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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 671 - 680 of 983. 10 per page. Page 68.

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The Experiences of Workers Hired Under Consumer Direction in Arkansas

    U.S. Department of Health and Human Services   The Experiences of Workers Hired Under Consumer Direction in Arkansas Executive Summary

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

Alan White, Ph.D., Barbara Manard, Ph.D., Deborah Deitz, BSN, Terry Moore, MPH, RN, Donna Hurd, MSN, Christine Landino, MSW, MPH, Jennie Harvell, M.Ed. Abt Associates, Inc.

The Future Supply of Long-Term Care Workers in Relation to the Aging Baby Boom Generation

One of the challenges facing the U.S. in the 21st Century will be to ensure that individuals throughout their life will have the supports they need and will be treated with dignity. For the growing population of the elderly and people with disabilities, ensuring the adequacy and availability of direct care workers is key to meeting this ideal.

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.

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

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

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

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