U.S. Department of Health and Human Services
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 901 - 910 of 980. 10 per page. Page 91.
Advanced SearchLongitudinal Analysis of High Cost Medicaid Children in California
This report analyzed the Medicaid experience of children in California who had at least $25,000 in claims in 1983. The study analyzed their enrollment in claims experience over the period 1980-1986 in order to determine whether these children remain high cost over a number of years, and whether their eligibility changes over time. [35 PDF pages]
Effects of Multiple Admissions on Nursing Home Use: Implications for "Front-end" Policies
This study analyzes data from the 1985 National Nursing Home Survey to examine the phenomenon of multiple nursing home admissions. This is done in order to determine the number of individuals who would be fully covered if "front-end" nursing home coverage options were enacted.
The Disabled: Their Health Care and Health Insurance
This paper compares the health characteristics (health status, health insurance coverage, use of physician and hospital care, and cost of care) of persons with and without disabilities. Three separate analyses are included: one on children, one on working age adults (aged 18-64), and one on the elderly. Various levels of functional disability are also examined.
Risk of Institutionalization: 1977-1985
This analysis compares predictors of institutional residency in 1977 and 1985 among two national cohorts of individuals who responded to national surveys of nursing home and community-dwelling elderly persons. A state-level analysis of change in predictors of state nursing home use rates for 1976 and 1986 was also conducted using aggregate state sociodemographic and Medicaid policy variables.
An Estimate of the Number of Persons with Developmental Disabilities Receiving Supplemental Security Income Benefits and Their Characteristics
This paper was prepared as part of the Project to Design a Survey of Persons with Developmental Disabilities. The overall purpose of this project was to develop a national survey design that would provide data on a nationally representative sample of persons. This paper was conducted to develop a National Survey of Mentally Retarded and Developmentally Disabled Persons in Community Settings.
Program Participation Patterns Among Persons with Disabilities - Executive Summary
Pat Doyle, Esther Miller and Jim Sears Mathematica Policy Research, Inc. This report was prepared under contract #HHS-88-0047 between the U.S. Department of Health and Human Services (HHS) Office of Social Services Policy (now DALTCP) and Mathematica Policy Research, Inc.
Program Participation Patterns Among Persons With Disabilities
This report contains information on the extent to which persons with disabilities rely on federal programs, based on the 1984 Survey of Income and Program Participation. Information on multiple program participation is also presented. The different levels of functional disability derived in Task I (Population Profile of Disability) are used. [87 PDF pages]
U.S. Long-Term Care Financing in Comparative International Perspective: Old Myths, New Ideas
This paper was presented at the National Council on Aging Annual Meeting, April 1990. As the U.S. debates reform of long-term care financing, examining other countries' approaches to long-term care for the elderly can help expand the range of reform options for consideration.
A Labor Force Profile of Persons with Disabilities - Executive Summary
Alberto Martini Mathematica Policy Research, Inc. This report was prepared under contract #HHS-88-0047 between the U.S. Department of Health and Human Services (HHS) and Mathematica Policy Research. SysteMetrics/McGraw-Hill was a subcontractor for the project.