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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 711 - 720 of 983. 10 per page. Page 72.

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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.

Constrained Innovation in Managing Care for High-Risk Seniors in Medicare + Choice Risk Plans

Craig Thornton, Sheldon Retchin, Kenneth D. Smith, Peter D. Fox, William Black and Rita Stapulonis Mathematica Policy Research, Inc. January 2002 This report was prepared under contract #HHS-100-96-0017 between the U.S.

Beyond Fair Hearings: How Five States Help Medicaid Managed Care Beneficiaries Resolve Disputes with Health Plans

U.S. Department of Health and Human Services Beyond Fair Hearings: How Five States Help Medicaid Managed Care Beneficiaries Resolve Disputes with Health Plans

The Role of Health Insurance in Successful Labor Force Entry and Employment Retention

U.S. Department of Health and Human Services The Role of Health Insurance in Successful Labor Force Entry and Employment Retention

Barriers to and Supports for Work Among Adults with Disabilities: Results from the NHIS-D

U.S. Department of Health and Human Services

The Role of Supports in Successful Labor Force Entry for Youth with Disabilities

This paper first summarizes programs that provide support during the school-to-work transition period, and how they have evolved in recent years. It then presents findings from focus groups conducted with individuals who acquired a significant disability during childhood or prior to gaining significant employment experience and who subsequently achieved a measure of employment success.

Research on Employment Supports for People with Disabilities: Summary of the Focus Group Findings

The Lewin Group, Inc. Berkeley Policy Associates, Cornell University

Emerging Practices in Medicaid Primary Care Case Management Programs

Primary care case management (PCCM) is a system of managed care used by state Medicaid agencies in which a primary care provider is responsible for approving and monitoring the care of enrolled Medicaid beneficiaries, typically for a small monthly case management fee in addition to fee-for-service reimbursement for treatment.

Consumer Directed Care and Nurse Practice Acts

U.S. Department of Health and Human Services Consumer Directed Care and Nurse Practice Acts Susan C. Reinhard, RN, PhD Center for State Health Policy, Rutgers University June 2001 PDF Version: http://aspe.hhs.gov/daltcp/reports/2001/nursprac.pdf (38 PDF pages)