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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 861 - 870 of 980. 10 per page. Page 87.

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Cost Estimates for the Long-Term Care Provisions Under the Health Security Act

This paper explains the cost estimates for the long-term care provisions of the Health Security Act. [44 PDF pages]

The Elderly with Disabilities: At Risk for High Health Care Costs

According to the 1987 National Medical Expenditure Survey, elderly persons with severe disabilities (defined as needing assistance with one or more activities of daily living) had out-of-pocket health care expenses nearly four times greater than persons without disabilities. Approximately 9% of the elderly population was categorized as having a severe disability.

Consumer Choice and the Frontline Worker

(Article prepared for GENERATIONS, Fall 1994, Volume 18, Number 3, pages 65-70.) [15 PDF pages]

The Medicaid Personal Care Services Option Part I: Cross-State Variations and Trends Over Time

ASPE Research Notes INFORMATION FOR DECISION MAKERS FOCUS ON: Long-Term Care Issued November 1993 The Medicaid Personal Care Services Option Part I: Cross-State Variations and Trends Over Time

Disability, Health Insurance Coverage, and Utilization of Acute Health Services in the United States

    U.S. Department of Health and Human Services   Disability, Health Insurance Coverage, and Utilization of Acute Health Services in the United States Executive Summary

Nursing Home Care in Five Nations

(Journal of the International Federation on Ageing, AGEING INTERNATIONAL Long-Term Care Challenges an Aging World supplement, Volume XX, Number 2) [10 PDF pages]

Licensed Board and Care Homes: Preliminary Findings from the 1991 National Health Provider Inventory

Board and care homes are non-medical community-based facilities that provide at least two meals a day and routine protective oversight to one or more residents with functional limitations. Unweighted data from the 1991 National Health Provider Inventory (NHPI) indicate that there were about 30,000 licensed board and care homes in the United States serving over half a million persons.

Informal Caregiver "Burnout": Predictors and Prevention

ASPE Research Notes INFORMATION FOR DECISION MAKERS FOCUS ON: Long-Term Care Issued April 1993 Informal Caregiver Burnout: Predictors and Prevention PDF Version: