1. Impact of expanding SSI on Medicaid expenditures of disabled children.
- Author
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Ettner, SL, Kuhlthau, K, McLaughlin, TJ, Perrin, JM, and Gortmaker, SL
- Subjects
Biochemistry and Cell Biology ,Biomedical and Clinical Sciences ,Biological Sciences ,Clinical Sciences ,Neurosciences ,Clinical Research ,Pediatric ,Adolescent ,Child ,Child ,Preschool ,Disabled Children ,Eligibility Determination ,Female ,Health Expenditures ,Health Services Research ,Humans ,Infant ,Infant ,Newborn ,Male ,Medicaid ,Poverty ,Social Security ,United States ,Public Health and Health Services ,Health Policy & Services ,Biochemistry and cell biology ,Clinical sciences - Abstract
Supplemental Security Income (SSI) expansions for disabled children in the early 1990s provoked criticism that eligibility criteria were too lax and motivated the subsequent retraction of benefits for many children. However, little evidence exists on whether the clinical needs of SSI children declined during this period. The authors used Medicaid data to examine changes in average expenditures between 1989 and 1992, using an Aid to Families with Dependent Children (AFDC) comparison group to control for confounding time trends (e.g., in access). Results showed declines in average expenditures in Georgia and Tennessee but increases in California and Michigan, which are thought to have started with more liberal eligibility policies.
- Published
- 2000