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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 341 - 350 of 980. 10 per page. Page 35.

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Analysis of Integrated HIV Housing and Care Services

This study examined models of integration and coordination of housing assistance services and HIV care. The final report describes findings from a quantitative analysis of national HIV housing assistance data, and highlights from case studies conducted at four Integrated HIV/AIDS Housing Plan (IHHP) projects funded by the U.S. Department of Housing and Urban Development (HUD).

Identifying Medicare Beneficiaries with Disabilities: Improving on Claims-Based Algorithms

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]

Identifying Medicare Beneficiaries with Disabilities: Improving on Claims-Based Algorithms - Executive Summary

Yonatan Ben-Shalom and David Stapleton Mathematica Policy Research    

Children with Disabilities and Special Health Care Needs in NCQA-Recognized Patient-Centered Medical Homes: Health Care Utilization, Provider Perspectives and Parental Expectations - Executive Summary

Kate Stewart, Dana Petersen, Joe Zickafoose, Beny Wu, Mynti Hossain, Lisa Schottenfeld, Caroline Massad Francis, Randall Brown and Henry Ireys Mathematica Policy Research  

Impacts of Waiting Periods for Home and Community-Based Services on Consumers and Medicaid Long-Term Care Costs in Iowa

This report compares the risk of nursing home entry, hospitalization rates, and Medicaid long-term care costs, among people with disabilities who faced widely-varying waiting times (ranging from 3 to 25 months), depending on when they applied for home and community-based services (HCBS) though Iowa Medicaid 1915(c) waivers.
Literature Review

Evaluating PACE: A Review of the Literature

This report reviewed the literature on the effect of the Program of All-Inclusive Care for the Elderly (PACE) on Medicare and Medicaid expenditures, use of nursing home services, and mortality. PACE plans provide coordinated acute and long-term care services to nursing home eligible seniors residing in the community. [77 PDF pages] ASPE SEARCH INFORMATION

Effect of PACE on Costs, Nursing Home Admissions, and Mortality: 2006-2011 - Executive Summary

Arkadipta Ghosh, Robert Schmitz and Randall Brown Mathematica Policy Research