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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 (, telehealth, health care delivery, underserved areas, delivery system transformation, health outcomes, and social determinants of health.


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The Federal Role in Consumer Protection and Regulation of Long-Term Care Insurance

U.S. Department of Health and Human Services

The Future of SIPP for Analyzing Disability and Health

This paper was requested as part of the National Academy of Sciences, Committee on National Statistics Panel to Evaluate the Survey of Income and Program Participation (SIPP). SIPP is sponsored by the Bureau of the Census and has been an ongoing longitudinal survey of the civilian non-institutionalized population since 1983.

Estimating the Prevalence of Long-Term Disability for an Aging Society

This study was designed to provide comprehensive information about future long-term care needs in the U.S. Using data from the U.S. Decennial Census of Population and Housing, National Long-Term Care Survey and National Nursing Home Survey, the study developed detailed projections of the need for long-term care among the elderly in the years 2000, 2020 and 2040.

Prevalence and Correlates of Unmet Need Among the Elderly with ADL Disabilities

This report examines how many disabled elderly are at risk because they do not receive the assistance they need in basic self-maintenance activities. The source of data was the 1982 and 1984 National Long-Term Care Surveys.

Physical and Cognitive Impairment: Do They Require Different Kinds of Help?

Physical impairments are commonly believed to require relatively more active hands-on assistance with the activities of daily living (ADLs) while cognitive impairments use relatively more supervisory or standby assistance.

Programmatic Definitions of Disability: Policy Implications

This paper looks at programmatic definitions of disability for federal disability programs by: (1) reviewing and examining major programmatic definitions of disability, and (2) describing complex eligibility processes by using the Social Security Disability Insurance program as an example.

Premium Pricing of Prototype Private Long-Term Care Insurance Policies: Final Report

U.S. Department of Health and Human Services

Publicly-Financed Home Care for the Disabled Elderly: Who Would Be Eligible?

The purpose of this paper is to demonstrate the variability in estimates of disability in the U.S. elderly population as a function of differing definitions of physical disability and cognitive impairment.

The Disabled: Their Health Care and Health Insurance

This paper compares the health characteristics (health status, health insurance coverage, use of physician and hospital care, and cost of care) of persons with and without disabilities. Three separate analyses are included: one on children, one on working age adults (aged 18-64), and one on the elderly. Various levels of functional disability are also examined.