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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 451 - 460 of 980. 10 per page. Page 46.

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Disabilities Among TANF Recipients: Evidence from the NHIS

This report uses information from the National Health Interview Survey (NHIS) in 2005 and 2006 — the years when the Deficit Reduction Act of 2005 (DRA) was passed and first being implemented — to provide a snapshot of the different types of disabilities among recipients of Temporary Assistance for Needy Families (TANF), how disability prevalence among TANF recipients compares to othe

ASPE Technical Expert Panel on Earlier Intervention for Serious Mental Illness: Summary of Major Themes

Current disability policy provides support for people with a mental illness once they are no longer able to work and thus qualify for Social Security Disability Insurance (SSDI) or Supplemental Security Income (SSI).

Why Do They Stay? Job Tenure Among Certified Nursing Assistants in Nursing Homes

This study identifies factors related to job tenure among certified nursing assistants (CNAs) working in nursing homes. The study uses 2004 data from the National Nursing Home Survey, the National Nursing Assistant Survey, and the Area Resource File. OLS regression analyses were conducted with length of job tenure as the dependent variable.

The National Nursing Assistant Survey: Improving the Evidence Base for Policy Initiatives to Strengthen the Certified Nursing Assistant Workforce

This study introduces the first National Nursing Assistant Survey (NNAS), a major advance in the data available about certified nursing assistants (CNAs) and a rich resource for evidence-based policy, practice, and applied research initiatives.

Potential Analyses with Homelessness Data: Ideas for Policymakers and Researchers

This short report is part of a study entitled Homelessness Data for HHS Mainstream Programs, that explored the extent to which states collect data on housing status and homelessness from applicants for the two largest HHS mainstream programs that may serve individuals or families experiencing homelessness:  Medicaid a

Examining Post Acute Care Relationships in an Integrated Hospital System

This project continues the analysis of Medicare beneficiary level episodes of post-acute care. RTI builds on its previously funded ASPE project by expanding the episode file to include 2006 claims.

Federal Authority for Medicare Special Needs Plans and their Relationship to State Medicaid Programs

This Brief reviews the history and current status of federal special needs plans (SNPs) authority, with particular attention to provisions of interest to state Medicaid programs that have or are considering entering into contracts with SNPs to integrate or coordinate Medicaid long-term care services with Medicare primary, acute and prescription drug services for dually eligible beneficiaries.