U.S. Department of Health and Human Services
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 701 - 710 of 983. 10 per page. Page 71.
Advanced SearchStudy 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.
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.
HIGHLIGHTS: Inventory of Consumer-Directed Support Programs
"Consumer-direction" is a philosophy and orientation to the delivery of home and community-based long-term care that puts informed consumers and their families in the driver's seat with respect to making choices about how best to meet their disability-related supportive service needs.
The Impact of Private Long-Term Care Insurance Benefits on Selected Medicare Services
The purpose of this analysis is to gain a better understanding of how having a private LTC insurance policy interacts with and affects the use of Medicare financed home health, skilled nursing and inpatient services. The authors used Medicare claims data and linked it to a sample of 578 community-based disabled elders receiving benefits under their LTC insurance policies.
The Impact of Private Long-Term Care Insurance Benefits on Selected Medicare Services - Executive Summary
Jessica Miller, M.S., Boryana Dimitrova, M.A. and Marc Cohen, Ph.D. LifePlans, Inc. This report was prepared under contract #BPA-OS-01-0267C between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and LifePlans, Inc.
Employment Outcomes for Youth Aging Out of Foster Care
Employment Outcomes for Youth Aging Out of Foster Care Final Report Robert M. Goerge, Principal Investigator Lucy Bilaver, Bong Joo Lee Chapin Hall Center for Children at the University of Chicago Barbara Needell, Alan Brookhart, William Jackman Center for Social Services Research, University of California Berkeley March, 2002
1996 National Survey of Homeless Assistance Providers and Clients: A Comparison of Faith-Based and Secular Non-Profit Programs
by: Laudan Y. Aron and Patrick T. Sharkey, The Urban Institute March 19, 2002
The Graying of Medicare's Disabled Population: Implication for a Medicare Drug Benefit
This report is intended to provide policymakers with critical information on prescription coverage, use and cost for both younger and older disabled Medicare beneficiaries using data from the 1995-1998 Medicare Current Beneficiary Surveys. [27 PDF pages]
Independent Choices: National Symposium on Consumer-Directed Care and Self-Determination for the Elderly and Persons with Disabilities - Summary Report
This report presents a summary of major findings and outcomes from the dialogues that took place at "Independent Choices: A National Symposium on Consumer-Direction and Self-Determination for the Elderly and Persons with Disabilities" held in Washington, DC in June 2001.