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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 431 - 440 of 983. 10 per page. Page 44.

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Symposium on Health and Retirement Savings Accounts: Summary and Recommendations

This report summarizes feedback from issue experts to a proposal for financing long-term care services through the use of tax-advantaged Health and Retirement Savings Accounts. [14 PDF pages]

Disparities in Quality of Care for Midlife Adults (Ages 45 - 64) Versus Older Adults (Ages > 65)

This report discusses disparities in care of baby boom patients with diabetes who become eligible for Medicare. It also examines disparities related to cardiovascular conditions because of their prevalence among older adults and their association with diabetes. Specifically, this report contains 1.) an overarching conceptual model for disparities in midlife adults (45 – 64) vs.

National Survey of Residential Care Facilities: Sample Frame Construction and Benchmarking Report

This report addresses the process of constructing the sample frame for the National Survey of Residential Care Facilities, how well the final sample frame matches other estimates of the number of residential care facilities (RCFs) and beds/units, final modifications to the sample design, and recommendations for conducting future surveys.

National Long-Term Care Insurance Claims Decision Study: An Empirical Analysis of the Appropriateness of Claims Adjudication Decisions and Payments

Much of the information behind the charges of critics is anecdotal and based on a relatively small number of individuals concentrated in two companies who may indeed have had legitimate grievances based on their personal experience. Yet, this information alone should not allow one to draw broad conclusions about private industry performance in general.

Progress toward Self-Sufficiency for Low-Wage Workers

This report examines progress toward self-sufficiency through earnings progression and related changes in income and work supports among low-wage single mothers and other families with low-wage workers in the early 2000s. Low-wage workers experienced significant wage gains during the 1990s, but has wage growth continued? What has helped working single mothers advance in the labor market?

Survey Questions for EHR Adoption and Use in Nursing Homes: Final Report

As described in this report, the project was aimed at developing a core survey that has the sensitivity to capture change over time in nursing homes' level of automation and, whether fielded in conjunction with the NNHS or through other means, will provide a valuable snapshot of nursing home HIT use while establishing a baseline from which to track future growth.

Individuals Living in the Community with Chronic Conditions and Functional Limitations: A Closer Look

This chartbook examines the combination of chronic conditions and functional limitations as a potentially better predictor of high health care utilization. [51 PDF pages]

Findings from a Study of the SSI/SSDI Outreach, Access, and Recovery (SOAR) Initiative

The Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI) programs provide critical income support for those who meet eligibility requirements.

Post Acute Care Episodes: Final Report

The purpose of this project is to continue the ASPE bundling research in the area of Medicare post acute care using the 2006 Medicare post acute episode file developed in the previous analysis.