Author
Jean P. Hall
Other affiliations: University of North Carolina at Chapel Hill
Bio: Jean P. Hall is an academic researcher from University of Kansas. The author has contributed to research in topics: Medicaid & Health care. The author has an hindex of 13, co-authored 71 publications receiving 487 citations. Previous affiliations of Jean P. Hall include University of North Carolina at Chapel Hill.
Topics: Medicaid, Health care, Population, Mental health, Medicine
Papers published on a yearly basis
Papers
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TL;DR: Findings indicated participants with any level of paid employment had significantly lower rates of smoking and better quality of life; self-reported health status was significantly higher, while per person per month Medicaid expenditures were less.
51 citations
TL;DR: Examination of data from the Health Reform Monitoring Survey finds that respondents in expansion states were significantly more likely to be employed compared with those in nonexpansion states, suggesting that Medicaid expansion may improve employment for people with disabilities.
Abstract: Objectives. To use data from the Health Reform Monitoring Survey (HRMS) to examine differences in employment among community-living, working-age adults (aged 18–64 years) with disabilities who live in Medicaid expansion states and nonexpansion states.Methods. Analyses used difference-in-differences to compare trends in pooled, cross-sectional estimates of employment by state expansion status for 2740 HRMS respondents reporting a disability, adjusting for individual and state characteristics.Results. After the Affordable Care Act (ACA), respondents in expansion states were significantly more likely to be employed compared with those in nonexpansion states (38.0% vs 31.9%; P = .011).Conclusions. Prior to the ACA, many people with disabilities were required to live in poverty to maintain their Medicaid eligibility. With Medicaid expansion, they can now enter the workforce, increase earnings, and maintain coverage.Public Health Implications. Medicaid expansion may improve employment for people with disabilities.
46 citations
TL;DR: Examining the intersection of LGBTQ+ identity and ASD reveals compounded health disparities that insurers and medical providers are not adequately addressing, particularly as individuals transition to the adult medical system.
Abstract: We explored the health and health care experiences of people with autism spectrum disorder (ASD) who identify as lesbian, gay, bisexual, transgender, or queer (LGBTQ+) using data from a national, internet-based survey of adults with disabilities supplemented by focused interviews. LGBTQ+ respondents had significantly higher rates of mental illness, poor physical health days per month, and smoking compared to straight, cisgender respondents with ASD. LGBTQ+ respondents also reported much higher rates of unmet health care need, inadequate insurance provider networks, and rates of being refused services by a medical provider. Examining the intersection of LGBTQ+ identity and ASD reveals compounded health disparities that insurers and medical providers are not adequately addressing, particularly as individuals transition to the adult medical system.
41 citations
TL;DR: Although the current special education system has many negative aspects, changes to the existing system rather than a movement to full inclusion will be more effective in supporting disability culture and, ultimately, the needs of children with disabilities.
Abstract: Because of the long history of exclusion of people with disabilities, total inclusion in the educational environment has many outspoken proponents. People and organizations favoring inclusion, howe...
37 citations
TL;DR: Post-ACA reforms for people with mental health conditions were less likely to be uninsured and more likely to report a usual source of care and any health services, and these effects were experienced in both Medicaid expansion and nonexpansion states.
Abstract: Objective:This brief report explores the impact of health reform for people with mental illness.Methods:The Health Reform Monitoring Survey was used to examine health insurance, access to care, and employment for 1,550 people with mental health conditions pre- and postimplementation of the Affordable Care Act (ACA) and by state Medicaid expansion status. Multivariate logistic regressions with predictive margins were used.Results:Post-ACA reforms, people with mental health conditions were less likely to be uninsured (5% versus 13%; t=−6.89, df=50, p<.001) and to report unmet need due to cost of mental health care (17% versus 21%; t=−3.16, df=50, p=.002) and any health services (46% versus 51%; t=−3.71, df=50, p<.001), and they were more likely to report a usual source of care (82% versus 76%; t=3.11, df=50, p=.002). These effects were experienced in both Medicaid expansion and nonexpansion states.Conclusions:Findings underscore the importance of ACA improvements in the quality of health insurance coverage.
30 citations
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506 citations
487 citations
344 citations