Academic literature on the topic 'Medicare disability'

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Journal articles on the topic "Medicare disability"

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Riley, Gerald F., James D. Lubitz, and Nancy Zhang. "Patterns of Health Care and Disability for Medicare Beneficiaries under 65." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 40, no. 1 (February 2003): 71–83. http://dx.doi.org/10.5034/inquiryjrnl_40.1.71.

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Disabled people under age 65 are a vulnerable and growing segment of the Medicare population, yet Medicare reform has focused on the needs of the aged. This study linked the Medicare Current Beneficiary Survey to Social Security Administration records to analyze patterns of health care for disabled beneficiaries by reason for disability. We found substantial variation in average health care costs by type of service, including prescription drugs, and in sources of payment. Rates of institutionalization were high among some disability categories and there was heavy reliance on Medicaid and other public programs for payment. It is essential that the special needs of the disabled not be overlooked as policymakers consider fundamental modifications to Medicare and Medicaid.
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Benevides, Teal W., Henry J. Carretta, George Rust, and Lindsay Shea. "Racial and ethnic disparities in benefits eligibility and spending among adults on the autism spectrum: A cohort study using the Medicare Medicaid Linked Enrollees Analytic Data Source." PLOS ONE 16, no. 5 (May 25, 2021): e0251353. http://dx.doi.org/10.1371/journal.pone.0251353.

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Background Research on children and youth on the autism spectrum reveal racial and ethnic disparities in access to healthcare and utilization, but there is less research to understand how disparities persist as autistic adults age. We need to understand racial-ethnic inequities in obtaining eligibility for Medicare and/or Medicaid coverage, as well as inequities in spending for autistic enrollees under these public programs. Methods We conducted a cross-sectional cohort study of U.S. publicly-insured adults on the autism spectrum using 2012 Medicare-Medicaid Linked Enrollee Analytic Data Source (n = 172,071). We evaluated differences in race-ethnicity by eligibility (Medicare-only, Medicaid-only, Dual-Eligible) and spending. Findings The majority of white adults (49.87%) were full-dual eligible for both Medicare and Medicaid. In contrast, only 37.53% of Black, 34.65% Asian/Pacific Islander, and 35.94% of Hispanic beneficiaries were full-dual eligible for Medicare and Medicare, with most only eligible for state-funded Medicaid. Adjusted logistic models controlling for gender, intellectual disability status, costly chronic condition, rural status, county median income, and geographic region of residence revealed that Black beneficiaries were significantly less likely than white beneficiaries to be dual-eligible across all ages. Across these three beneficiary types, total spending exceeded $10 billion. Annual total expenditures median expenditures for full-dual and Medicaid-only eligible beneficiaries were higher among white beneficiaries as compared with Black beneficiaries. Conclusions Public health insurance in the U.S. including Medicare and Medicaid aim to reduce inequities in access to healthcare that might exist due to disability, income, or old age. In contrast to these ideals, our study reveals that racial-ethnic minority autistic adults who were eligible for public insurance across all U.S. states in 2012 experience disparities in eligibility for specific programs and spending. We call for further evaluation of system supports that promote clear pathways to disability and public health insurance among those with lifelong developmental disabilities.
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Dai, Mingliang, Pamela Roberto, Sarah Tom, Emma Gentry, and Bruce Stuart. "Quantifying the Cost of Disability Transitions in Medicare." Journal of Aging and Health 29, no. 5 (April 28, 2016): 788–804. http://dx.doi.org/10.1177/0898264316645547.

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Objective: To investigate the impact of disability transitions on annual Medicare Part A and B cost. Method: We analyzed 6,385 community-dwelling beneficiaries who were continuously enrolled in fee-for-service Medicare Part A and B from 2008 to 2009. We estimated adjusted effects of disability transitions on Medicare cost using a generalized linear model. Results: Transitions to more severe disability states were associated with significantly higher average annual Medicare cost ranging from US$2,639 to US$5,405. Lower spending levels were observed for beneficiaries with improvements in functioning. Beneficiaries who transitioned from severe to moderate activities of daily living (ADLs) disability cost significantly less (−US$6,045) than those who remained severely disabled. Discussion: Interventions aimed at preventing disability progression and efforts to restore functional capacity are promising strategies for containing costs and generating savings for Medicare. Future research is needed to assess the longer term impact of disability in association with the progression of chronic conditions.
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Cutler, David M. "Disability and the Future of Medicare." New England Journal of Medicine 349, no. 11 (September 11, 2003): 1084–85. http://dx.doi.org/10.1056/nejme038129.

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Rogers, Austin R., Sue-Min Lai, John Keighley, and Jessica Jungk. "The Incidence of Breast Cancer among Disabled Kansans with Medicare." Kansas Journal of Medicine 8, no. 3 (August 5, 2015): 93–100. http://dx.doi.org/10.17161/kjm.v8i3.11526.

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BACKGROUND: Breast cancer disparities by disability status are poorly understood. While previous studies have shown increased odds of late stage at diagnosis, it is unclear whether the incidence of breast cancer varies by disability status. METHODS: To assess cancer incidence and stage at diagnosis among disabled and nondisabled Medicare beneficiaries in Kansas, a retrospective cohort study was conducted using linked Medicare enrollment and Kansas Cancer Registry data from 2007 to 2009. Disability status was determined by the indicator for the original reason for Medicare eligibility. RESULTS: Among the 651,337 Medicare beneficiaries included in the cohort, there were 2,384 cases of breast cancer. The age-adjusted incidence was 313 per 100,000 among female beneficiaries with disabilities and 369 per 100,000 among nondisabled female beneficiaries. The adjusted incidence rate ratio was 0.93 (95% CI 0.73-1.18). When assessing stage at diagnosis, there was no difference in the odds of late stage at diagnosis by disability status (OR = 1.02; 95% CI 0.68-1.50). CONCLUSION: No significant difference in incidence or stage at diagnosis was identified among this cohort. The use of Medicare eligibility to define disability status presented a number of limitations. Future studies should seek alternate definitions of disability to assess disparities in breast cancer incidence, including definitions using Medicare claims data.
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Habermann, E. B., B. A. Virnig, P. M. McGovern, A. M. McBean, B. H. Alexander, and N. N. Baxter. "The effect of a cancer diagnosis on disability status." Journal of Clinical Oncology 27, no. 15_suppl (May 20, 2009): 6531. http://dx.doi.org/10.1200/jco.2009.27.15_suppl.6531.

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6531 Background: Although cancer and cancer treatments may lead to an inability to work, working-age adults eligible for Medicare benefits on the basis of disability face a 29-month waiting period between initial application due to disability and enrollment in the program. In this study we evaluated patterns of Medicare enrollment for working-age adults with cancer and determined factors predicting enrollment. Methods: The Surveillance, Epidemiology, and End Results (SEER) and SEER-Medicare data were used for this retrospective cohort analysis. We included patients age 21 to 59 diagnosed with lung, prostate, colorectal, and breast cancer (female) cases from 1992 through 2002. Patients were followed until 2005 or death. We constructed line plots of time from cancer diagnosis to enrollment in Medicare due to disability, anticipating a spike in enrollment around 29 months post-diagnosis. We compared demographic and tumor characteristics in the disabled to the all similarly aged patients included in SEER. We used logistic regression to determine factors associated with enrollment in Medicare due to disability 29 to 35 months post-diagnosis including demographic characteristics, stage at diagnosis, and type of surgical treatment. Results: We identified 359,049 working-age adults who were diagnosed with prostate, lung, colorectal, or female breast cancer. Within 5 years of diagnosis, 4.4% had enrolled in Medicare due to disability, most between 29 and 31 months post-diagnosis (the earliest time period of eligibility on the basis of cancer diagnosis). Later stage at diagnosis, lack of surgical treatment, aggressive surgical treatment, unmarried marital status, Hispanic or African American race/ethnicity, older age, and male gender were associated with statistically significantly higher odds of enrollment in Medicare due to disability. Conclusions: A significant number of working-age cancer patients become eligible for enrollment in Medicare due to disability. Most become eligible between 29 and 31 months after diagnosis indicating that cancer and/or treatment had a substantial permanent impact on ability to work from the time of diagnosis. Federal policy offering Medicare benefits only 29 months after application should be reevaluated. No significant financial relationships to disclose.
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Reichard, Amanda, Elsa Haile, and Andrew Morris. "Characteristics of Medicare Beneficiaries With Intellectual or Developmental Disabilities." Intellectual and Developmental Disabilities 57, no. 5 (October 2019): 405–20. http://dx.doi.org/10.1352/1934-9556-57.5.405.

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Gaps in knowledge and systematic tracking of the prevalence of intellectual and developmental disabilities (IDD) and characteristics that may affect the health of this disability group limits our ability to address the health disparities they experience in comparison to people without disability. The purpose of this study is to begin to fill one relevant critical gap in knowledge: understanding the demographics and health outcomes of adults with IDD who receive services under Medicare Fee-for-Service (FFS), many of who are also eligible for Medicaid. Using 2016 Medicare administrative claims, we examined the prevalence and characteristics of five diagnosis groups of IDD, in those under 65 and those 65 and over, as well as their health outcomes. We found that the IDD Medicare FFS group had high prevalence rates for chronic physical and mental health conditions, overuse of emergency departments, and high rate of 30-day readmission. These findings highlight the need for evidence-based health care coordination, improved and increased public health interventions, and continued surveillance.
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Sheldon, James R., and John S. Trach. "Social Security Disability Insurance and Supplemental Security Income Work Incentives with Recommendations for Policy Change." Journal of Applied Rehabilitation Counseling 29, no. 4 (December 1, 1998): 8–17. http://dx.doi.org/10.1891/0047-2220.29.4.8.

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This paper summarizes current Social Security Disability Insurance (SSDI) and Supplemental Security Income (SSI) rules governing how work affects benefits, and explains how work activity affects Medicare and Medicaid. Recommendations are provided for policy change in order for the SSDI and SSI rules to operate as true work incentives.
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Peters, Jillian L., Wesley M. Durand, Kristina A. Monteiro, Luba Dumenco, and Paul George. "Opioid Overdose Hospitalizations among Medicare-Disability Beneficiaries." Journal of the American Board of Family Medicine 31, no. 6 (November 2018): 881–96. http://dx.doi.org/10.3122/jabfm.2018.06.180152.

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Liu, Korbin, Susan Wall, and Douglas Wissoker. "Disability and Medicare Costs of Elderly Persons." Milbank Quarterly 75, no. 4 (December 1997): 461–93. http://dx.doi.org/10.1111/1468-0009.00066.

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Dissertations / Theses on the topic "Medicare disability"

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Burk, David Morris. "Estimating the Effect of Disability on Medicare Expenditures." BYU ScholarsArchive, 2009. https://scholarsarchive.byu.edu/etd/2127.

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We consider the effect of disability status on Medicare expenditures. Disabled elderly historically have accounted for a significant portion of Medicare expenditures. Recent demographic trends exhibit a decline in the size of this population, causing some observers to predict declines in Medicare expenditures. There are, however, reasons to be suspicious of this rosy forecast. To better understand the effect of disability on Medicare expenditures, we develop and estimate a model using the generalized method of moments technique. We find that newly disabled elderly generally spend more than those who have been disabled for longer periods of time. Also, we find that increases in expenditures have risen much more quickly for those disabled Medicare beneficiaries who were at the higher ends of the expenditure distribution before the increases.
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Moe, Christine. "Medicare Managed Care Penetration and Prevalence of Older Adult Disability." VCU Scholars Compass, 2008. http://scholarscompass.vcu.edu/etd/1663.

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OBJECTIVE: To investigate the relationship between Medicare Managed Care (MMC) penetration and percentage of disability in older adults (individuals age 65 and older). Considering disability as an indicator of one or more unsuccessfully managed chronic diseases, this study investigates the assumption that managed care improves coordination of care, as well as access to preventive care. If managed care’s mandate is being met, then it should be evidenced in decreased prevalence of older adult disability. METHOD: Taking an ecological approach, this study used data from the Agency for Healthcare Research and Quality (AHRQ, 2003) to compare the percentage of older adult disability in counties from 30 states and the District of Columbia with high and low MMC penetration. Covariates representing various aspects of community context were introduced into a final multivariate linear regression to examine whether MMC penetration was a significant predictor of countywide percent of older adult disability. RESULTS: While MMC penetration was a significant predictor of prevalence of older adult disability in a bivariate analysis (r=-0.197, p < .001), it lost its significance in the final multivariate model. CONCLUSION: While this study does not demonstrate a relationship between MMC penetration and prevalence of older adult disability, it is possible that MMC, once fully implemented under the 2003 Medicare Prescription Drug, Improvement, and Modernization Act, could lead to reduced prevalence of disability.
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Kim, Seonghoon. "Essays in Economics of Social Security Disability Insurance and Health." The Ohio State University, 2013. http://rave.ohiolink.edu/etdc/view?acc_num=osu1365696633.

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Pathmathasan, Cynthia. "DISABILITY IN MEDICAL EDUCATION & TRAINING: A DISABILITY-FOCUSED MEDICAL CURRICULUM." NEOMED College of Graduate Studies / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=ne2gs1622810204171811.

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Sandström, Karin. "Adults with Cerebral Palsy : living with a lifelong disability." Licentiate thesis, Faculty of Health Sciences, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-15771.

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Although Cerebral Palsy (CP) is a lifelong disability, the research has mainly focused in children with CP. However, in recent years new studies have examined the different aspects of being an adult with a congenital disability.

The overall aim of this thesis is to contribute to increased knowledge and understanding in living with cerebral palsy as an adult, with special focus on the lived body and physiotherapy/physical activity.

The thesis is based on two populations. The first population (study I) consists of 48 individuals with a variation in gross motor function equivalent to the general CP‐population, including all five levels according to a gross motor classification (Gross Motor Function Classification System, GMFCS). The second population (study II and III), consists of 22 individuals, representing level II to IV according to the gross motor classification (GMFCS).

Study I comprises structured questions and clinical investigations with well‐recognized assessment instruments and are analysed according to quantitative methods. Study II and III are based on in‐depth interviews and are analysed using qualitative methods.

The overall result is that there is a deterioration of motor function in many individuals already early in adulthood. These deteriorations are preceded and/or followed by musculoskeletal problems such as pain and limited range of motion, often in combination with fatigue. Despite deteriorations many people maintain daily personal activities, but are often forced to prioritize among societal activities.

The deterioration is often perceived as slow and imperceptible, but it also results in a change in self‐image with new thoughts about otherness and being different. This can be experienced in relation to activity limitations with difficulties in taking part in other people’s activities, but also in relation to attitudes and treatment from other people. The process of deterioration also influences autonomy, with limited ability to determine one’s own daily life.

Important prerequisites for carrying out physical activity in a longer perspective is that it has to be enjoyable, give effects, be comprehensible and integrated in daily life. In addition it is important with support from competent professionals in health care. Experiences of these prerequisites vary and, above all, in adulthood the lack of competent support is a factor which is illuminated of the majority of the interviewed and assessed individuals.

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Cimini, Nicholas. "The politics of genetics, disability and reproductive medicine." Thesis, University of Sheffield, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.521891.

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Shead, Jennifer Louise. "Staff burnout in intellectual disability services." Thesis, Staffordshire University, 2014. http://eprints.staffs.ac.uk/2014/.

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For women with anorexia nervosa, control and routine are important in managing distress and maintaining a sense of self in challenging situations. The transition to motherhood is characterised by change and uncertainty. Women may struggle to integrate the demands of anorexia alongside the challenges of motherhood. The aim of this thesis was to review the literature regarding the experiences of pregnancy and motherhood for women with eating disorders and develop a grounded theory of the transition to motherhood for women with anorexia nervosa. The literature regarding experiences of pregnancy and motherhood with an eating disorder was reviewed. The findings suggested a trend for remission of eating disorder symptoms in pregnancy followed by relapse during the postpartum period. Women with eating disorders were most likely to experience depression and anxiety during the later stages of pregnancy and postpartum. The review highlighted how eating disorders impacted on women's ability to embrace motherhood and bond with their children. There was a paucity of research exploring the lived experience of motherhood for women with specific eating difficulties, most notably anorexia. A grounded theory was informed by the experiences of eight mothers with anorexia. A core process of breaking the cycle highlighted how women were attempting to make lasting positive changes. They achieved this by protecting their children from anorexia, exploring new perspectives, setting a good example to their children and battling temptation to succumb to anorexia. This study provides a unique insight into the experiences of mothers with anorexia. In the final chapter the research process is reflected upon. It is hoped that these findings will influence clinical practice and help professionals to better understand women's experiences.
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Sauer, Nicholas L. "Disability in Late Imperial Russia: Pathological Metaphors and Medical Orientalism." Youngstown State University / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=ysu1464016404.

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Muller, Sara Nicole. "The measurement of locomotor disability in epidemiological studies." Thesis, Keele University, 2010. http://eprints.keele.ac.uk/3812/.

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This thesis is concerned with the measurement of locomotor disability (LMD) in epidemiological studies. The central hypothesis was that LMD is a continuous phenomenon and research into this important health indicator, with specific reference to its relationship to pain in community-dwelling adults aged 50+ years, could be improved by interval-level measurement, rather than binary definitions. A systematic search and narrative review of the literature revealed a range of concepts and content of previous self-complete LMD instruments, and an absence of interval-level measures. A brief, self-complete scale of physical functioning, the PF-10, commonly used in epidemiological studies, and suggested as a measure of LMD, was taken as the starting point for empirical work in this thesis. A subset of five items mapped onto the LMD construct and possessed acceptable psychometric properties. Analysis of cross-sectional data from 18,497 adults using ordinal regression models and individual item responses illustrated one, albeit relatively inefficient, approach to moving beyond binary outcomes for investigating the association between pain and LMD. An interval-level measure of LMD was derived using the Rasch model and combining the five items into two super-items (walking, stair-climbing). The scoring mechanism was externally verified in local, national and international datasets, and the psychometric properties confirmed. Data from 680 initially pain-free adults were used to demonstrate the potential of the new measure for longitudinal analysis. This suggested a right-shift (worsening) in the distribution of LMD at three and six years. Pain onset resulted in a more rapid increase in LMD, and recovery from pain led to only a partial return to pre-pain levels. Locomotor disability exists on a continuum and its measurement should reflect this. An interval-level measure was derived from a set of commonly used items. This measure offers several advantages (brevity, application to retrospectively gathered data) but also has limitations (ceiling/floor effects).
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Cooley, Jessica Allene. "An Inartistic Interest: Civil War Medicine, Disability, and the Art of Thomas Eakins." Master's thesis, Temple University Libraries, 2012. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/197655.

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Art History
M.A.
While there is an extensive and distinguished body of scholarship exploring the intersection of Thomas Eakins and medical science, his art has not been contextualized critically in relation to American Civil War medicine or the institutional practices of the Army Medical Museum. Within the context of Civil War medicine, Eakins's heroic portraits of surgeons and scientists become more than a reflection of his personal admiration of science and medicine, more than a reflection of the growing professionalization of the medical community in the United States, but implicates him in the narrative of offsetting the horrors wrought by the Civil War by actively enshrining the professionalization of medicine and claims to the advancement of body-based research. Furthermore, while there is an extensive and distinguished body of scholarship exploring the intersection of Thomas Eakins and the body from the perspective of race, gender, and sexuality, the consideration of his work from the perspective of critical disability theory has not been contemplated. Civil War medicine is critical to the art of Thomas Eakins because it demystifies his fascination with the human body, and engages him in the aesthetic reconstruction of disabled veterans and the cultural privileging of the healthy body during and after the American Civil War. By historicizing the science and medical practices that Eakins used and by critically examining his depictions of the body through the lens of disability studies, my thesis raises new critical questions about two of the most researched and theorized topics in Eakins scholarship: medicine and the body.
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Books on the topic "Medicare disability"

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Wilkin, John C. Present value of OASDI and Medicare benefits for newly entitled disabled workers. [Baltimore, Md.?]: U.S. Dept. of Health and Human Services, Social Security Administration, 1986.

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Gruber, Jonathan. Health insurance coverage and the disability insurance application decision. Chestnut Hill, MA: Center for Retirement Research at Boston College, 2002.

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Gruenberg, Leonard. An improved disability-based Medicare payment system for the social/HMO. Cambridge, Massachusetts: Long-Term Care Data Institute, 1993.

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Koitz, David. Medicare: Arguments for and against the Medicare 24-month waiting period for the disabled. [Washington, D.C.]: Library of Congress, Congressional Research Service, 1987.

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Leonard, V. R. The social security and medicare handbook: What you need to know explained simply. Ocala, Fla: Atlantic Pub. Group, 2008.

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Leonard, V. R. The social security and medicare handbook: What you need to know explained simply. Ocala, Fla: Atlantic Pub. Group, 2008.

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Koitz, David. Medicare: Its use, funding, and economic dimensions. [Washington, D.C.]: Congressional Research Service, Library of Congress, 1989.

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2014 Social security & Medicare facts: Social security coverage, Medicare/Medicaid, Social security taxes, retirement & disability, service members' and veterans' benefits, benefits for federal government employees. Erlanger, KY: The National Underwriter Company, 2014.

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Office, General Accounting. The Congress should consider amending the Medicare secondary payer provisions to include disability beneficiaries: Report. Washington, D.C: General Accounting Office, 1985.

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Office, General Accounting. The Congress should consider amending the Medicare secondary payer provisions to include disability beneficiaries: Report. Washington, D.C: General Accounting Office, 1985.

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Book chapters on the topic "Medicare disability"

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Buris, László. "Disability." In Forensic Medicine, 293–311. Berlin, Heidelberg: Springer Berlin Heidelberg, 1993. http://dx.doi.org/10.1007/978-3-642-48884-9_10.

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Conill, Alicia, and Marjorie A. Bowman. "Disability." In Women in Medicine, 78–84. New York, NY: Springer New York, 2002. http://dx.doi.org/10.1007/978-1-4613-0031-1_8.

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Upchurch Sweeney, C. Renn, J. Rick Turner, J. Rick Turner, Chad Barrett, Ana Victoria Soto, William Whang, Carolyn Korbel, et al. "Disability." In Encyclopedia of Behavioral Medicine, 595–98. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4419-1005-9_1122.

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Dixon, Diane. "Disability." In Encyclopedia of Behavioral Medicine, 666–69. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-39903-0_1122.

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Bell, Paul R. "Disability." In Medical Selection of Life Risks, 141–53. London: Palgrave Macmillan UK, 2000. http://dx.doi.org/10.1007/978-1-349-14499-0_9.

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Vickers, Andrew. "Oriental medicine." In Complementary medicine and disability, 112–24. Boston, MA: Springer US, 1993. http://dx.doi.org/10.1007/978-1-4899-4521-1_7.

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Upchurch Sweeney, C. Renn, J. Rick Turner, J. Rick Turner, Chad Barrett, Ana Victoria Soto, William Whang, Carolyn Korbel, et al. "Disability Assessment." In Encyclopedia of Behavioral Medicine, 598. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4419-1005-9_100479.

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Boltz, Marie, Holly Rau, Paula Williams, Holly Rau, Paula Williams, Jane Upton, Jos A. Bosch, et al. "Intellectual Disability." In Encyclopedia of Behavioral Medicine, 1091. New York, NY: Springer New York, 2013. http://dx.doi.org/10.1007/978-1-4419-1005-9_100909.

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Gentile, Julie P., and Michelle A. Monro. "Medical Assessment." In Psychiatry of Intellectual Disability, 26–50. Chichester, UK: John Wiley & Sons, Ltd, 2012. http://dx.doi.org/10.1002/9781119945925.ch3.

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Le Fauve, Charlene E. "Disability and Addiction." In Addiction Medicine, 1459–86. New York, NY: Springer New York, 2010. http://dx.doi.org/10.1007/978-1-4419-0338-9_73.

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Conference papers on the topic "Medicare disability"

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Fischer, Kenneth J., Wen Liu, Clayton Wauneka, Ali Bani-Ahmed, and Patricia Kluding. "Stroke Rehabilitation Enhancement With DVD-Guided Visualization." In ASME 2013 Summer Bioengineering Conference. American Society of Mechanical Engineers, 2013. http://dx.doi.org/10.1115/sbc2013-14090.

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Stroke is a disorder that affects over 700,000 of people each year, with nearly 500,000 will be left with some sort of long-term disability. While the underlying cause is neurological disability in the region of the brain where the stroke occurred, the functional problem is most often physical disability. Many stroke patients can no longer use their extremities. Lower extremity deficit causes problems with walking and balance, while upper extremity deficit represents significant challenges with common activities of daily living (1). Stoke is considered one of the leading causes of disability in adults (2)! It can also have a tremendous impact on activities of daily living, and may result in dependence on a caregiver. Treatment for stroke has improved, and early detection and treatment can often mitigate the effects and prevent the sequelae of a stroke. Still nearly half a million stroke patients experience some level of physical dysfunction each year. Clearly physical dysfunction due to stroke is an enormous medical problem, and research to improve prevention, treatment and rehabilitation related to stroke is very important.
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Hill, Wendy, Cheryl Abbott, Louise Durst, Page Scovel, Faith Beery, Michelle Turner, and Michael D. McGoon. "Predicting Medical Disability In Patients With Pulmonary Arterial Hypertension." In American Thoracic Society 2011 International Conference, May 13-18, 2011 • Denver Colorado. American Thoracic Society, 2011. http://dx.doi.org/10.1164/ajrccm-conference.2011.183.1_meetingabstracts.a5940.

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Juríčková, Lubica, Kateřina Ivanová, Kateřina Azeem, and Dagmar Tučková. "Teaching Communication with Disabled Patients Using Case-Based Learning – Experience from practice." In Seventh International Conference on Higher Education Advances. Valencia: Universitat Politècnica de València, 2021. http://dx.doi.org/10.4995/head21.2021.13023.

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The aim of this paper is to describe what lecturer’s experiences of teaching communication are with disabled patients using CBL method at Faculty of Medicine and Dentistry, Palacký University Olomouc. The CBL didactic method includes both intentional and unintentional learning. It is a method of controlled questioning and provides more space for teaching of small groups. During lessons students can communicate with a disabled patient, i.e. an adult with limited legal capacity due to mild mental retardation, and his public guardian. It helps medical students better understand communication processes with a disabled patient and develop interpersonal skills. Using CBL method, students think critically and ask targeted questions to the public guardian of the disabled patient. This experience strengthens the feeling of empathy with the patient, allows him to get to cooperate in treatment. Students are familiar with the communication problem before the lesson. The teacher acts as a facilitator. The inclusion of patient with limited legal capacity and his guardian in the conduct of CBL communication seminars meet the needs of practical training in communication. Keywords: disability; mental retardation; legal capacity; health communication; medical education; case-based learning.
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Dwiggins, G. "189. Employers' Safety-Related Medical Qualifications and the Americans with Disability Act." In AIHce 2004. AIHA, 2004. http://dx.doi.org/10.3320/1.2758164.

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"DFID's KaR knowledge and research programme on disability and healthcare technology." In IEE Seminar on Appropriate Medical Technology for Developing Countries. IEE, 2002. http://dx.doi.org/10.1049/ic:20020058.

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Jayasree-Krishnan, Veena, Shramana Ghosh, Jack Spiegler, Preeti Raghavan, and Vikram Kapila. "Task-Specific Assistive Device (TAD): An Accessible Technological Solution for Upper Limb Disability." In 2020 Design of Medical Devices Conference. American Society of Mechanical Engineers, 2020. http://dx.doi.org/10.1115/dmd2020-9047.

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Abstract The task-specific assistive device (TAD) is a compact and portable assistive device, consisting of an actuated six-bar linkage, designed to facilitate the activity of drinking from a cup without using the hands. In this paper, we examine the effectiveness of the device in supporting patients with conditions of incomplete tetraplegia and hemiplegia by simulating disability in 17 healthy subjects. The average percentage reduction in bending angle of torso with the use of TAD was found to be 40.31% for subjects with simulated incomplete tetraplegia and 37.14% for subjects with simulated hemiplegia. Users also completed the system usability scale (SUS), indicating that the device was easy to use. The user workload, measured using the NASA task load index (NASA-TLX), was found to be minimal and the device was found to be robust through user response to a user experience questionnaire. The results of this work indicate that TAD is a promising solution for facilitating independence in a basic activity of daily living such as drinking from a cup without using the hands.
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Chhikara, A., A. S. C. Rice, A. H. McGregor, and F. Bello. "In-House Monitoring of Low Back Pain Related Disability (IMPAIRED)." In 2008 30th Annual International Conference of the IEEE Engineering in Medicine and Biology Society. IEEE, 2008. http://dx.doi.org/10.1109/iembs.2008.4650214.

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Дудинцева, Н. В., В. С. Лотков, and С. А. Бабанов. "Issues of disability of medical workers on the example of the Samara region." In III International Scientific Forum "Health And Safety At The Workplace". Polikraft, 2019. http://dx.doi.org/10.31089/978-985-7153-76-3-2019-1-3-88-91.

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Wang, Lei, Johan B. A. M. Arends, Xi Long, Yan Wu, and Pierre J. M. Cluitmans. "Seizure detection using dynamic warping for patients with intellectual disability." In 2016 38th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC). IEEE, 2016. http://dx.doi.org/10.1109/embc.2016.7590873.

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Vlašković, Veljko. "OSVRT NA PRAVA DECE SA INVALIDITETOM SA TEŽIŠTEM NA PRISTUP ZDRAVSTVENIM USLUGAMA." In XVII majsko savetovanje. Pravni fakultet Univerziteta u Kragujevcu, 2021. http://dx.doi.org/10.46793/uvp21.569v.

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It is no coincidence that the UN Convention on the Rights of Persons with Disabilities is the first international human rights treaty in the 21st century. The Convention seeks to amend the social and legal status of persons with disabilities, including children, in a revolutionary way. The main goal is to remove social barriers by adopting a social model of disability in recognizing and exercising the human rights of persons with disabilities on an equal basis with other persons. Therefore, it is understandable that the rules of earlier international human rights treaties, such as the UN Convention on the Rights of the Child or the European Convention on Human Rights, are beginning to be directly adjusted to the this Convention. From the aspect of recognition and exercising of the rights of children with disabilities, the issue of accessibility to health care services is especially important. It insists on the application of the principles of reasonable accommodation, accessibility and non-discrimination so that children with disabilities have access to health care facilities on an equal basis with other children. This implies significant involvement of the state, local community and family in order to remove social and infrastructural barriers. Furthermore, the UN Committee on the Rights of Persons with Disabilities calls for an absolute ban on the forced detention and placement of children in health care facilities, while there is a very negative attitude towards the care of children with disabilities in social protection institutions. In this regard, an amendment to the domestic Law on the Protection of Persons with Mental Disabilities is required. According to the social model of disability, the family environment with the appropriate and effective support of the local community is a necessary environment for the realization of the rights of children with disabilities. When it comes to the consent of a child with a disability to a medical treatment, it is necessary to determine the child's capability to form views, as in the case of other children. In that sense, the mentioned child should be provided with appropriate assistance and support to express his / her views. This support consists primarily in the way in which the child is informed about the proposed medical treatment.
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Reports on the topic "Medicare disability"

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Cutler, David, Mary Beth Landrum, and Kate Stewart. Intensive Medical Care and Cardiovascular Disease Disability Reductions. Cambridge, MA: National Bureau of Economic Research, May 2006. http://dx.doi.org/10.3386/w12184.

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Haig, Andrew J. Disability Policy Must Espouse Medical as well as Social Rehabilitation. Librello, December 2013. http://dx.doi.org/10.12924/si2013.01020136.

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Schmidt, Lucie, Lara Shore-Sheppard, and Tara Watson. The Impact of the ACA Medicaid Expansion on Disability Program Applications. Cambridge, MA: National Bureau of Economic Research, August 2019. http://dx.doi.org/10.3386/w26192.

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Chatterji, Pinka, and Yue Li. Early Effects of the 2010 Affordable Care Act Medicaid Expansions on Federal Disability Program Participation. Cambridge, MA: National Bureau of Economic Research, August 2016. http://dx.doi.org/10.3386/w22531.

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Costa, Dora. Long-Term Declines in Disability Among Older Men: Medical Care, Public Health, and Occupational Change. Cambridge, MA: National Bureau of Economic Research, March 2000. http://dx.doi.org/10.3386/w7605.

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Brown, Yolanda, Twonia Goyer, and Maragaret Harvey. Heart Failure 30-Day Readmission Frequency, Rates, and HF Classification. University of Tennessee Health Science Center, December 2020. http://dx.doi.org/10.21007/con.dnp.2020.0002.

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30 Day Hospital Readmission Rates, Frequencies, and Heart Failure Classification for Patients with Heart Failure Background Congestive heart failure (CHF) is the leading cause of mortality, morbidity, and disability worldwide among patients. Both the incidence and the prevalence of heart failure are age dependent and are relatively common in individuals 40 years of age and older. CHF is one of the leading causes of inpatient hospitalization readmission in the United States, with readmission rates remaining above the 20% goal within 30 days. The Center for Medicare and Medicaid Services imposes a 3% reimbursement penalty for excessive readmissions including those who are readmitted within 30 days from prior hospitalization for heart failure. Hospitals risk losing millions of dollars due to poor performance. A reduction in CHF readmission rates not only improves healthcare system expenditures, but also patients’ mortality, morbidity, and quality of life. Purpose The purpose of this DNP project is to determine the 30-day hospital readmission rates, frequencies, and heart failure classification for patients with heart failure. Specific aims include comparing computed annual re-admission rates with national average, determine the number of multiple 30-day re-admissions, provide descriptive data for demographic variables, and correlate age and heart failure classification with the number of multiple re-admissions. Methods A retrospective chart review was used to collect hospital admission and study data. The setting occurred in an urban hospital in Memphis, TN. The study was reviewed by the UTHSC Internal Review Board and deemed exempt. The electronic medical records were queried from July 1, 2019 through December 31, 2019 for heart failure ICD-10 codes beginning with the prefix 150 and a report was generated. Data was cleaned such that each patient admitted had only one heart failure ICD-10 code. The total number of heart failure admissions was computed and compared to national average. Using age ranges 40-80, the number of patients re-admitted withing 30 days was computed and descriptive and inferential statistics were computed using Microsoft Excel and R. Results A total of 3524 patients were admitted for heart failure within the six-month time frame. Of those, 297 were re-admitted within 30 days for heart failure exacerbation (8.39%). An annual estimate was computed (16.86%), well below the national average (21%). Of those re-admitted within 30 days, 50 were re-admitted on multiple occasions sequentially, ranging from 2-8 re-admissions. The median age was 60 and 60% male. Due to the skewed distribution (most re-admitted twice), nonparametric statistics were used for correlation. While graphic display of charts suggested a trend for most multiple re-admissions due to diastolic dysfunction and least number due to systolic heart failure, there was no statistically significant correlation between age and number or multiple re-admissions (Spearman rank, p = 0.6208) or number of multiple re-admissions and heart failure classification (Kruskal Wallis, p =0.2553).
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Intellectual Disabilities. ACAMH, May 2018. http://dx.doi.org/10.13056/acamh.4932.

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Many terms have been used to describe an intellectual disability (ID) or medical conditions linked to an ID. Some terms that were originally designed to describe levels of intellectual disability or specific medical conditions, have unfortunately become part of common derogatory language used within society and so have become insults.
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EUROPEAN STANDARDS OF CARE FOR NEWBORN HEALTH. Chernivtsi, Ukraine: Higher State Educational Establishment of Ukraine Bukovinian State Medical University, 2019. http://dx.doi.org/10.24061/2413-4260.ix.3.33.2019.1.

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Medical treatment and care for preterm and sick newborn babies in European countries varies greatly. Significant differences are not only limited to the survival rates of such infants. In some European countries, preterm birth is also more commonly associated with chronic physical and mental disability than in others. This effect is exacerbated by the fact that in some parts of Europe, further assistance to these vulnerable children after discharge from the hospital (follow-up and early intervention) is not structured or even does not exist at all. Given the high level of inequality in health care delivery, agreed definitions and clear recommendations for infrastructure, medical processes, care procedures, and staffing capabilities are needed to compare and adjust the conditions of care in Europe. Therefore, there is an absolute need to ensure that high-level care is equally available throughout and for everyone. European standards of care for newborn health, developed on the initiative and under the project of the European Foundation for the Care of Newborn Infants (EFCNI), will help to overcome differences in clinical practice, structure and organization of care, as well as training of healthcare professionals. This publication presents the part of the standards regarding health care for preterm and sick infants.
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