage of numerous Federal Medicaid options to implement innovative strategies to enhance low-income women's access to prenatal care and to improve the content of that care. Acting initially...

BACKGROUND Systematic procedures addressing the limitations of eligibility determination are needed to improve the quality of participant recruitment and enrollment in randomized clinical trials. This paper describes an eligibility determination process developed by and in use at a chiropractic research center engaged in community recruitment for clinical trials studying spinal pain conditions....

Disabled individuals under 65 years old account for 15% of Medicaid recipients but half of all Medicaid spending. Despite their large cost, few studies have investigated the effects of Medicaid expansions for disabled individuals on insurance coverage and crowd-out of private insurance. Using an eligibility expansion that allowed states to provide Medicaid to disabled individuals with incomes l...

BACKGROUND Estimation of the number of people in need of antiretroviral therapy (ART) in resource-limited settings requires information on the time from seroconversion to ART eligibility and from ART eligibility to death. OBJECTIVES To estimate duration from seroconversion to different ART eligibility criteria and from ART eligibility to death in HIV-infected adults in low-income and middle-i...

Medicaid churning--the constant exit and reentry of beneficiaries as their eligibility changes--has long been a problem for both Medicaid administrators and recipients. Churning will continue under the Affordable Care Act because, despite new federal rules, Medicaid eligibility will continue to be based on current monthly income. We developed a longitudinal simulation model to evaluate four pol...

provides $24 billion in federal funds over the next five years for children’s health.1 The State Children’s Health Insurance Program (CHIP) accounts for over $20 billion of these funds. Established as Title XXI of the Social Security Act, this program entitles states to grants to help create and expand insurance programs for low-income children. Funds are allocated to each state based on its sh...

Homicides must possess certain characteristics before they become eligible for capital punishment. Over the last several decades, virtually every state has added to its list of possible eligibility criteria. We draw on this rich set of eligibility-law variation to identify the deterrent effects ensuing from expansions in the reach of capital punishment. Eligibility expansions may deter future h...