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Does Consumer Direction Affect the Quality of Medicaid Personal Assistance in Arkansas

Author

Listed:
  • Leslie Foster
  • Randall Brown
  • Barbara Phillips
  • Jennifer Schore
  • Barbara Lepidus Carlson

Abstract

This report presents the first impact analysis results from a three-state demonstration in which disabled Medicaid enrollees eligible for personal assistance services get a cash allowance so they can hire whom they please or use the money to buy equipment or supplies, instead of obtaining services through a home health agency. The results show that the Arkansas program greatly increases consumers' satisfaction with the quality and reliability of care. The program also reduces unmet needs for assistance, preserves health and safety, and improves outlook on life. The findings from this random assignment design provide strong support for the many states considering Medicaid program modifications that promote increased consumer direction.

Suggested Citation

  • Leslie Foster & Randall Brown & Barbara Phillips & Jennifer Schore & Barbara Lepidus Carlson, 2003. "Does Consumer Direction Affect the Quality of Medicaid Personal Assistance in Arkansas," Mathematica Policy Research Reports efd940c8c16f4921ac148dfda, Mathematica Policy Research.
    • Handle: RePEc:mpr:mprres:efd940c8c16f4921ac148dfdaa4488c8
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    File URL: https://www.mathematica.org/-/media/publications/pdfs/condirect.pdf
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    1. repec:mpr:mprres:2784 is not listed on IDEAS
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    Cited by:

    1. Leslie Foster & Randall Brown & Rachel Shapiro, "undated". "Assessing the Appeal of the Cash and Counseling Demonstration in Arkansas, Florida, and New Jersey," Mathematica Policy Research Reports bca15fc19a2340aab8f3d57f4, Mathematica Policy Research.
    2. repec:mpr:mprres:3840 is not listed on IDEAS
    3. repec:mpr:mprres:4664 is not listed on IDEAS
    4. Pádraic Fleming & Sinead McGilloway & Marian Hernon & Mairead Furlong & Siobhain O'Doherty & Fiona Keogh & Tim Stainton, 2019. "Individualized funding interventions to improve health and social care outcomes for people with a disability: A mixed‐methods systematic review," Campbell Systematic Reviews, John Wiley & Sons, vol. 15(1-2), June.
    5. repec:mpr:mprres:4648 is not listed on IDEAS
    6. Jennifer Schore & Barbara Phillips, "undated". "Consumer and Counselor Experiences in the Arkansas IndependentChoices Program," Mathematica Policy Research Reports 547ddfca21914fffbda729ebe, Mathematica Policy Research.
    7. repec:mpr:mprres:4613 is not listed on IDEAS
    8. Leslie Foster & Barbara Phillips & Jennifer Schore, "undated". "Consumer and Consultant Experiences in the New Jersey Personal Preference Program," Mathematica Policy Research Reports b01b328fefc04d9ba0dba6fbe, Mathematica Policy Research.
    9. Leslie Foster & Barbara Phillips & Jennifer Schore, 2005. "Consumer and Consultant Experiences in the Florida Consumer Directed Care Program," Mathematica Policy Research Reports 97e194bd0e80406a97d9dbac9, Mathematica Policy Research.

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