Waiver Program Research Articles

Home care reimbursement for technology-dependent children: Its impact on parental distress

The distress of 52 parents with a technology-dependent child at home is measured using a standardized psychological inventory. Fifty-eight percent of these parents report enough symptoms to classify them as needing psychiatric intervention. Cost savings to third-party payers are accelerating the trend toward home care (rather than institutionalized care). Yet, these findings point to an underestimated cost to families in terms of parents' psychological well-being. One factor associated with less distress for mothers is having services reimbursed through the Medicaid Model Waiver Program, which provides a comprehensive plan for home care services. In contrast, services reimbursed by private third-party payers are more variable, placing greater financial strain and uncertainty on parents, which is associated with greater psychological distress. These results suggest the need for further study of the long-term impact on parents caring for technology-dependent children at home.

Evaluation of Kentucky's Medicaid Home and Community-Based Waiver Program.

This paper discusses a model for evaluating the access, cost-effectiveness and quality of services rendered under home and community-based long-term care demonstration projects. Methodology issues and data collection issues are discussed for these three aspects being evaluated in Kentucky's Medicaid Home and Community-Based Waiver.

A profile of Medicaid home and community-based care waivers, 1985: findings of a national survey.

This article presents the findings of a national survey of Medicaid home and community-based care waiver programs established under Section 2176 of the Omnibus Budget Reconciliation Act of 1981. The article documents the ways states have used their waiver authority, the methods states use to target their programs to people who are at risk of institutionalization, the programs' service utilization and expenditure levels, and the quality assurance systems that have been established as of 30 September 1985. Based on these state-reported descriptions of Medicaid home and community-based waiver programs, the article discusses preliminary findings on the cost-effectiveness of the waivers and looks at some potential attributes of a cost-effective program.

Evaluation of Connecticut's Medicaid community care waiver program.

Evaluation of Connecticut's Medicaid community care waiver program.

Can Access Be Improved While Controlling Costs?

On the surface, this book is a straightforward, in-depth evaluation of a major health care provision project carried out in five cities between 1978 and 1984. But behind its cold tables and statistics, a reader gets a sense of the human values invested in the project, of the hopes— and disappointments—that accompanied it. The dream was a noble one, posing the question: Can a better way be found for providing health services to the inner-city poor? The stimulus for the Municipal Health Services Program (MHSP) project came, like many other good ideas these days, from the Robert Wood Johnson Foundation, which contributed $3 million to each of five sites for the planning and start-up costs of establishing inner-city primary care centers. A second funding source was the Health Care Financing Administration, which arranged for a waiver program that would encourage people to use the primary care centers (by forgiving the

RETIREES RETURN TO COLLEGE: AN EVALUATIVE STUDY AT ONE UNIVERSITY CAMPUS

There has been a pronounced increase in the number of older Americans attending colleges and universities under tuition waiver programs, but there have been few reported studies of their educational experiences. The present research evaluated the tuition waiver program for retirees enrolled at the University of Maryland College Park. Completed questionnaires were received from 160 of 340 retirees who had been admitted to the university under this tuition waiver program. Additional data in structured follow‐up interviews were obtained for 139 of the 160 persons who returned questionnaires. Students attending the university under this program were an active, healthy, mobile, geographically stable, well‐educated group of men and women in their early years of retirement. Their academic interests centered in the arts and humanities, especially art, music, and foreign languages. Older students in this study reported that younger students and instructors were friendly, accepting, and did not treat them as different or older. Difficulties cited by older students attending the university were parking, registration, and the academic demands of keeping up with the class and meeting course requirements. The findings of this study suggest that a tuition waiver program well serves the needs of retirees to remain intellectually active, to explore academic areas long‐postponed during their working years, and to develop new or improve existing skills and interests.

TUITION WAIVER PLANS FOR OLDER AMERICANS IN POSTSECONDARY PUBLIC EDUCATION INSTITUTIONS

This article reports the results of a national survey of tuition waiver plans for older Americans in American postsecondary public education institutions designed to answer four questions. Those questions are: (1) Which states have made legal provisions for either free or reduced tuitions for older adults? (2) In which states have state higher education systems adopted tuition waiver policies for older adults? (3) In which states have individual public postsecondary education institutions adopted tuition waiver policies? (4) What are the basic provisions of the laws and policies adopted concerning tuition waiver policies? The data generated by the survey reveal that some kind of tuition waiver provision has been made in public higher education institutions in at least 43 states and the District of Columbia. The exact provisions of the tuition waiver programs vary among the several states. In most states the reduced or waived tuition option is available only on a space available basis. In most states where...

The Army's Moral Waiver Program

Juvenile JusticeVolume 23, Issue 2 p. 27-30 The Army's Moral Waiver Program Elizabeth R. Smith, Elizabeth R. Smith Col. Elizabeth R. Smith is command judge advocate for the U.S. Army Recruiting Command in Hampton, Va. The command operates recruiting stations for voluntary enlistment into the Army, and entrance and examination stations for induction into all four branches of the service. She received her bachelor's and law degrees at the University of Kentucky, and entered the Army in 1951. Col. Smith is an associate member of the National Council of Juvenile Court Judges.Search for more papers by this author Elizabeth R. Smith, Elizabeth R. Smith Col. Elizabeth R. Smith is command judge advocate for the U.S. Army Recruiting Command in Hampton, Va. The command operates recruiting stations for voluntary enlistment into the Army, and entrance and examination stations for induction into all four branches of the service. She received her bachelor's and law degrees at the University of Kentucky, and entered the Army in 1951. Col. Smith is an associate member of the National Council of Juvenile Court Judges.Search for more papers by this author First published: August 1972 https://doi.org/10.1111/j.1755-6988.1972.tb01004.xCitations: 1 AboutPDF ToolsRequest permissionExport citationAdd to favoritesTrack citation ShareShare Give accessShare full text accessShare full-text accessPlease review our Terms and Conditions of Use and check box below to share full-text version of article.I have read and accept the Wiley Online Library Terms and Conditions of UseShareable LinkUse the link below to share a full-text version of this article with your friends and colleagues. Learn more.Copy URL Share a linkShare onFacebookTwitterLinkedInRedditWechat Citing Literature Volume23, Issue2August 1972Pages 27-30 RelatedInformation