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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 131 - 140 of 980. 10 per page. Page 14.

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COVID-19 Intensifies Nursing Home Workforce Challenges

Link to HTML Version (45 PDF pages)

Trends in the Use of Residential Settings among Older Adults Issue Brief

TRENDS IN THE USE OF RESIDENTIAL SETTINGS AMONG OLDER ADULTS ISSUE BRIEF Matthew Toth, PhD; Lauren A. Martin Palmer, PhD; Lawren E.

Projections of Poverty and Program Eligibility during the COVID-19 Pandemic

The COVID-19 pandemic and the slowdown in economic activity have impacted the well-being of many U.S. families. Unemployment peaked at 14.7 percent in April, and remained above 8 percent in August. The CARES Act and the Family First Coronavirus Response Act used several short-term policy strategies to address this challenge.

Understanding the Characteristics of Older Adults in Different Residential Settings: Data Sources and Trends

UNDERSTANDING THE CHARACTERISTICS OF OLDER ADULTS IN DIFFERENT RESIDENTIAL SETTINGS: DATA SOURCES AND TRENDS Matthew Toth, PhD, Lauren A. Martin Palmer, PhD, Lawren E.

ADVANCE CARE PLANNING AMONG MEDICARE FEE-FOR-SERVICE BENEFICIARIES AND PRACTITIONERS: FINAL REPORT

ADVANCE CARE PLANNING AMONG MEDICARE FEE-FOR-SERVICE BENEFICIARIES AND PRACTITIONERS: FINAL REPORT Fang He, PhD, Angela Gasdaska, BS, Hannah Friedman, BA, Brendan Wedehas, BS, Alexis Kirk, PhD, Ila Broyles, PhD, and SaritaL.
Research Brief

Advance Care Planning Among Medicare Fee-For-Service Beneficiaries and Practitioners: Research Brief

Advance Care Planning Among Medicare Fee-For-Service Beneficiaries and Practitioners: Research Brief Fang He, PhD; Angela Gasdaska, BS; Hannah Friedman, BA; Brendan Wedehase, BS; Alexis Kirk, PhD; Ila Broyles, PhD; Sarita L.
ASPE Issue Brief

The Impact of COVID-19 on Medicare Health Services and Payments

Beginning in mid-March 2020, the COVID-19 pandemic has had an unprecedented impact on health care utilization. The impact on patients, their families and the health care system was significant.
Report to Congress

Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2019

September 2020 Printer Friendly Version in PDF Format (32 PDF pages)

HHS Secretary's Report on: Addressing Surprise Medical Billing

This report responds to a requirement in Executive Order 13877, "Improving Price and Quality Transparency in American Healthcare to Put Patients First." It describes the phenomenon of a "surprise billing," particularly in the commercial insurance market, the underlying federal and state regulatory frameworks, and recent state actions to address the problem.
ASPE Issue Brief

Medicare Beneficiary Use of Telehealth Visits: Early Data From the Start of the COVID-19 Pandemic

This ASPE issue brief examines changes in Medicare fee-for-service primary care visits and use of telehealth at the start of the COVID-19 public health emergency (PHE). This brief seeks to address the issue of how and whether the Medicare telehealth flexibilities introduced to address the COVID-19 pandemic may have helped maintain access to primary health care during the PHE.