Online Program

Disability and Health Value: A Multistate Medicaid Data Analysis Collaboration

Tuesday, November 3, 2015 : 8:30 a.m. - 8:50 a.m.

Adriane K. Griffen, MPH, MCHES, Association of University Centers on Disabilities, Silver Spring, MD
Brian Armour, PhD, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, Centers for Disease Control and Prevention, Atlanta, GA
The Association of University Centers on Disabilities (AUCD), a national network of interdisciplinary centers in every state and territory, is partnering with CDC’s National Center on Birth Defects and Developmental Disabilities (NCBDDD) and 5 states (MA, IA, IL, DE, and NY) to access Medicaid data and perform analyses to enhance understanding of the impact/value of state-based CDC Disability and Health Grantee efforts.

People with disabilities insured by Medicaid comprised 15% of the Medicaid population (62.7 million persons) and accounted for 42% of total Medicaid expenditures ($263.4 billion) in 2009.  While state level data are available that describes people with disabilities, the definition of disability is general (i.e. based on a functional definition) and does not allow for the identification of people with specific types of disability (e.g. autism) or their type(s) of insurance coverage (e.g. Medicaid). This lack of disability-specific data hinders opportunities to characterize the populations of interest, identify specific health issues among those populations, and track progress of health and wellness improvement by primary disabling condition.  This project identifies people with intellectual disability covered by Medicaid in each of these five states, characterizes the leading health issues that these Medicaid recipients experience, and identifies opportunities to improve the health/wellness of these Medicaid beneficiaries.

Analysis algorithms for this project (February–September 2015) are provided through AUCD’s cooperative agreement with CDC’s Office for State, Tribal, Local and Territorial Support, CDC's NCBDDD, and a subcontract with the University of SC. Data and methodological experiences of the collaboration will be presented.

Learning Areas:

Clinical medicine applied in public health
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Describe the characteristics of health care utilization for people who have intellectual and developmental disabilities through Medicaid data analysis. Assess how progress of health and wellness improvement by primary disabling condition is tracked among people who have intellectual and developmental disabilities. Discuss the capacity factors that enable state partners to perform access the data and perform the analysis. Identify strategies to perform similar analysis of Medicaid data for healthcare services utilization among people who have an intellectual or developmental disability.

Keyword(s): Disabilities, Health Care Delivery

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Ms. Griffen is the Director of Public Health at the Association of University Centers on Disabilities. Ms. Griffen's activities involve building public health capacity on disability. Ms. Griffen is the Chair of the Friends of NCBDDD and Awards Chair of the APHA Disability Section. She holds a Master of Public Health, is a Master Certified Health Education Specialist, and is a Doctor of Public Health in Leadership candidate at the University of Illinois at Chicago.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.