Background: Long-term care services are funded primarily by Medicaid long-term services and support in the United States, where eligibility is based on care needs of the individual with intellectual and developmental disability alone. Impact of Medicaid waiver services on self-reported caregiver needs is not well understood. Method: Caregivers (n…

For more than 30 years, Medicaid has played a key role in paying for school health services. As the source of health insurance for 40 percent of children across the country, Medicaid helps ensure low-income children receive healthcare they need to be healthy and ready to learn. Today, new opportunities exist to enhance the role that Medicaid plays…

This chartbook is the 14th version to be produced for the Appalachian Regional Commission (ARC) by the Population Reference Bureau (PRB). The Chartbook describes the diversity of the Appalachian Region on a host of demographic and economic measures and provides an important annual view of the area and its people. The data contained in the…

A recent survey of 41 different state boards of education revealed that officials from 28 states indicate that they are experiencing teacher shortages. The shortages in some states are significant. While the teacher shortage in many states is tied to different factors, one frequently cited reason for leaving the teaching profession is low pay.…

This report presents state- and county-level data for the Appalachian Region. The 12 chapters focus on: (1) Population Basics; (2) Age; (3) Race and Hispanic Origin; (4) Housing Occupancy, Tenure, and Type; (5) Education, Device Ownership, and Internet Access; (6) Labor Force, Employment, and Unemployment; (7) Transportation and Commuting…

This study examines state- and county-level data for the 13 Appalachian states from the 2013-2017 American Community Survey (ACS) and from U.S. Census Bureau population estimates on topics including population, age, race and ethnicity, housing occupancy and tenure, education, labor force, employment and unemployment, income and poverty, health…

This report presents state- and county-level data for the Appalachian Region. The 12 chapters focus on: (1) Population Basics; (2) Age; (3) Race and Hispanic Origin; (4) Housing Occupancy, Tenure, and Type; (5) Education, Device Ownership, and Internet Access; (6) Labor Force, Employment, and Unemployment; (7) Transportation and Commuting…

This study examines state- and county-level data for the Appalachian Region. The 11 chapters focus on: (1) Population Basics; (2) Age; (3) Race and Hispanic Origin; (4) Housing Occupancy, Tenure, and Type; (5) Education; (6) Labor Force, Employment, Unemployment, and Commuting Patterns; (7) Income and Poverty; (8) Health Insurance Coverage (9)…

This study examines state- and county-level data on population, age, race and ethnicity, housing occupancy and housing tenure, education, labor force, employment and unemployment, income and poverty, health insurance coverage, disability status, migration patterns, and veteran status from the 2011-2015 American Community Survey (ACS) for the 13…

Background: Health self-efficacy (the confidence to take care of one's health) is a key component in ensuring that individuals are active partners in their health and health care. The purpose of this study was to determine the association between financial hardship and health self-efficacy among African American men and to determine if unmet…

Financial barriers can substantially delay medical care seeking. Using patient narratives provided by 252 colorectal cancer patients, we explored the experience of financial barriers to care seeking. Of the 252 patients interviewed, 84 identified financial barriers as a significant hurdle to obtaining health care for their colorectal cancer…

This study examines state- and county-level data on population, age, race and ethnicity, housing occupancy and housing tenure, education, labor force, employment and unemployment, income and poverty, health insurance coverage, disability status, migration patterns, and veteran status from the 2010-2014 American Community Survey (ACS) for the 13…

This paper examines the debate in the U.S. Senate over the reasons why state governments have decreased funding for higher education. One side believes that federal mandates on states to pay for Medicaid have forced them to reduce spending on higher education. The other side believes that states unwisely reduced taxes, which decreased their…

Allison G. Armentrout, an adjunct instructor at Stark State College, does not get paid by the hour. She earns $4,600 to teach two English composition courses. But now she carefully tracks how many hours she works on an electronic time sheet. During a recent week, she spent three hours preparing for her lectures, close to six hours in the…

This article examines issues on health care costs and describes measures taken by public districts to reduce spending. As in most companies in America, health plan designs in public districts are being changed to reflect higher out-of-pocket costs, such as higher deductibles on visits to providers, hospital stays, and prescription drugs. District…