A growing number of Medicaid beneficiaries receiving disability-related assistance in their homes hire workers and manage the services themselves under consumer-directed care. Although consumer direction clearly benefits beneficiaries, it is sustainable only if workers are satisfied with their...

Examines how a new model of consumer-directed care changes the way that consumers with disabilities meet their personal care needs and, in turn, affects their well-being. The analysis yielded estimated program effects that were large, compelling, consistent across numerous types of measures, and...

Although providing personal care to a family member with disabilities often is rewarding, it can also be emotionally, physically, and financially burdensome. Caregiver burden may be exacerbated if paid personal care services (PCS), such as those provided by Medicaid-certified personal care...

This working paper presents methodological findings from the latest round of the Health Tracking Household Survey, which added a cell phone sample to the existing landline sample of random telephone numbers to increase the coverage of the U.S. population.