Document Detail

Changing patterns of conditions among children receiving Supplemental Security Income disability benefits.
MedLine Citation:
PMID:  9895004     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To determine the relative growth of types of chronic health conditions among children and adolescents receiving Supplemental Security Income (SSI) benefits before and after major SSI program changes, including changes in definitions of childhood disability and outreach to identify eligible children. DESIGN: Retrospective analysis of Medicaid claims from California, Georgia, Michigan, and Tennessee. PARTICIPANTS: All children (aged < or = 21 years) newly enrolled in SSI programs in these states from July 1989 (n=21 222) to June 1992 (n=38 789). METHODS: Medicaid data indicate eligibility status and diagnoses for services rendered. For children newly enrolled before (time 1, July 1989 to June 1990), during (time 2, July 1990 to June 1991), and after (time 3, July 1991 to June 1992) the program changes, we used claims for the first 6 months of enrollment to determine rates of chronic conditions in general and rates of asthma, attention-deficit/hyperactivity disorder (ADHD), and mental retardation specifically. We also followed up time 1 enrollees during the study period to determine the likelihood of a chronic condition claim at any time. MAIN OUTCOME MEASURE: Presence of claims for chronic conditions. RESULTS: New SSI enrollees almost doubled during the study period. Increasing numbers of new enrollees had chronic condition claims in their first 6 months (from 29% to 36%); 58% of time 1 enrollees had such claims during any study month. Rates of chronic physical conditions other than asthma increased 14% (time 1 to time 3); asthma rates increased 73%. Rates of mental health conditions other than mental retardation and ADHD increased 63%; rates of mental retardation decreased 29%, while rates of ADHD increased almost 3-fold. CONCLUSIONS: The number of children with chronic conditions receiving SSI benefits experienced rapid growth from 1989 to 1992. Growth was particularly marked for children with diagnoses of asthma and ADHD.
J M Perrin; K Kuhlthau; T J McLaughlin; S L Ettner; S L Gortmaker
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Archives of pediatrics & adolescent medicine     Volume:  153     ISSN:  1072-4710     ISO Abbreviation:  Arch Pediatr Adolesc Med     Publication Date:  1999 Jan 
Date Detail:
Created Date:  1999-02-11     Completed Date:  1999-02-11     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  9422751     Medline TA:  Arch Pediatr Adolesc Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  80-4     Citation Subset:  AIM; IM    
Department of Pediatrics, Massachusetts General Hospital, Harvard Medical School, Boston 02114, USA.
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MeSH Terms
Asthma / economics,  epidemiology
Attention Deficit Disorder with Hyperactivity / economics,  epidemiology
California / epidemiology
Child, Preschool
Chronic Disease / economics*,  epidemiology
Costs and Cost Analysis
Disabled Children / statistics & numerical data*
Georgia / epidemiology
Insurance Claim Review / statistics & numerical data
Medicaid / statistics & numerical data*
Mental Retardation / economics,  epidemiology
Michigan / epidemiology
Retrospective Studies
Social Security / economics*,  statistics & numerical data
Tennessee / epidemiology
United States
Grant Support
18-C-90455/1-01//PHS HHS; MCJ-250634//PHS HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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