How The Affordable Care Act Can Help Move States Toward A High-Performing System Of Long-Term Services And Supports

Reinhard, Susan C.; Kassner, Enid; Houser, Ari

doi:10.1377/hlthaff.2011.0099

Cited by 28 publications

(14 citation statements)

References 5 publications

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“…Recent discussions and numerous provisions included in the Affordable Care Act provide an opportunity to advance integrated care and extend it beyond the realm of institutionally based medical care (Reinhard, Kassner, & Houser, 2011). There is broad consensus about the sensibility of improving communication and the exchange of service information to, in turn, improve quality of care, reduce emergency room visits and hospital readmissions, and reduce health care costs (Berwick, Nolan, & Whittington, 2008).…”

Section: Discussionmentioning

confidence: 99%

A Portrait of Older Californians With Disabilities Who Rely on Public Services to Remain Independent

Kietzman

Wallace

Durazo

et al. 2012

Home Health Care Services Quarterly

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Low-income older adults with disabilities in California depend on a variety of public programs to help them remain in their own homes. The availability of those services has been in flux since 2009 because of cuts caused by the recession. This article reports on a qualitative study of 33 California seniors who depend on fragile arrangements of paid and unpaid assistance. Thematic analyses of in-depth interviews conducted with these older adults and their caregivers indicate that the disability needs of these individuals are often unstable, with both physical and mental health status sometimes changing day to day. Most have nowhere else to turn for help if their public services are cut. All share the common goal of staying at home and maintaining their independence. Public services serve as a crucial link in the support networks of these individuals.

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Section: Discussionmentioning

confidence: 99%

A Portrait of Older Californians With Disabilities Who Rely on Public Services to Remain Independent

Kietzman

Wallace

Durazo

et al. 2012

Home Health Care Services Quarterly

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“…While the ACA is relevant to a large group of stakeholders, in the game, players would also take a role. The role is supposed to represent a specific group of stakeholders, how these stakeholders may react to the ACA, and even how they negotiate and collaborate [16]. …”

Section: Methodsmentioning

confidence: 99%

Evaluating the Benefits of Collaboration in Simulation Games: The Case of Health Care

Leung

2014

JMIR Serious Games

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BackgroundOrganizations have used simulation games for health promotion and communication. To evaluate how simulation games can foster collaboration among stakeholders, this paper develops two social network measures.ObjectiveThe paper aims to initiate two specific measures that facilitate organizations and researchers to evaluate the effectiveness of Web-based simulation games in fostering collaboration.MethodsThe two measures are: (1) network density and (2) network diversity. They measure the level of connectedness and communication evenness within social networks. To illustrate how these measures may be used, a hypothetical game about health policy is outlined.ResultsWeb-based games can serve as an effective platform to engage stakeholders because interaction among them is quite convenient. Yet, systematic evaluation and planning are necessary to realize the benefits of these games. The paper suggests directions for testing how the social network dimension of Web-based games can augment individual-level benefits that stakeholders can obtain from playing simulation games.ConclusionsWhile this paper focuses on measuring the structural properties of social networks in Web-based games, further research should focus more attention on the appropriateness of game contents. In addition, empirical research should cover different geographical areas, such as East Asian countries where video games are very popular.

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“…More importantly people with IDD are identified as a priority population, meaning that specific training programs will be enacted for both primary care and dentistry (Caldwell, 2010). The ACA also provides provisions which have the potential to improve access to health care for people with IDD, including Medicaid payments for medical homes to provide health care to people with chronic health care needs (Reinhard, Kassner, & Houser, 2011). The act also promotes the integration of benefits and increased cooperation between federal and state entities, which may improve health care access for people who are dually eligible for Medicaid and Medicare (Reinhard et al, 2011).…”

Section: Gaps In the Literaturementioning

confidence: 99%

“…The ACA also provides provisions which have the potential to improve access to health care for people with IDD, including Medicaid payments for medical homes to provide health care to people with chronic health care needs (Reinhard, Kassner, & Houser, 2011). The act also promotes the integration of benefits and increased cooperation between federal and state entities, which may improve health care access for people who are dually eligible for Medicaid and Medicare (Reinhard et al, 2011). At this time, much of the PPACA has yet to be implemented so the long-term implications on the health of people with IDD are as yet unknown.…”

Section: Gaps In the Literaturementioning

confidence: 99%

The State of the Science of Health and Wellness for Adults With Intellectual and Developmental Disabilities

Anderson

Humphries²,

McDermott³

et al. 2013

Intellectual and Developmental Disabilities

167

106

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Historically, people with intellectual and developmental disabilities (IDD) have experienced health disparities related to several factors including: a lack of access to high quality medical care, inadequate preparation of health care providers to meet their needs, the social determinants of health (e.g., poverty, race and gender), and the failure to include people with IDD in public health efforts and other prevention activities. Over the past decade, a greater effort has been made to both identify and begin to address myriad health disparities experienced by people with IDD through a variety of activities including programs that address health lifestyles and greater attention to the training of health care providers. Gaps in the literature include the lack of intervention trials, replications of successful approaches, and data that allow for better comparisons between people with IDD and without IDD living in the same communities. Implications for future research needed to reduce health disparities for people with IDD include: better monitoring and treatment for chronic conditions common in the general population that are also experienced by people with IDD, an enhanced understanding of how to promote health among those in the IDD population who are aging, addressing the health needs of people with IDD who are not part of the disability service system, developing a better understanding of how to include people with IDD in health and wellness programs, and improving methods for addressing the healthcare needs of members of this group in an efficient and cost-effective manner, either through better access to general medical care or specialized programs.

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How The Affordable Care Act Can Help Move States Toward A High-Performing System Of Long-Term Services And Supports

Cited by 28 publications

References 5 publications

A Portrait of Older Californians With Disabilities Who Rely on Public Services to Remain Independent

A Portrait of Older Californians With Disabilities Who Rely on Public Services to Remain Independent

Evaluating the Benefits of Collaboration in Simulation Games: The Case of Health Care

The State of the Science of Health and Wellness for Adults With Intellectual and Developmental Disabilities

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