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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 891 - 900 of 979. 10 per page. Page 90.

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Estimating the Prevalence of Long-Term Disability for an Aging Society

This study was designed to provide comprehensive information about future long-term care needs in the U.S. Using data from the U.S. Decennial Census of Population and Housing, National Long-Term Care Survey and National Nursing Home Survey, the study developed detailed projections of the need for long-term care among the elderly in the years 2000, 2020 and 2040.

The Future of SIPP for Analyzing Disability and Health

This paper was requested as part of the National Academy of Sciences, Committee on National Statistics Panel to Evaluate the Survey of Income and Program Participation (SIPP). SIPP is sponsored by the Bureau of the Census and has been an ongoing longitudinal survey of the civilian non-institutionalized population since 1983.

National Long-Term Care Channeling Demonstration: Summary of Demonstration and Reports

This paper presents an overview of the results of the National Long-Term Care Channeling Demonstration, conducted in ten states to test the impact of a community-based system of long-term care upon the functionally disabled elderly.

Prevalence and Correlates of Unmet Need Among the Elderly with ADL Disabilities

This report examines how many disabled elderly are at risk because they do not receive the assistance they need in basic self-maintenance activities. The source of data was the 1982 and 1984 National Long-Term Care Surveys.

Long-Term Care for the Boomers: A Public Policy Challenge for the Twenty-first Century

Although the current difficulties in developing an adequate system of long-term care are extensive, they pale in comparison to the challenges ahead as the "baby boomers" come of age.

Physical and Cognitive Impairment: Do They Require Different Kinds of Help?

Physical impairments are commonly believed to require relatively more active hands-on assistance with the activities of daily living (ADLs) while cognitive impairments use relatively more supervisory or standby assistance.

Programmatic Definitions of Disability: Policy Implications

This paper looks at programmatic definitions of disability for federal disability programs by: (1) reviewing and examining major programmatic definitions of disability, and (2) describing complex eligibility processes by using the Social Security Disability Insurance program as an example.

Premium Pricing of Prototype Private Long-Term Care Insurance Policies: Final Report

U.S. Department of Health and Human Services

Publicly-Financed Home Care for the Disabled Elderly: Who Would Be Eligible?

The purpose of this paper is to demonstrate the variability in estimates of disability in the U.S. elderly population as a function of differing definitions of physical disability and cognitive impairment.