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U.S. Department of Health & Human Services aspe.hhs.gov Office of the Assistant Secretary for Planning and Evaluation
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Project Type:
(Event/Conference)
Project Officer(s):
Don Oellerich
Organization(s):
ASPE
Related Products:
The panel, organized under the Federal Advisory Committee Act, will review methods and assumptions underlying the annual Medicare Trustees' reports. The panel will make recommendations to the Secretary.
Project Type:
Issue Brief
Author(s):
Allison Wishon Siegwarth and Crystal Blyler
Organization(s):
Mathematica Policy Research
Published:
May, 2014
In this issue brief, the authors explore the provisions of the Affordable Care Act that may enable Americans with mental illness to obtain the mental health treatment and support services they need to continue working or get back to work.
Project Type:
Report
Author(s):
Judith S. Kasper, Vicki A. Freedman and Brenda C. Spillman
Organization(s):
Johns Hopkins Bloomberg School of Public Health University of Michigan Urban Institute
Published:
April, 2014
Studies of the prevalence of Alzheimer’s disease and other dementia in the U.S. estimate that 14% of those over age 70 are affected, and that prevalence increases with age, exceeding one-quarter of persons over age 80. The implications of population aging for increases in older persons with dementia and the impact on families, which will be the mainstays in caregiving, have been recognized worldwide in a 2012 World Health Organization report on Dementia as a Public Health Priority, and in the U.S. by the National Alzheimer’s Project Act of 2012. This report uses the National Health and Aging Trends Study (NHATS), to describe late life disability and care needs of older adults with dementia. Using a dementia classification developed previously, we examine patterns for older adults with probable, possible and no dementia in the extent of activity limitations, receipt of assistance, and caregiving resources. [37 PDF pages]
Project Type:
Report
Author(s):
Vicki A. Freedman and Brenda C. Spillman
Organization(s):
University of Michigan Urban Institute
Published:
April, 2014
The economic cost of dependency at older ages is large and projected to grow rapidly as the number of older adults increases in the coming decades, and reduced well-being for individuals facing loss of functioning and their families, who provide the bulk of uncompensated care, also is an important societal concern. The purpose of this report is to describe disability and care needs of the older population using baseline (2011) measures from the National Health and Aging Trends Study, a new study designed to support understanding of both trends and trajectories in health and disability in later life. To provide a context for framing policy discussions of disability and care needs of older adults, Two overarching topics were investigated: (1) the extent of activity limitations and use of assistance by older adults; and (2) care resources available to and used by older adults and the extent of unmet need in the population with care needs. [32 PDF pages]
Project Type:
Issue Brief
Author(s):
Todd Honeycutt, Allison Thompkins and Michelle Bailey
Organization(s):
Mathematica Policy Research
Published:
April, 2014
Recent interest among policymakers in helping Social Security Disability Insurance (SSDI) beneficiaries return to work has increased the desire for knowledge about the employment activities of people with disabilities before they apply for benefits. Learning about the participation of applicants in programs designed to support employment and provide income supports may offer opportunities for early intervention to enable them to remain employed. In this brief, we summarize results from a working paper, conducted through the Social Security Administration’s Disability Research Consortium, on the experiences of SSDI applicants before they apply for SSDI.
Project Type:
Report
Author(s):
Bonnie L. O'Day, Crystal Blyler, Benjamin Fischer, Claire Gill, Todd Honeycutt, Rebecca Kleinman, Joseph Mastrianni, Eric Morris, Lisa Schottenfeld, Allison Thompkins, Allison Wishon-Siegwarth and Michelle Bailey
Organization(s):
Mathematica Policy Research
Published:
April, 2014
To answer questions on what services and barriers people with psychiatric disorders face, the authors conducted two targeted literature reviews: (1) employment programs and outcomes for people with psychiatric disorders; and (2) employment programs for people with other disabilities. Also analyzed was data from the Survey of Income and Program Participation to examine service-use trajectories of vulnerable populations that might be expected to apply for Social Security Disability Insurance benefits. The authors also examined literature and policy documents that outlined funding options for employment services for people with psychiatric disorders and other disabilities.
Project Type:
Report
Author(s):
Brenda C. Spillman, Jennifer Wolff, Vicki A. Freedman and Judith D. Kasper
Organization(s):
Urban Institute Johns Hopkins Bloomberg School of Public Health University of Michigan
Published:
April, 2014
This report examines the role and experiences of informal caregivers for the older population, using a new resource, the National Survey of Caregiving (NSOC). The NSOC is unique in interviewing all informal caregivers for a nationally representative sample of persons age 65 or older receiving assistance with daily activities. NSOC respondents report on types of assistance they provide beyond traditional household (IADL) and self-care or mobility (ADL) tasks. These tasks range from assisting with transportation to help with health or medical care, including such things as injections or ostomy care. Thus, estimates capture the full range of supports informal caregivers provide and contributions they make in areas other than explicit long-term care. Information collected about positive and negative aspects of caregiving, health, and indicators of subjective well-being allows examination of how gains and burdens differ by caregiver and care recipient characteristics and by the intensity of care provided. [41 PDF pages]
Project Type:
Report
Author(s):
Rosemary Borck, Victoria Peebles, Dean Miller and Robert Schmitz
Organization(s):
Mathematica Policy Research
Published:
March, 2014
State long-term care (LTC) financing and delivery systems and, in particular, Medicaid funded LTC have long been criticized for being “institutionally biased.” Shifting the balance in publicly-funded LTC provision away from institutional care (nursing homes, long-term hospitals, intermediate care facilities for the intellectually disabled) toward greater reliance on home and community-based services has been a federal goal for the past three decades--a goal often referred to as “re-balancing” state LTC systems. This report explores inter-state variations in LTC expenditure and service use patterns, not only in terms of institutional and non-institutional services, but also by Medicaid LTC users’ age and type of disability (e.g., intellectual and/or developmental disabilities or other working-age adult disabilities).
Project Type:
Report
Author(s):
David R. Mann, David C. Stapleton and Bonnie L. O'Day
Organization(s):
Mathematica Policy Research
Published:
March, 2014
Social Security Disability Insurance (SSDI), a program operated by the Social Security Administration, insures workers and their families against the inability to work because of a disability. As such, it provides a vital safety net for millions of Americans. However, conflicting statistics and differing perspectives on the program have given rise to a number of misconceptions about why it exists, whom it serves, and what it provides. In this brief, the authors summarize key features of the program and describe some of the salient issues policymakers will need to consider to address the projected depletion of the SSDI Trust Fund in 2016. We also discuss the eligibility criteria for the program, benefit levels, and beneficiaries’ ability to work.
Project Type:
Report
Author(s):
Yonatan Ben-Shalom and David Stapleton
Published:
January, 2014
In this report, we assessed the feasibility of using existing claims-based algorithms to identify community-dwelling Medicare beneficiaries with disability based solely on the conditions for which they are being treated and to improve the algorithms by combining them in predictive models. [39 PDF pages]