Concern about inappropriate nursing home placement and rising long-term care costs led to a series of government-financed demonstrations to study whether substituting care at home for care in nursing homes could reduce costs and improve the quality of life for the frail elderly.
Health & Health Care
ASPE produces health policy research with a focus on equity, coverage, and access. Find resources related to a broad range of topics, including the uninsured population, vaccine hesitancy, Medicaid/CHIP, Medicare, the federal marketplace (HealthCare.gov), telehealth, health care delivery, underserved areas, delivery system transformation, health outcomes, and social determinants of health.
Noteworthy Resources and Reports
Vaccine Hesitancy for COVID-19: State, County, and Local Estimates
To support state and local communication and outreach efforts, ASPE developed state, county, and sub-state level predictions of hesitancy rates using the most recently available federal survey data. Explore the interactive map and other resources.
Topic Areas
Reports
Displaying 1461 - 1470 of 1472. 10 per page. Page 147.
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Report to Congress on Identifying Individuals at Risk of Institutionalization
This report to Congress responds to a mandate of the Orphan Drug Act (P.L.97-414, January 4, 1983), which called for the Secretary of HHS to conduct demonstration projects to test methods for identifying individuals at risk of institutional placement who could be treated more cost-effectively with home health and other non-institutional services.
Assessment and Care Planning for the Frail Elderly: A Problem Specific Approach
This problem-specific approach describes various circumstances likely to be encountered among frail elderly persons in the community. Each problem area includes a comprehensive list of items that should be considered by a case manager. Model care plans are also included. This document can be used for training case managers in the specifics of effective assessment and case management.
Tables Comparing Channeling to Other Community Care Demonstrations
Over the past decade and a half, a series of demonstrations prior to the National Long-Term Care Channeling Demonstration have been fielded to test some form of case managed, community-based long-term care. Fourteen community care demonstrations funded through Federal Government waivers and similar to Channeling were identified.
Final Report on the Effects of Sample Attrition on Estimates of Channeling's Impacts
This report results from an investigation of the extent to which differential attrition from the research sample in the Channeling Demonstration might have led to biased estimates of program impact. Two analytical approaches were adopted--a heuristic approach and a statistical modeling approach.
The Comparability of Treatment and Control Groups at Randomization
This report analyzes the treatment and control groups in the National Long-Term Care Channeling Demonstration and concludes that the randomization procedure resulted in groups that are very similar on observable characteristics.
Third Year Comprehensive Report of the Pennhurst Longitudinal Study
This summary is intended to restate the major research questions being addressed in the Pennhurst Longitudinal Study and provide executives, decisionmakers, and lay persons, in an extremely abbreviated form some tentative answers based on the analysis of the data collected to date.
Community Services and Long-Term Care: Issues of Negligence and Liability
Agencies operating under the National Long-Term Care Channeling Demonstration program had complex assignments to assess the needs of older people requiring long-term care, to determine what services met such needs and to arrange for the delivery of services. Responsibility for a client was spread across several agencies, organizations, and individuals.
A Guide to Memorandum of Understanding Negotiation and Development
U.S. Department of Health and Human Services