Living Well with a Disability Improves Health and Saves Money
Public Health Issue
People with disabilities compose about 20% of the U.S. population but account for nearly half of all medical expenditures. A combination of medical, rehabilitation, and community advancements have increased the life expectancy of people with disabilities. A challenge for public health is to ensure these added years are quality life years. The Living Well with a Disability (LWD) evidence-based CDC-sponsored health promotion program meets this challenge by reducing the effects of health problems and associated medical expenses for people with physical disabilities or mobility impairments.1
A national study funded by Centers for Disease Control and Prevention's (CDC) Disability and Health Program indicated that a state would save approximately $81,000 to $240,000 above the cost of the LWD program when implemented with 240 participants each year. The Research and Training Center on Disability in Rural Communities (RTC:Rural), in partnership with MTDH, provides the organizational and facilitator training and technical assistance to Centers for Independent Living and other community agencies that implement LWD workshops. LWD teaches skills to manage health, solve problems, communicate with service providers, avoid frustration and depression, increase physical activity and nutrition, and maintain healthy lifestyle practices.
Making a Difference
From February 1995 to April, 2016, RTC:Rural staff trained 1,159 LWD facilitators in 46 states, who served more than 9,272 adults with disabilities. The vast majority of trained facilitators were located in 16 of the 18 states with *CDC Disability and Health programs (http://www.cdc.gov/ncbddd/disabilityandhealth/index.html). Since 2002, 735 LWD facilitators in current and previous CDC Disability and Health funded states reached over 5,880 workshop participants, whose symptom-free days are estimated at having increased by 69,972 days. The estimated net benefit to healthcare payers is between $5.5 and $9.4 million
Contact your state Department of Public Health and Human Services to discuss LWD as a possible Medicaid reimbursable service through the Home and Community Based Services (HCBS) Waiver programs.
1Ravesloot C, Seekins T, Traci M, et al. Living Well with a Disability, a Self-Management Program. MMWR Suppl 2016; 65place_Holder_For_Early_Release:61–67. DOI: http://dx.doi.org/10.15585/mmwr.su6501a10
MTDH is a State Disability & Health Grantee of the Disability and Health Branch, Division of Human Development & Disability, National Center on Birth Defects and Developmental Disabilities at the Centers for Disease Control and Prevention. MTDH is a partnership of the Montana DPHHS and the University of Montana Rural Institute for Inclusive communities. More information is available at: http://mtdh.ruralinstitute.umt.edu
© 2016 RTC: Rural. Opinions expressed are the author’s and do not necessarily reflect those of the funding agency.