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Private Disability Insurance

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1. Economic burden of paediatric-onset disabilities among young and middle-aged adults in the USA: a cohort study of privately insured beneficiaries. (PubMed)

Economic burden of paediatric-onset disabilities among young and middle-aged adults in the USA: a cohort study of privately insured beneficiaries. Individuals with paediatric-onset disabilities (PoDs) have complex healthcare needs and are susceptible to adverse health outcomes, which may impose a higher strain on healthcare resources. The burden of healthcare resource utilisation and costs attributed to the population of adults with PoDs is not clearly established. The objective here (...) was to compare healthcare resource utilisation and costs between adults with versus without PoDs.Cohort.Data were from the 2016 Optum Clinformatics Data Mart, a de-identified nationwide claims database of beneficiaries from a single private payer in the USA.International Classification of Diseases, Tenth Revision, Clinical Modification diagnosis codes were used to identify beneficiaries with PoDs that were between 18 and 64 years of age.Annual all-cause healthcare resource utilisation and total healthcare

2019 BMJ open

2. The effect of low-trauma fracture on one-year mortality rate among privately insured adults with and without neurodevelopmental disabilities. (PubMed)

The effect of low-trauma fracture on one-year mortality rate among privately insured adults with and without neurodevelopmental disabilities. Individuals with neurodevelopmental disabilities (NDDs) have poor development and preservation of skeletal health throughout the lifespan, and are especially vulnerable to low-trauma fracture and post-fracture health complications. However, no studies have examined if adults with NDDs have greater post-fracture mortality risk compared to adults without (...) by fracture location, lower extremities were associated with greater crude mortality rate (RR = 1.69; 95% CI = 1.22-2.35) and adjusted mortality risk (HR = 2.41; 95% CI = 1.73-3.35), while upper extremities were associated with greater adjusted mortality risk (HR = 1.76; 95% CI = 1.23-2.50) for adults with vs. without NDDs.Among privately insured adults with NDDs, low-trauma fracture is associated with greater mortality risk within 1 year of the fracture event, even after adjusting for pre-fracture

2019 Bone

3. The Financial Impact of Advanced Kidney Disease on Canada Pension Plan and Private Disability Insurance Costs (PubMed)

The Financial Impact of Advanced Kidney Disease on Canada Pension Plan and Private Disability Insurance Costs Many working-age individuals with advanced chronic kidney disease (CKD) are unable to work, or are only able to work at a reduced capacity and/or with a reduction in time at work, and receive disability payments, either from the Canadian government or from private insurers, but the magnitude of those payments is unknown.The objective of this study was to estimate Canada Pension Plan (...) Disability Benefit and private disability insurance benefits paid to Canadians with advanced kidney failure, and how feasible improvements in prevention, identification, and early treatment of CKD and increased use of kidney transplantation might mitigate those costs.This study used an analytical model combining Canadian data from various sources.This study included all patients with advanced CKD in Canada, including those with estimated glomerular filtration rate (eGFR) <30 mL/min/m2 and those

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2017 Canadian journal of kidney health and disease

4. Private Disability Insurance

Private Disability Insurance Private Disability Insurance Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Private Disability Insurance (...) Private Disability Insurance Aka: Private Disability Insurance From Related Chapters II. Background Covers inability to work longer than 90 days Insures continued income not covered by other insurance III. Definitions Insurance based on occupation Own Occupation Insurance (Professionals) Covers inability to work in own occupation Regular Occupation (non-professional occupations) Covers inability to work in regular occupation Not specific to patient returning to his usual job Reverts to Any Occupation

2018 FP Notebook

5. Health-based risk neutralization in private disability insurance (PubMed)

Health-based risk neutralization in private disability insurance Exclusions are used by insurers to neutralize higher than average risks of sickness absence (SA). However, differentiating risk groups according to one's medical situation can be seen as discrimination against people with health problems in violation of a 2006 United Nations convention. The objective of this study is to investigate whether the risk of SA of insured persons with exclusions added to their insurance contract differs (...) from the risk of persons without exclusions.A dynamic cohort of 15 632 applicants for private disability insurance at a company insuring only college and university educated self-employed in the Netherlands. Mean follow-up was 8.94 years. Duration and number of SA periods were derived from insurance data to calculate the hazard of SA periods and of recurrence of SA periods.Self-employed with an exclusion added to their insurance policy experienced a higher hazard of one or more periods of SA

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2016 The European Journal of Public Health

6. Provision of Moderately and Highly Effective Reversible Contraception to Insured Women With Intellectual and Developmental Disabilities. (PubMed)

Provision of Moderately and Highly Effective Reversible Contraception to Insured Women With Intellectual and Developmental Disabilities. To estimate provision of moderately and highly effective reversible contraceptives to women with intellectual and developmental disabilities.We used data from the Massachusetts All-Payer Claims Database to identify women aged 15-44 years with and without intellectual and developmental disabilities who were continuously enrolled in a private commercial (...) insurance plan, Medicaid, or Medicare in 2012. We calculated the percentage of women aged 15-44 years who were not medically or surgically sterile and were provided 1) highly effective, long-acting reversible contraception (LARC, the intrauterine device or subdermal implant); or 2) prescriptions for moderately effective methods (pill, patch, ring, shot, or diaphragm). Logistic regression models estimated the odds of LARC and moderately effective method provision by disability status, adjusted for age

2018 Obstetrics and Gynecology

7. Medicaid expansions for the working age disabled: Revisiting the crowd-out of private health insurance. (PubMed)

Medicaid expansions for the working age disabled: Revisiting the crowd-out of private health insurance. Disabled individuals under 65 years old account for 15% of Medicaid recipients but half of all Medicaid spending. Despite their large cost, few studies have investigated the effects of Medicaid expansions for disabled individuals on insurance coverage and crowd-out of private insurance. Using an eligibility expansion that allowed states to provide Medicaid to disabled individuals with incomes

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2014 Journal of Health Economics

8. Acute Whiplash Injury Study (AWIS): a protocol for a cluster randomised pilot and feasibility trial of an Active Behavioural Physiotherapy Intervention in an insurance private setting. (PubMed)

Acute Whiplash Injury Study (AWIS): a protocol for a cluster randomised pilot and feasibility trial of an Active Behavioural Physiotherapy Intervention in an insurance private setting. Whiplash-associated disorder (WAD) causes substantial social and economic burden internationally. Up to 60% of patients with WAD progress to chronicity. Research therefore needs to focus on effective management in the acute stage to prevent the development of chronicity. Approximately 93% of patients (...) are classified as WADII (neck complaint and musculoskeletal sign(s)), and in the UK, most are managed in the private sector. In our recent systematic review, a combination of active and behavioural physiotherapy was identified as potentially effective in the acute stage. An Active Behavioural Physiotherapy Intervention (ABPI) was developed through combining empirical (modified Delphi study) and theoretical (social cognitive theory focusing on self-efficacy) evidence. This pilot and feasibility trial has been

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2016 BMJ open

9. Individualised funding interventions to improve health and social care outcomes for people with a disability

, intellectual or developmental disability, level of mental health problem, disorder or illness, or dementia), residing in any country and any type of residential setting (own home, group home, residential care setting, nursing home, hospital, institution). Studies in any language were included. Minors and older people without a lifelong disability (i.e. no disability in 10 years prior to reaching the age of 65) were excluded, as were privately funded individualised funding interventions. Data collection (...) it was not present for at least ten years of their working-adult life. Such disabilities would generally be age-related, such as frailty or difficulty with completing Activities of Daily Living, and are not the focus of this review • Privately funded individualised funding interventions. 3.1.3 Types of interventions Any form of personal budget or individualised funding which is state funded directly or indirectly. For the quantitative element of this review, where a control group exists, support services may

2019 Campbell Collaboration

10. Private Disability Insurance

Private Disability Insurance Private Disability Insurance Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Private Disability Insurance (...) Private Disability Insurance Aka: Private Disability Insurance From Related Chapters II. Background Covers inability to work longer than 90 days Insures continued income not covered by other insurance III. Definitions Insurance based on occupation Own Occupation Insurance (Professionals) Covers inability to work in own occupation Regular Occupation (non-professional occupations) Covers inability to work in regular occupation Not specific to patient returning to his usual job Reverts to Any Occupation

2015 FP Notebook

11. Factors Determining Children’s Private Health Insurance Enrolment and Healthcare Utilization Patterns: Evidence From the 2008 to 2011 Health Panel Data (PubMed)

Factors Determining Children’s Private Health Insurance Enrolment and Healthcare Utilization Patterns: Evidence From the 2008 to 2011 Health Panel Data Parental socioeconomic status (SES) exerts a substantial influence on children's health. The purpose of this study was to examine factors determining children's private health insurance (PHI) enrolment and children's healthcare utilization according to PHI coverage.Korea Health Panel data from 2011 (n=3085) was used to explore the factors (...) on outpatient cost, inpatient cost, and number of admissions. Number of outpatient visits and total length of stay were not affected by PHI status. The interaction between PHI and age group increased outpatient cost significantly.Children's PHI enrolment was influenced by parents' SES, while healthcare utilization was affected by health and disability status. Therefore, the results of this study suggest disparities in healthcare utilization according to PHI enrollment.

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2015 Journal of Preventive Medicine and Public Health

12. [Evaluation of a Proactive Health Programme for Insured Persons with Persistent Back Pain: One-year Follow-up of a Randomised Controlled Trial]. (PubMed)

[Evaluation of a Proactive Health Programme for Insured Persons with Persistent Back Pain: One-year Follow-up of a Randomised Controlled Trial]. Background To facilitate access to evidence-based care for persisting back pain, a private medical insurance developed a health programme and offered it proactively to their members. The aim of this study was to evaluate the feasibility and efficacy of this procedure. Methods The design of the study was a Zelen randomized controlled trial. Adult (...) insured persons with persistent back pain were randomized to the control (CG) or intervention group (IG) prior to giving consent. The IG was invited to participate in the health programme, the CG in a survey. Primary outcomes were back pain intensity and disability (according to von Korff) and health-related quality of life (SF-12). At baseline, 12- and 24-month follow-up, outcomes were documented by identical online questionnaires. Results 552 of 3462 randomized insured persons agreed to participate

2017 Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany))

13. Active Labor Market Programme Participation for Unemployment Insurance Recipients: A Systematic Review

Collaboration | www.campbellcollaboration.org 3.2.3 Types of interventions The intervention is participation in ALMP. ALMPs can include a wide range of activities as listed below. ALMPs typically apply to unemployment insurance beneficiaries and (if different) employable social assistance beneficiaries 4 , but similar principles are increasingly being applied to lone-parent and disability beneficiaries 5 . In this review, ALMPs were understood in the narrow sense of training or employment measures (...) for the unemployed receiving unemployment insurance benefits. A large variety of different ALMP programmes exists among countries which may be classified into four core categories. In this review, we adopted categories which broadly correspond to classifications suggested and used by the OECD and Eurostat (OECD, 2004; Eurostat, 2005) even though there are differences between OECD and Eurostat in how they define and categorise these programmes. The four categories are: A: (labour market) training, B: Private

2015 Campbell Collaboration

14. Health Insurance-Motivated Disability Enrollment and the ACA. (PubMed)

Health Insurance-Motivated Disability Enrollment and the ACA. 22950841 2012 09 27 2018 12 01 1533-4406 367 12 2012 Sep 20 The New England journal of medicine N. Engl. J. Med. Health insurance-motivated disability enrollment and the ACA. e16 Kennedy Jae J Department of Health Policy and Administration, Washington State University, Spokane, USA. Blodgett Elizabeth E eng Journal Article 2012 09 05 United States N Engl J Med 0255562 0028-4793 AIM IM Disabled Persons Humans Insurance, Health (...) legislation & jurisprudence statistics & numerical data Patient Protection and Affordable Care Act Private Sector Social Security statistics & numerical data United States 2012 9 7 6 0 2012 9 7 6 0 2012 9 28 6 0 ppublish 22950841 10.1056/NEJMp1208212

2012 NEJM

15. Concentration of Physician Services Across Insurers and Effects on Quality: Early Evidence From Medicare Advantage. (PubMed)

Concentration of Physician Services Across Insurers and Effects on Quality: Early Evidence From Medicare Advantage. A growing proportion of Medicare beneficiaries is covered by private insurers through Medicare Advantage, yet little is known about how these plans are structured in terms of relationships with physicians and implications for quality of care.The objective of this study was to assess whether greater physician concentration of services across insurers was associated with higher (...) was stronger in contracts with a relatively high percentage of disabled enrollees.Greater physician concentration of services across MA insurers was associated with a higher quality of care overall and especially among vulnerable enrollees.

2019 Medical Care

16. Guest Post: Getting Sex Rights Wrong: Improving our Conversations about Sexual Exclusion and Disability

criticize an article previously published in this journal that gives an affirmative answer to the above question. Jacob M. Appel has that jurisdictions that prohibit commercial sex should make a special exemption for disabled people, whose access to sexual surrogacy services should be covered by private and public health insurance plans. The cornerstone of his argument is an appeal to sex rights. He presumes that (partnered) sexual pleasure is a fundamental right that should be available to all (...) Guest Post: Getting Sex Rights Wrong: Improving our Conversations about Sexual Exclusion and Disability Guest Post: Getting Sex Rights Wrong: Improving our Conversations about Sexual Exclusion and Disability | Journal of Medical Ethics blog by Author: Dr. Alida Liberman, University of Indianapolis Paper: People who have disabilities are often sexually excluded or marginalized: positive portrayals of disabled sexuality in fiction or news media are rare, and people with disabilities are often

2018 Journal of Medical Ethics blog

17. Guest Post: Getting Sex Rights Wrong: Improving our Conversations about Sexual Exclusion and Disability

criticize an article previously published in this journal that gives an affirmative answer to the above question. Jacob M. Appel has that jurisdictions that prohibit commercial sex should make a special exemption for disabled people, whose access to sexual surrogacy services should be covered by private and public health insurance plans. The cornerstone of his argument is an appeal to sex rights. He presumes that (partnered) sexual pleasure is a fundamental right that should be available to all (...) Guest Post: Getting Sex Rights Wrong: Improving our Conversations about Sexual Exclusion and Disability Guest Post: Getting Sex Rights Wrong: Improving our Conversations about Sexual Exclusion and Disability | Journal of Medical Ethics blog by Author: Dr. Alida Liberman, University of Indianapolis Paper: People who have disabilities are often sexually excluded or marginalized: positive portrayals of disabled sexuality in fiction or news media are rare, and people with disabilities are often

2018 Journal of Medical Ethics blog

18. Private Information and Insurance Rejections (PubMed)

cause rejections. I then develop a new empirical methodology to test whether this no-trade condition can explain rejections. The methodology uses subjective probability elicitations as noisy measures of agents beliefs. I apply this approach to three non-group markets: long-term care, disability, and life insurance. Consistent with the predictions of the theory, in all three settings I find significant amounts of private information held by those who would be rejected; I find generally more private (...) Private Information and Insurance Rejections Across a wide set of non-group insurance markets, applicants are rejected based on observable, often high-risk, characteristics. This paper argues that private information, held by the potential applicant pool, explains rejections. I formulate this argument by developing and testing a model in which agents may have private information about their risk. I first derive a new no-trade result that theoretically explains how private information could

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2013 Econometrica : journal of the Econometric Society

19. Caring for the Carer: Home design and modification for carers of young people with disability

or modification to an existing home, through ‘whole of household approaches’ that consider the needs of all household members rather than just the individual with a disability. Assessing the home environment Disability services for young people with disability and their carers are administered by various state and territory governments with a gradual transition to the National Disability Insurance Scheme (NDIS) happening through to 2019. The NDIS is the outcome of the Productivity Commission’s report (...) and is emerging as an issue for the roll out of the NDIS. The NDIS can fund home modifications to the home of a person with disability who is an NDIS participant, but not the purchase or rental of suitable housing (National Disability Insurance Agency, 2014). In fact, a Community Housing Federation of Australia forum on this issue noted that “no matter how well funding from the NDIA is leveraged the demand for housing from people with disability will almost certainly exceed supply for many years to come

2014 Home Modification Information Clearinghouse

20. DIY Home Modifications: Point-of-Sale Support for People with Disability and their Carers Positioning Paper

. August 2014 ISBN: 978-0-7334-3505-8 www.homemods.info 7 Glossary ADHC Aging, Disability and Home Care (an agency of FACS) CCSP Community Care Supports Program (NSW) CDC Consumer-Directed Care DIY Do-it-yourself DVA Department of Veterans Affairs FACS NSW Department of Family and Community Services HACC Home and Community Care Program ICF International Classification of Functioning, Disability and Health LLLB Living Longer Living Better NDIA National Disability Insurance Agency NDIS National (...) Disability Insurance Scheme UNCRPD United Nations Convention on the Rights of Persons with Disabilities Authored by M. Bleasdale, N. McNamara , F. Zmudzki & C. Bridge for the Home Modification Information Clearinghouse, City Futures Research Centre, UNSW. Positioning Paper: DIY Home Modifications: Point-of-Sale Support for People with Disability and their Carers. August 2014 ISBN: 978-0-7334-3505-8 www.homemods.info 8 Executive Summary Despite a vast amount of research into home modifications

2014 Home Modification Information Clearinghouse

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