State Medicaid programs are increasingly transitioning long-term services and supports (LTSS) and LTSS service users from fee-for-service into managed care. In 2004, eight states had managed long-term services and supports (MLTSS) programs; by 2012 the number had doubled to 16; and by the end of 2014, almost half the states (24) are expected to have MLTSS programs.
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.
Noteworthy
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
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Advanced SearchCare Coordination for People With Alzheimer’s Disease and Related Dementias
This report summarizes the research literature on care coordination for people with Alzheimer’s disease, with a particular focus on programs that coordinate both medical care and long-term services and supports. Overall, there is limited evidence of the effectiveness of these programs in improving patient outcomes or reducing health care utilization.
Post-Acute Care Episode Risk Adjustment Extrapolation Analyses
The goal of this project was to provide additional information to ASPE and CMS on the potential to risk adjust Medicare post-acute care (PAC) episode payments and costs using patient assessment data.