Health and Disability Working Group

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The Health and Disability Working Group (HDWG) was established in 1992 as a program of the Health Services Department at the Boston University School of Public Health. At that time, it was known as the Medicaid Working Group and received its initial funding through grants from the Robert Wood Johnson Foundation and the Pew Charitable Trusts to promote managed care demonstration projects across the country. The original demonstration projects were located in Wisconsin, Ohio and New York, and consisted of partnerships between state Medicaid programs, health care providers who were knowledgeable about disability, health plans and consumers/advocates. One of the more lasting contributions of this early work was the development and implementation of a health-based payment system for people with disabilities that helped remove some of the disincentives to enroll people known to have high medical care costs in capitated health plans. Other contributions included the development of provider contracting standards, quality measures, and promotion of a consumer voice in program planning, implementation and evaluation. Since the completion of this initial demonstration, the Medicaid Working Group changed its name to the Health and Disability Working Group to reflect a broader interest in the public health of people with disabilities, not only those who receive coverage through the Medicaid program...

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