The Medicare and Medicaid programs distribute extra payments to hospitals that treat a disproportionate share of indigent patients. The disproportionate share hospital (DSH) payment policies differ substantially between the two programs and, under Medicaid, across states as well.
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.
Noteworthy
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 983. 10 per page. Page 70.
Advanced SearchStudy of Medicare Home Health Practice Variations: Final Report
The objective of this report is to summarize the findings from the quantitative and qualitative methods used to answer the key study questions. The report provides a description of the states, agencies, and patients that participated in the study.
The Homecoming Project: Wisconsin's Nursing Home Transition Demonstration
This paper--which is one of a series of Appendices which will be included in the demonstration's final report-- begins with a description of Wisconsin's Homecoming Project, followed by a summary of the program's results.
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.