Skip to main content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

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 671 - 680 of 980. 10 per page. Page 68.

Advanced Search

Toward a National Health Information Infrastructure: A Key Strategy for Improving Quality in Long-Term Care

Marcelline R. Harris, RN, Ph.D., Mayo Clinic Christopher G. Chute, MD, Dr.P.H., Mayo Clinic Jennie Harvell, M.Ed., U.S. Department of Health and Human Services Alan White, Ph.D., Abt Associates

State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report

    U.S. Department of Health and Human Services   State Nursing Home Quality Improvement Programs: Site Visit and Synthesis Report Executive Summary
Literature Review

State-Initiated Nursing Home Nurse Staffing Ratios: Annotated Review of the Literature

The purpose of this project is to inform federal and state policymakers about what can be learned about the implementation and enforcement of state minimum nursing staff ratios for nursing homes, and related issues, such as labor shortages and resident casemix.

Ending Chronic Homelessness: Strategies for Action

U.S. Department of Health and Human Services Tommy G. Thompson, [Former] Secretary Report from the Secretary's Work Group on Ending Chronic Homelessness

Privatization in Practice: Case Studies of Contracting for TANF Case Management, Final Report

Contents Study Design Rationale for Privatization Deciding the Scope and Size of Contracts The Contractors Promoting Competition Ensuring Effective and Fair Procurements

Does Consumer Direction Affect the Quality of Medicaid Personal Assistance in Arkansas?

    U.S. Department of Health and Human Services   Does Consumer Direction Affect the Quality of Medicaid Personal Assistance in Arkansas? Executive Summary

Changes in Elderly Disability Rates and the Implications for Health Care Utilization and Cost

Brenda C. Spillman Urban Institute February 3, 2003 This report was prepared under contract #HHS-100-97-0010 between the U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, Office of Disability, Aging and Long-Term Care Policy and the Urban Institute.

State Experiences with Minimum Nursing Staff Ratios for Nursing Facilities: Findings from the Research to Date and a Case Study Proposal

This paper reports on (1) what is known about the status of minimum nursing staff ratios, and (2) gaps in knowledge about this type of nursing staff standard and its implementation.