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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 321 - 330 of 980. 10 per page. Page 33.

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ASPE Issue Brief

Rates and Timing of Medicaid Enrollment among Older Americans

Analysis of the 2004 National Long-Term Care Survey reveals that when this cross-sectional nationally representative survey of older Americans was carried out, 14.3% of Medicare beneficiaries aged 65+ were enrolled in Medicaid.

Medicaid-Financed Institutional Services: Patterns of Care for Residents of Nursing Homes and Intermediate Care Facilities for Individuals with Intellectual Disabilities in 2008 and 2009

Medicaid-Financed Institutional Services: Patterns of Care for Residents of Nursig Homes and Intermediate Care Facilities for Individuals with Intellectual Disabilities in 2008 and 2009 Executive Summary May 7, 2014 Robert Schmitz, Victoria Pe

Medicaid-Financed Institutional Services: Patterns of Care for Residents of Nursing Homes andIntermediate Care Facilities for Individuals with Intellectual Disabilities in 2008 and 2009

  Medicaid-Financed Institutional Services: Patterns of Care for Residents of Nursig Homes and Intermediate Care Facilities for Individuals with Intellectual Disabilities in 2008 and 2009 May 7, 2014 Robert Schmitz, Victoria Peebles, Rosemary Borck and Dean Miller Mathematica Policy Research Abstract Although states have begun to re

Disability and Care Needs of Older Americans by Dementia Status: An Analysis of the 2011 National Health and Aging Trends Study

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

Disability and Care Needs of Older Americans: An Analysis of the 2011 National Health and Aging Trends Study

Disability and Care Needs of Older Americans: An Analysis of the 2011 National Health and Aging Trends Study Executive Summary April 11, 2014 Vicki A. Freedman, Ph.D.

Improving Employment Outcomes for People with Psychiatric Disorders and Other Disabilities

Bonnie O'Day, Crystal Blyler, Anna Collins, Benjamin Fischer, Claire Gill, Todd Honeycutt, Rebecca Kleinman, Frank Martin, Joseph Mastrianni, Eric Morris, Lisa Schottenfeld, Allison Thompkins, Allison Wishon-Siegwarth, and Michelle Bailey Mathematica Policy Research  

Informal Caregiving for Older Americans: An Analysis of the 2011 National Health and Aging Trends Study

Informal Caregiving for Older Americans: An Analysis of the 2011 National Health and Aging Trends Study Executive Summary April 2014 Brenda C. Spillman, Ph.D.Urban Institute Jennifer Wolff, Ph.D.