Southern farmers and their stories: memory and meaning in oral history
In: New directions in southern history
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In: New directions in southern history
In: Women's diaries and letters of the South
In: Revisiting rural America
In: Journal of policy and practice in intellectual disabilities: official journal of the International Association for the Scientific Study of Intellectual Disabilities, Band 11, Heft 4, S. 268-278
ISSN: 1741-1130
AbstractIn the United States, Medicaid is the primary source of funding for many services on which individuals with intellectual and developmental disabilities depend. Case management, one such service, links individuals with intellectual and developmental disabilities to community‐based speech and language therapy, adaptive technology, medical care, and other support services. Case management can facilitate navigation in a complex system of care. State and federal concerns about the rising cost of Medicaid and case management have led to changes in payment methodologies. This analysis of one state's case management expenditure during 2007 and 2008 found payment changes were associated with a decrease in the average annual cost per person. Comparing these two years, the largest decrease in cost was found among children and youth, those individuals with less severe disabilities, and persons from ethnic/racial minorities. As such changes could delay early intervention, over time, they could have a negative effect on both cost and outcomes. While this is a case study of a single service in a large urban area of one state, the results may apply to other health and human services and to other locales where fee‐for‐service arrangements are used.
In: Gender & history, Band 20, Heft 2, S. 446-447
ISSN: 1468-0424
In: Southern Farmers and Their Stories, S. 77-116
In: Southern Farmers and Their Stories, S. 117-138
In: Southern Farmers and Their Stories, S. 139-176
In: Southern Farmers and Their Stories, S. 177-222
In: Southern Farmers and Their Stories, S. 36-76
In: Women's Diaries and Letters of the South Ser
"Collection of essays capturing the transformation of the American South from agrarian to industrial/commercial over the course of the twentieth century from the perspective of women struggling against poverty by relying on tradition and inner strength"--Provided by publisher