Long-Term Services & Supports (LTSS)

U.S. Department of Health and Human Services

In the evaluation of the National Long-Term Care Channeling Demonstration, some members of the research sample were lost to the analysis due to sample attrition. Sample attrition could distort the treatment/control group comparison, depending on the type of attrition that occurred.

In this paper, the authors attempt to describe the current supply of institutional long-term care and to discuss the developments in the last 20 years that have affected that supply. The have not attempted to model quantitatively the growth of institutional care or its variation across areas.

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.

Tables in this report were prepared in response to a contractual charge to analyze existing data sources for answers to as many long-term care questions as data and resources would permit. More than two dozen research papers containing roughly 500 tables were produced as a result of that effort. This report contains a substantial portion of those tables. [201 PDF pages]

This paper considers ways to determine the ability of users to contribute to the costs of their care. When better estimates of the costs of long-term care are known, the figures developed here can be used to indicate where shares of the health expenditure burden could be borne privately by individuals.

Marilyn Moon Urban Institute  

The primary objective of the research in the National Long-Term Care Channeling Demonstration was to determine the impacts of the demonstration on service utilization, public and private costs, clients and caregivers. The demonstration employed a randomized experimental design with random assignment of eligible participants to either treatment group or control group status.