This brief explores the paths of people with disabilities who leave the Medicaid Buy-In program, finding that their earnings and employment rates decline after disenrollment. The program helps adults with disabilities work while still retaining Medicaid coverage. At the end of 2008, 37 states...

This paper assesses the effectiveness of means-tested and social insurance programs in the United States. The U.S. benefit system has a major impact on poverty rates, reducing the percentage of the poor in 2004 from 29 to 13.5 percent. The system reduces poverty the most for persons with...

The fourth brief in a series on the Medicaid Buy-In program, a key component of the federal effort to help people with disabilities return to work without losing health insurance coverage, examines earnings after enrollment. The brief notes that nearly 40 percent of participants increase their...

This issue brief presents longitudinal employment and exit for work statistics for SSDI beneficiaries followed for 10 years from when they first received their award.

This issue brief profiles Medicaid Buy-In participants with severe mental illness and compares their characteristics, employment experiences, and medical expenditures with those of other program participants. These individuals have better employment outcomes than participants with other...

Leading health care financing reforms might mitigate, or even eliminate, challenges that the current system creates for people with disabilities who work, or want to work, but there is no guarantee. This brief summarizes the challenges posed by the current system and considers how features of...