Parthenia Dinora, Matthew Bogenschutz, and Michael Broda, Virginia Commonwealth University.
Intellect Dev Disabil. 2020 Apr;58(2):139-157. doi: 10.1352/1934-9556-58.2.139.
People with intellectual and developmental disabilities (IDD) often rely on Medicaid-funded services and supports to facilitate their daily living. The financial investment for these services is significant, yet little work has been conducted to understand how these investments affect life outcomes. This pilot study used a novel data integration approach to offer initial insights about how Medicaid expenditures relate to outcomes using Medicaid claims data, results of the National Core Indicators consumer survey, and data from the Supports Intensity Scale (SIS). Findings suggested that subpopulations of people with IDD who also had high behavioral needs or high medical needs had significantly higher expenditures than individuals with more typical SIS-assessed support needs. Regression analyses suggested mixed outcomes based on the factors we considered, including a finding that people with IDD who lived in sponsored residential care homes were more likely to engage in inclusive activities in the community than those who lived in larger congregate settings, or those who lived in a family home. Results of this pilot, when brought to scale, will be useful in examining the performance of state IDD service systems over time.
智力和发育障碍者（IDD）通常依赖医疗补助计划资助的服务和支持来促进他们的日常生活。这些服务的财务投资巨大，但很少有人研究这些投资如何影响生活结果。这项试点研究使用了一种新颖的数据集成方法，利用医疗补助计划索赔数据、国家核心指标消费者调查结果以及支持强度量表（SIS）的数据，初步了解医疗补助支出与结果之间的关系。研究结果表明，具有较高行为需求或较高医疗需求的 IDD 亚人群的支出明显高于具有更典型 SIS 评估支持需求的个体。回归分析根据我们考虑的因素得出了混合结果，包括发现居住在赞助住宅护理院的 IDD 患者比居住在较大的集体环境中的患者或居住在家庭中的患者更有可能参与社区的包容性活动。这项试点研究的结果在扩大规模后，将有助于随着时间的推移检查州 IDD 服务系统的绩效。
