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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 411 - 420 of 980. 10 per page. Page 42.

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Disability Data in National Surveys

This report was prepared to assess the need for developing and fielding another national disability survey data collection effort. It presents the findings from one of the project’s major activities designed to review the disability-related information that is available in existing national surveys. [208 PDF pages]

Non-Federal NAPA Advisory Council on Alzheimer's Research, Care, and Services

Names and biographies of the non-federal members of the Advisory Council on Alzheimer's Research, Care, and Services for the National Alzheimer's Project Act. [3 PDF pages]

Hospitalizations of Nursing Home Residents: Background and Options

Extensive research has demonstrated that many of the hospitalizations of long stay nursing home residents are potentially avoidable. These hospitalizations add to Medicare and Medicaid costs and have an adverse impact on frail individuals. Current economic incentives that are not aligned, primarily between Medicare and Medicaid, contribute to the situation.

Design of a Demonstration of Coordinated Housing, Health and Long-Term Care Services and Supports for Low-Income Older Adults

This conceptual framework examines the possible ways that housing sites can link health and long-term services and supports, and potential ways that HUD and HHS could design a demonstration of such a model. [31 PDF pages]

NAPA Public Comment Attachment: Primary Care of Adults with Developmental Disabilities

This PDF (Canadian Family Physician, 2011, 57:541-53) 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.  

Post-Acute Care Episodes Expanded Analytic File

Prepared for:Susan Bogasky Assistant Secretary for Planning and Evaluation (ASPE) U.S. Department of Health and Human Services Hubert H. Humphrey Building, Room 443F5 200 Independence Avenue, SW Washington, DC 20201

Understanding Direct Care Workers: A Snapshot of Two of America's Most Important Jobs -- Certified Nursing Assistants and Home Health Aides

This chart book highlights findings from two new federally sponsored national surveys: the 2004 National Nursing Assistant Survey and the 2007 National Home Health Aide Survey.

Post-Acute Care Episodes Expanded Analytic File

This project expands ASPE's Medicare post-acute care (PAC) episode analytic file in terms of sample size and the number of years used (2006-2008) to provide more detailed characteristics of PAC episodes under different definitions.