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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 781 - 790 of 983. 10 per page. Page 79.

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An Introduction to the National Long-Term Care Survey

This paper updates an earlier summary of the National Long-Term Care Surveys (NLTCS) entitled "The National Long-Term Care Surveys (1982, 1984, 1989)" (1992). The NLTCS--conducted in 1982, 1984, 1989, and 1994--are nationally representative surveys of Medicare beneficiaries aged 65 or over with chronic functional disabilities (sometimes referred to as the "frail elderly").

Evaluation of the District of Columbia's Demonstration Program,Managed Care System for Disabled and Special Needs Children: Year One Report

This project evaluates the District of Columbia's managed care demonstration program for disabled and special needs children. The demonstration program relies on a Medicaid-financed managed care system for children in the District's Supplemental Security Income program and is offered to eligible children as an alternative to the traditional Medicaid fee-for-service system.

Evaluation of the District of Columbia's Demonstration Program, "Managed Care System for Disabled and Special Needs Children": Year One Report

Robert Coulam, Carol Irvin, Michele Teitelbaum, Laurine Thomas and Tanisha Carino Abt Associates Inc. July 28, 1998 This report was prepared under contract #500-96-0003 between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and Abt Associates Inc.

Paying the Bill

Financing assisted living costs is most often determined in the weeks before an individual moves into a facility. Making plans now can result in saved dollars and fewer headaches. (Assisted Living Today, July/August 1998, Volume 5, Number 4, pages 39-41) [9 PDF pages]

Meeting the Challenge of Serving People With Disabilities: A Resource Guide for Assessing the Performance of Managed Care Organizations

This Resource Guide is designed to support efforts to measure and improve Medicaid MCO performance for people with disabilities.

International Evidence on Disability Trends among the Elderly

U.S. Department of Health and Human Services

State Assisted Living Policy: 1998

State Assisted Living Policy: 1998 Executive Summary

Informal Caregiving: Compassion in Action

This booklet, developed by the U.S. Department of Health and Human Services (HHS) is about informal caregiving — unpaid care given voluntarily to ill or disabled persons by their families and friends. Informal caregiving by families and friends is the backbone of America's long-term care system.