A generally consistent finding of community-based long-term care demonstrations, including Channeling, is that these programs do not lead to net reductions in long-term care expenditures. Even though reducing nursing home costs was a goal of these demonstrations, none involved systematic managerial and resource allocation strategies specifically designed to research this goal.
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 881 - 890 of 979. 10 per page. Page 89.
Advanced SearchBrookings/ICF Long-Term Care Financing Model: Designing and Using Model Simulations
U.S. Department of Health and Human Services
Brookings/ICF Long-Term Care Financing Model: User's Guide to Specifying Simulations
This report discusses the parameters of the model and provides examples of how these parameters can be changed to simulate alternative scenarios of the utilization and financing of nursing home and home care by elderly persons for the period 1986-2020. [94 PDF pages]
An Analysis of the Impact of Spend-down on Medicaid Expenditures
U.S. Department of Health and Human Services
A Synthesis and Critique of Studies on Medicaid Asset Spenddown
U.S. Department of Health and Human Services
Policy Issues Affecting the Medicaid Personal Care Services Optional Benefit
U.S. Department of Health and Human Services
Community-Relevant Policy Research Meeting: Summary
On August 8, 1991, the Division of Family and Community Policy within ASPE convened a meeting of family-related researchers to discuss the following questions: Why has so little family research impacted policy? What can be done to improve the situation? What issues are important to future research?
Home and Community-Based Care in the USA
This paper focuses on the elderly, aged 65 and over, who are the primary users of long-term care in the United States. It examines their use of long-term care services, particularly home and community-based care. It describes the kinds of data available on the functionally impaired elderly and their use of such care. [20 PDF pages]
The Federal Role in Consumer Protection and Regulation of Long-Term Care Insurance
U.S. Department of Health and Human Services
Catastrophic Acute and Long-Term Care Costs: Risks Faced by Disabled Elderly Persons
The repeal of many provisions of the 1988 Medicare Catastrophic Coverage Act was due to subjective impressions about the usefulness to many elderly persons of the services covered by the law and to the omission of long-term care services.