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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 581 - 590 of 980. 10 per page. Page 59.

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Literature Review

Literature Review and Synthesis of Physician Practices in Nursing Homes

This literature review first summarizes the current knowledge of physician practice in nursing homes and identifies gaps in the knowledge base. It then presents the physician practice models applied in nursing homes, including integrated and managed care delivery models, and describes the characteristics of physicians who practice in nursing homes.

Evaluability Assessment of Discharge Planning and the Prevention of Homelessness

Contents Introduction Key Research Questions Methods Key Findings Key Study Design and Measurement Issues Alternative Research Designs

The Impact of Disability Trends on Medicare Spending

U.S. Department of Health and Human Services

Assistive Device Use Among the Elderly: Trends, Characteristics of Users, and Implications for Modeling

This study adds to understanding by updating information on trends in use of disability equipment and exploring how disability and other characteristics differ for equipment users and nonusers. Data are from the 1984-1999 rounds of the National Long Term Care Survey, which has been a key source of earlier information on trends in equipment use.

Medicaid Estate Recovery Collections

This policy brief is one of six commissioned by HHS/ASPE on Medicaid eligibility policies for long-term care benefits. This brief summarizes the estate recovery mandate, discusses variations in mechanisms employed by states to implement the mandate, and presents a state-by-state analysis of collections from 2002 through 2004. [13 PDF pages]

Regulatory Review of Adult Day Services: Final Report

Although adult day care and adult day health care are increasingly promoted as key community-based services for older persons, little is known about their provision, utilization, or outcomes; this is largely due to a paucity of data.

Physician Practices in Nursing Homes: Final Report

U.S. Department of Health and Human Services

Making MDS v.3.0 Compliant with CHI Standards: Project Summary

This paper describes the work that will be undertaken to conform the MDS content with health information technology standards endorsed by the Federal Government through the Consolidated Health Information(CHI) Initiative. [3 PDF pages]