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Long-Term Services & Supports, Long-Term Care

ASPE conducts research, analysis, and evaluation of policies related to the long-term care and personal assistance needs of people of all ages with chronic disabilities. ASPE’s work also highlights the financing, delivery, organization, and quality of long-term services and supports, including those supported or financed by private insurers, Medicaid, Medicare, and the Administration for Community Living (ACL). This includes assessing the interaction between health care, post-acute care, chronic care, long-term care, and supportive services needs of persons with disabilities across the age spectrum; determining service use and program participation patterns; and coordinating the development of long-term care data and policies that affect the characteristics, circumstances, and needs of people with long-term care needs, including older adults and people with disabilities. 

Most Older Adults Are Likely to Need and Use Long-Term Services and Supports

More than one-half of older adults, regardless of their lifetime earnings, are projected to experience serious LTSS needs and use some paid LTSS after turning 65. 

Older adults with limited lifetime earnings are more likely to develop serious LTSS needs than those with more earnings. 

However, fifty-six percent of older adults in the top lifetime earnings quintile receive some paid LTSS, and the likelihood of nursing home care does not vary much by lifetime earnings. Learn more.

Reports

Displaying 311 - 320 of 980. 10 per page. Page 32.

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Why Do Elders Receiving Informal Home Care Transition to Long Stay Nursing Home Residency?

High stress reported by informal (unpaid, mostly family) caregivers providing functional assistance to chronically disabled elders residing in the community is a very powerful predictor of care recipients' subsequent transition from community living to long-stay nursing home residence.

What Factors Affect Residential Care Facility Charges?

What Factors Affect Residential Care Facility Charges? Executive Summary September 2014 Sarita L. Karon, PhD, Joshua M. Wiener, PhD, Angela M.

What is the Effect of Dementia on Hospitalization and Emergency Department Use in Residential Care Facilities?

What is the Effect of Dementia on Hospitalization and Emergency Department Use in Residential Care Facilities? Executive Summary September 2014 Joshua M. Wiener, PhD, Zhanlian Feng, PhD, Laura A.

Support and Services at Home (SASH) Evaluation: First Annual Report

September 2014   RTI International Abstract The Support and Services at Home (SASH) program in Vermont is a subcomponent of a larger Medicare demonstration--the Multi-payer Advanced Primary Ca

Evaluation of the Strong Cities, Strong Communities (SC2) Teams Pilot: Building a More Responsive Federal Workforce: Lessons from the SC2 Pilot

In 2011, the U.S. federal government launched the Strong Cities, Strong Communities Initiative, a new model of federal-local collaboration designed to (i) improve how the federal government invests in cities, (ii) offer technical assistance to support local priorities, and (iii) help to coordinate funds at the local, state, and federal level.

Building a More Responsive Federal Workforce: Lessons from the SC2 Pilot

In 2011, the U.S. federal government launched the Strong Cities, Strong Communities Initiative, a new model of federal-local collaboration designed to (i) improve how the federal government invests in cities, (ii) offer technical assistance to support local priorities, and (iii) help to coordinate funds at the local, state, and federal level.

A Primer on Using Medicaid for People Experiencing Chronic Homelessness and Tenants in Permanent Supportive Housing

This is one of two reports examining the use of Medicaid to cover services for individuals experiencing chronic homelessness, particularly in Permanent Supportive Housing (PSH). It provides a “how-to” guide on the various ways that Medicaid can cover such services, including the Medicaid authorities and new options provided under the Affordable Care Act.

NAPA Public Comment Attachment: Family Medicine Curriculum Resource

This PDF was submitted as an attachment to a Public Comment sent to the Advisory Council on Alzheimer's Research, Care, and Services and/or the National Alzheimer's Project Act website.