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Robin Clark, Ph.D. Center for Health Policy and Research

Economic Evaluation of New Hampshire’s Medicaid for Employed Adults with Disabilities (MEAD) Program February 2002 – January 2003. Robin Clark, Ph.D. Center for Health Policy and Research University of Massachusetts Medical School Karin Swain, M.S. William Peacock, M.S.

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Robin Clark, Ph.D. Center for Health Policy and Research

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  1. Economic Evaluation of New Hampshire’s Medicaid for Employed Adults with Disabilities (MEAD) ProgramFebruary 2002 – January 2003 Robin Clark, Ph.D. Center for Health Policy and Research University of Massachusetts Medical School Karin Swain, M.S. William Peacock, M.S. Dartmouth Medical School

  2. Eligibility • Age 18-64 • Must be employed • Must meet disability standards • Income less than 450% of poverty level • Countable resources less than $20,560 (single) $30,840 (couple) • Premium required if above 150% of poverty

  3. Goals of Evaluation • Measure State costs of MEAD • Measure MEAD’s impact on participant’s earnings

  4. MEAD Demographics • Mean age 43 years • 48% women • 56% were “Medically Needy”

  5. Selected Diagnostic Groups

  6. Costs Measured • Increased provider payments • Costs of determining eligibility for new MEAD applicants • Net premium payments (premiums minus administrative expenses) • Comparisons are in 2002 dollars

  7. Earnings increased by $1.4 million during the first year of MEADProgram expenditures were $ .4 million

  8. Income • People with schizophrenia earned $60 less per month • Those with prior Medicaid status earned $83 less per month • Those with prior Medically Needy status earned $71 less per month • Earnings decreased with age ($4/mo/yr) • Prior earnings strongly predict future earnings

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