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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 691 - 700 of 980. 10 per page. Page 70.

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State Welfare-to-Work Policies for People with Disabilities: Implementation Challenges and Considerations - Executive Summary

Pamela A. Holcomb and Terri S. Thompson The Urban Institute This report was prepared under contract #HHS-100-95-0021 between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and the Urban Institute.

The Contribution of Medication Use to Recent Trends in Old-Age Functioning

U.S. Department of Health and Human Services

Michigan's Transitioning Persons from Nursing Homes to Community Living Program

This paper — which is one of a series of Appendices included in the demonstration's final report — describes a case study of the Michigan Nursing Home Transition Demonstration program.

Medication Use by Medicare Beneficiaries Living in Nursing Homes and Assisted Living Facilities

This report compares the medication use of Medicare beneficiaries living in nursing homes and assisted living facilities. Descriptions of Medicare use include mean number of drug mentions per month of stay (scheduled and PRN drugs), and prevalence and duration of therapy by major drug classes.
Report

A Compendium of HHS Technical Assistance Activities Related to the Administration's Community-Integration Initiative

To fulfill a Presidential mandate, the Department of Health and Human Services established the New Freedom Initiative Workgroup to review efforts that have been initiated in response to the Olmstead decision, and to recommit and refocus the Administration's efforts in promoting the full participation of adults with disabilities in community life.
Case Study

Medicaid Buy-In Programs: Case Studies of Early Implementer States

This paper describes the findings from nine Case Study states. These case studies were conducted: (1) To examine early implementation experience among the states in order to gain an understanding of the programmatic, fiscal, and political context in which design decisions were made.

Moving to IndependentChoices: The Implementation of the Cash and Counseling Demonstration in Arkansas

Barbara Phillips and Barbara Schneider Mathematica Policy Research, Inc. May 2002 This report was prepared under contract #HHS-100-95-0046 between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and the University of Maryland.

Study of the Impact of Monitoring the Health Outcomes for Disabled

This study examines the impact of changes in Medicare home health policy mandated by the Balanced Budget Act (BBA) of 1997 on satisfaction with care for disabled Medicare beneficiaries. The BBA mandated major changes in home health payment requiring the implementation of a Prospective Payment System (PPS) and an Interim Payment System (IPS) prior to the implementation of PPS.