title: The relationship of personal assistance service utilization to other Medicaid payments among working-age adults with disabilities.
abstract: This study examined changes in Medicaid provider payments prior to and following approval for personal assistance services (PAS) among 471 PAS users compared to 295 nonusers who qualified for but did not use PAS, adjusting for differences between users and nonusers using propensity scores. PAS users showed a significantly greater increase in total monthly payments from pre- to post-PAS approval compared to nonusers (35% vs. -9) due to high average monthly payments for PAS ($1325). However, users showed a decrease in non-PAS payments compared to nonusers (1%-9% vs. -9%), with significant decreases in payments for both acute/rehabilitation hospitalizations and for nursing home/other long-term residential stays among users. While costly, savings in other areas may help reduce the net cost of PAS.
authors.affiliation: Center for Health Policy and Research, University of Massachusetts Medical School, Shrewsbury, MA 01545, USA. lobat.hashemi@umassmed.edu
authors.forename: Lobat
authors.initials: L
authors.lastname: Hashemi
authors.forename: Alexis D
authors.initials: AD
authors.lastname: Henry
authors.forename: Marsha Langer
authors.initials: ML
authors.lastname: Ellison
authors.forename: Steven M
authors.initials: SM
authors.lastname: Banks
authors.forename: Raymond E
authors.initials: RE
authors.lastname: Glazier
authors.forename: Jay
authors.initials: J
authors.lastname: Himmelstein
mesh_terms: D000203:Activities of Daily Living; D000293:Adolescent; D000328:Adult; D006233:Persons with Disabilities; D005260:Female; D018576:Home Health Aides / Q000191:economics*; D006801:Humans; D008297:Male; D008484:Medicaid / Q000191:economics*; D008875:Middle Aged; D012189:Retrospective Studies; D014481:United States; D055815:Young Adult