This report presents the findings from the inventory of "affordable housing plus services" (AHPS) strategies for lower income seniors.
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A Descriptive Analysis of Patterns of Informal and Formal Caregiving among Privately Insured and Non-Privately Insured Disabled Elders Living in the Community
This research was designed to answer current questions surrounding long-term care insurance. It was also designed to provide basic sociodemographic and service utilization profiles for disabled private long-term care insurance policyholders, and to compare such data and findings to the experiences of non-insured disabled community-dwelling elders.
Independent Choices: National Symposium on Consumer-Directed Care and Self-Determination for the Elderly and Persons with Disabilities - Summary Report
This report presents a summary of major findings and outcomes from the dialogues that took place at "Independent Choices: A National Symposium on Consumer-Direction and Self-Determination for the Elderly and Persons with Disabilities" held in Washington, DC in June 2001. Rather than attempt to abstract individual panel presentations, this report h
In an effort to improve the quality of care provided in long-term care settings, as well as ensure a committed and qualified long-term care workforce, ASPE contracted with The Lewin Group to study the efficacy of various approaches to pre-employment screening and on-the-job monitoring of nurse assistants to prevent resident abuse in nursing homes.
This report provides a brief overview of the limited research on adult day services conducted to date. It presents an overview of state approaches to regulating adult day services for elderly persons. Findings from site visits to adult day service providers in five state, and providers' and stakeholders' views on regulatory issues in their states
This paper outlines the specific data elements that long-term care insurance participating in a State Partnership for Long-Term Care must provide to the Department of Health and Human Services (HHS). This system of records is required by the Deficit Reduction Act of 2005. Federal regulations supporting these data requirements were published in the
The Role of Home and Community-Based Services in Meeting the Health Care Needs of People with AIDS: Final Report
This is the final report for the project, "Role of Home and Community-Based Services in Meeting the Health Care Needs of People with AIDS," conducted by Mathematica Policy Research, Inc. for the U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation (ASPE). The goal of the project was to assist
Addressing Liability Issues in Consumer-Directed Personal Assistance Services (CDPAS): The National Cash and Counseling Demonstration and Selected Other Models
U.S. Department of Health and Human Services Addressing Liability Issues in Consumer-Directed Personal Assistance Services (CDPAS): The National Cash and Counseling Demonstration and Selected Other Models Charles P. Sabatino, J.D., and Sandra L. Hughes, J.D. Commission on Law and Aging, American Bar Association January 2004
To assess how different tax break proposals for private long-term care insurance might affect private coverage, better information is needed on the decision to purchase long-term care insurance and the sensitivity of the purchase decision to price changes. This report describes the results of efforts to model private long-term care insurance cove
The 1982 and 1984 National Long-Term Care Surveys (NLTCS) are household surveys of functionally impaired Medicare beneficiaries age 65+. The 1989 NTLCS is a resurveying of this population. The surveys have been a joint venture of several agencies: the Census Bureau collects the data from impaired elderly; the National Opinion Research Center surve
This report addresses the process of constructing the sample frame for the National Survey of Residential Care Facilities, how well the final sample frame matches other estimates of the number of residential care facilities (RCFs) and beds/units, final modifications to the sample design, and recommendations for conducting future surveys. Within th
Innovative Medicaid Managed Care Coordination Programs for Co-morbid Behavioral Health and Chronic Physical Health Conditions: Final Report
The prevalence of co-morbid chronic physical and behavioral health conditions is an established driver of spiraling costs and poor health outcomes among Medicaid recipients. States are increasingly deploying new managed care models to help control Medicaid costs and promote improved health outcomes. This study examines innovations in the coord
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. To draw useful lessons from other countries' experiences, however, preco
Lessons from the Workshops on Affordable Housing Plus Services Strategies for Low and Modest-Income Seniors
This report presents the findings from the workshops on "affordable housing plus services" (AHPS) strategies for lower income seniors. These workshops were held across the country to analyze the merits of AHPS strategies and the barriers to their more widespread diffusion. [29 PDF pages]
In response to the growing opioid epidemic, HHS announced a three-pronged initiative in March 2015 to: (1) improve opioid prescribing practices; (2) increase access to naloxone for overdose management; and (3) expand medication-assisted treatment (MAT) to reduce opioid dependence. In support of the initiative, ASPE contracted with Mathematica Poli
The report contains the results of actuarial and policy analyses of the CLASS Act and the legal analysis of various benefit plan options. This report contains important findings that will help advance the cause of charting a path to affordable and sustainable long-term care options. [48 PDF pages]
U.S. Department of Health and Human Services Long-Term Care Service Supply: Levels and Behavior William J. Scanlon and Margaret B. Sulvetta The Urban Institute 1984 PDF Version: http://aspe.hhs.gov/daltcp/reports/1984/aeltcd5.pdf (99 PDF pages)
This report examines the potential for asset-based pre-funding of retirement income and disability insurance through an annuity that provides both income and long term care protection. The potential for such products is examined in the context of the possible use of reverse mortgage as a funding source for the annuity. The affordability of a combi
Report from the Working Group on Improving Public Policies and Programs Affecting Persons with Mental Retardation and Other Developmental Disabilities
This report analyzes the impact of current federal policies and programs on the growth of community living arrangements and supportive services for people with mental retardation and other developmental disabilities (MR/DD).