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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 601 - 610 of 980. 10 per page. Page 61.

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Long-Term Growth of Medical Expenditures - Public and Private

As the population of the United States ages, it will consume more health care. Older people suffer diseases and other medical problems to a greater extent than younger people. And with health care prices continuing to rise much faster than other goods and services, the use and societal cost of health care is expected to soar in the future.

The Effect of Cash and Counseling on Medicaid and Medicare Costs: Findings for Adults in Three States

    U.S. Department of Health and Human Services   The Effect of Cash and Counseling on Medicaid and Medicare Costs: Findings for Adults in Three States Executive Summary

Implementation of Maternity Group Home Programs: Serving Pregnant and Parenting Teens in a Residential Setting

Contents Methodology and Research questions Key Findings Recommendations for Further Research Maternity group homes offer an innovative and intensive approach to addressing the needs of an extremely vulnerable population  teenage mothers and their children who have no other

The Past, Present, and Future of Managed Long-Term Care

The study assesses the state of the managed long-term care market from the perspective of purchasers (states) and suppliers (managed long-term care contractors), addressing the following questions: (1) What is the current state of the managed long-term care market? (2) What value do managed long-term care products offer relative to the fee-for-service system?

Medicaid Liens

This policy brief is one of six commissioned by HHS/ASPE on Medicaid eligibility policies for long-term care benefits. This brief presents the fundamentals of Medicaid liens — what they are, why they are permitted, and how they are applied by state Medicaid programs.

Measuring Long-Term Care Work: A Guide to Selected Instruments to Examine Direct Care Worker Experiences and Outcomes

Kristen M. Kiefer, MPPLauren Harris-Kojetin, PhDDiane Brannon, PhDTeta Barry, PhDJoseph Vasey, PhDMichael Lepore, PhD Candidate Institute for the Future of Aging Services

Medicaid Liens and Estate Recovery in Massachusetts

This policy brief is one of six commissioned by HHS/ASPE on Medicaid eligibility policies for long-term care benefits. This brief describes the procedures used by the state of Massachusetts in the administration of its Medicaid Estate Recovery program, with a focus on the procedures used by the state in imposing Medicaid liens on real property. [31 PDF pages]

Medicaid Estate Recovery

This policy brief is one of six commissioned by HHS/ASPE on Medicaid eligibility policies for long-term care benefits. This brief provides an overview of state Medicaid Estate Recovery programs, which enable states to recoup public spending for Medicaid long-term care recipients from the estates of those recipients after their death. [12 PDF pages]

Spouses of Medicaid Long-Term Care Recipients

This policy brief is one of five commissioned by HHS/ASPE on Medicaid eligibility policies for long-term care benefits. This brief outlines the Medicaid rules that affect community spouses of nursing home residents and widows or widowers of deceased nursing home residents. [12 PDF pages]