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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 421 - 430 of 980. 10 per page. Page 43.

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Environmental Scan

Medicaid and Permanent Supportive Housing for Chronically Homeless: Literature Synthesis and Environmental Scan

This report reflects existing published and unpublished literature on permanent supportive housing (PSH) for people who are chronically homeless. It has a particular focus on the role that Medicaid currently plays in covering the costs of the supportive services that help people keep their housing and improve their health and quality of life.

Expanding the Use of Generic Drugs

  ASPE ISSUE BRIEF Expanding the Use of Generic Drugs By: ASPE Staff December 1, 2010

Understanding Medicaid Home and Community Services: A Primer, 2010 Edition

ASPE is releasing a 2010 update of "Understanding Medicaid Home and Community Services, A Primer". This is an update of the well-received document ASPE released in 2000 to address conflicting understanding and interpretation of Medicaid home and community-based services options.
Report to Congress

Report to Congress on the Application of EHR Payment Incentives for Providers Not Receiving EHR Incentive Payments

This interim report is in response to the Health Information Technology for Economic and Clinical Health Act of the American Recovery and Reinvestment Act of 2009 (Pub. L. 111-5).
Report

A Descriptive Analysis of the U.S. Department of Labor's Long-Term Care Registered Apprenticeship Programs

This report provides an overview of Long-Term Care Registered Apprenticeship Programs (LTC RAPs) based on existing administrative data from U.S. Department of Labor. The purpose of this initial review is to support the design of a potential future evaluation of the effects of LTC RAPs on apprentices and the program sponsors that administer or operate them.

Post-Acute and Long-Term Care: A Primer on Services, Expenditures and Payment Methods

ASPE awarded a small Professional Services Purchase Order to provide information to be used in the §4104(a). This Primer provides information on federal and state payment methods and sources of payments for Medicaid nursing facilities and Medicare skilled nursing facilities, home health agencies, inpatient rehabilitation and long-term care hospitals. [20 PDF pages]

Symposium on Health and Retirement Savings Accounts: Summary and Recommendations

This report summarizes feedback from issue experts to a proposal for financing long-term care services through the use of tax-advantaged Health and Retirement Savings Accounts. [14 PDF pages]

Disparities in Quality of Care for Midlife Adults (Ages 45 - 64) Versus Older Adults (Ages > 65)

This report discusses disparities in care of baby boom patients with diabetes who become eligible for Medicare. It also examines disparities related to cardiovascular conditions because of their prevalence among older adults and their association with diabetes. Specifically, this report contains 1.) an overarching conceptual model for disparities in midlife adults (45 – 64) vs.

National Survey of Residential Care Facilities: Sample Frame Construction and Benchmarking Report

This report addresses the process of constructing the sample frame for the National Survey of Residential Care Facilities, how well the final sample frame matches other estimates of the number of residential care facilities (RCFs) and beds/units, final modifications to the sample design, and recommendations for conducting future surveys.