Independent Living and Personal Care Services focusing on empowering persons with disabilities to recruit, manage, and retain personal assistants in their own home through self-directing programs. We also offer advocacy, peer-to-peer counseling, skills training, and information and referral.
Thursday, July 22, 2010
Tuesday, July 13, 2010
St. Louis disability agencies to receive $12.7M
Cost of workplace accommodations for individuals with disabilities: With or without personal assistance services.
Background
This study compared the expense associated with use of personal assistance services (PAS) for individuals with disabilities to the expense incurred by individuals with disabilities who did not use PAS. The intent of this investigation was to assess the disability accommodation costs and benefits of PAS and non-PAS cases.
Methods
The study uses 1,182 follow-up telephone surveys and 24 telephone interviews of employers who had previously contacted the Job Accommodation Network (JAN) to discuss disability-related accommodations for an employee or potential employee that were conducted from January 2004 through December 2006. The survey included 69 employers who had considered PAS. The surveys were conducted by the University of Iowa's Law, Health Policy, and Disability Center, which contacted employers who had previously contacted JAN for consultation on workplace accommodations. The interviews were conducted by the International Center for Disability Information at West Virginia University.
Results
Key findings point to the costs associated with PAS cases and with cases not involving PAS accommodations. As reported by the employers, the median “one-time cost” of accommodations (not $0) for non-PAS cases was $500. The median “one-time cost” of accommodations (not $0) for PAS cases was $1,850. When $0 cost of accommodations on PAS cases was factored in with “one-time cost” of accommodations for PAS cases, the median cost was $0. For non-PAS cases of accommodations, when $0 cost of accommodations was considered, the outcome was a median cost of $0. The annual cost for PAS accommodations was a median cost of $8,000 in comparison to $2,000 for non-PAS. The median dollar amount estimates of direct benefits were $1,600 for PAS accommodations, similar to $1,500 for non-PAS. The most frequently mentioned benefits from PAS accommodations were (a) increased productivity, (b) increased diversity, © retention of a valued employee, (d) improved interactions with co-workers, (e) increased overall company morale, and (f) increased overall company productivity.
Conclusions
The findings heighten awareness of the cost and benefits aspects associated with PAS for people with disabilities. Many non-PAS accommodations cost nothing to the employer (e.g., changing the work schedule, moving the individual to another location). When dollar cost was involved, the costs for PAS accommodations were more than three times greater than non-PAS accommodations.
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http://www.disabilityandhealthjnl.com/pricing
Long-term care: Who gets it, who provides it, who pays, and how much?
Long-term care in the United States is needed by 10.9 million community residents, half of them nonelderly, and 1.8 million nursing home residents, predominantly elderly. Ninety-two percent of community residents receive unpaid help, while 13 percent receive paid help. Paid community-based long-term care services are primarily funded by Medicaid or Medicare, while nursing home stays are primarily paid for by Medicaid plus out-of-pocket co-payments. Per person expenditures are five times as high, and national expenditures three times as high, for nursing home residents compared to community residents. This suggests that a redistribution of spending across care settings might produce substantial savings or permit service expansions (abstract from:
http://content.healthaffairs.org/cgi/content/abstract/29/1/11).
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Subscription information:
http://content.healthaffairs.org/subscriptions/online.dtl
Center Researchers Provide Testimony on Home and Community-Based Services
PAS Center researchers Dr. Steve Kaye and Dr. Mitch LaPlante were invited to give testimony at a May 27 hearing of the Little Hoover Commission in Sacramento, CA.
The Commission, an independent California state oversight agency that investigates state government operations and recommends legislation, conducted the second of two hearings on long-term care in preparation for a report recommending improved strategies for providing home- and community-based services in California. The Commission was particularly interested in PAS Center research on expenditures on and cost-effectiveness of non-institutional long-term care services. Dr. LaPlante presented an overview of Center research on the subject and on the legal right of individuals to obtain long-term care services in non-institutional settings. Dr. Kaye presented an update and reanalysis of his 2009 Health Affairs article, co-authored by Dr. LaPlante and Dr. Charlene Harrington, titled, "Do Noninstitutional Long-Term Care Services Reduce Medicaid Spending?"
The following resources are available.
Link to the hearing agenda:
http://www.lhc.ca.gov/studies/agendas/May10.html
Copies of the written testimonies:
Steve Kaye and Mitch LaPlante
Link to the 2009 Health Affairs article on the Little Hoover Commission website:
http://www.lhc.ca.gov/studies/activestudies/longtermcare/KayeAdditionalMay10.pdf
Video coverage of the hearing from the California Channel:
https://www.calchannel.com/channel/viewVideo/1448