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This paper provides an overview of public financing of long-term care services for the elderly under Medicare, Medicaid and other public programs. Recent program data on public spending for both nursing home and home care services are presented, as well as selected data on recent expenditure trends, particularly under Medicare and Medicaid. Long-t

U.S. Department of Health and Human Services An Analysis of Long-Term Care Reform Proposals Brian BurwellSysteMetrics Mary Harahan and John DrabekOffice of the Assistant Secretary for Planning and Evaluation, Office of Family, Community and Long-Term Care Policy David Kennell and Lisa AlecxihLewin-VHI February 1993 PDF Ver

The purpose of this paper is to describe the diverse strategies that have been proposed for long-term care reform (for persons age 65+), and to present a balanced discussion of the points that have been made in support of, and in opposition to, each proposal. What the authors believe is "balanced" may not be perceived to be so by those who advocat

U.S. Department of Health and Human Services Brookings/ICF Long Term Care Financing Model: Model Assumptions David L. Kennell and Lisa Maria B. Alecxih, Lewin-ICF Joshua M. Wiener and Raymond J. Hanley, Brookings Institution February 1992 PDF Version (75 PDF pages)

U.S. Department of Health and Human Services Searching for a Needle in a Haystack: Creative Use of the Decennial Census Dress Rehearsal Data to Find Board and Care Places in Central Missouri Mary Naifeh andWilliam Downs Bureau of the Census, Housing and Household Economics Statistics Division February 1992 PDF Version:

The purpose of this survey was to determine: (1) whether the Census provides a suitable frame for selecting board and care places; and (2) whether the questionnaire would elicit sufficient information to identify such places. Board and care places are housing units or group quarters which provide room, meals and one or more services to dependent p

Simi Litval, Ph.D., and Jae Kennedy, M.A. World Institute on Disability Research and Training Center on Public Policy in Independent Living December 1991

The project examined how states have used Medicaid's Personal Care Services Optional Benefit (also called the PC Option), assessed whether coverage regulations for these services be revised, and discussed the ways in which the program might affect public debate about the expansion of public funding for long-term care. The project entailed reviewin

U.S. Department of Health and Human Services National Long-Term Care Channeling Demonstration: Summary of Demonstration and Reports Office of Family, Community and Long-Term Care PolicyU.S. Department of Health and Human Services 1987 PDF Version

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. The study examines: program management; federal planning of the project; the objectives of the demonstration; the tw

U.S. Department of Health and Human Services Who Is Paying the Big Bills Very High Cost Pediatric Hospitalizations in California, 1987 Leighton Ku SysteMetrics/McGraw-Hill August 1990 PDF Version

This report analyzed data on all pediatric hospitalizations of $25,000 or more in California to determine the relationship between source of payment and various characteristics, including age and diagnosis. [39 PDF pages]

U.S. Department of Health and Human Services Recent Changes in Service Use Patterns of Disabled Medicare Beneficiaries Kenneth G. Manton, Ph.D.Duke University Korbin Liu, SC.D.Urban Institute 1990 PDF Version: http://aspe.hhs.gov/daltcp/reports/finales.pdf (39 PDF pages)

U.S. Department of Health and Human Services Federal Programs for Persons with Disabilities Brian O. Burwell, Bonnie Preston, and Sarah Bailey Mathematica Policy Research, Inc. January 1990 PDF Version: http://aspe.hhs.gov/daltcp/reports/task2es.pdf (143 PDF pages)

An analysis was made of the pre and post-patterns of Medicare Part A service use using the samples of the 1982 and 1984 National Long-Term Care Surveys linked to the Medicare Part A bill files and mortality reports. The analysis was conducted both for the total elderly Medicare beneficiary population and for the community resident disabled populat

This report provides an overview of the major federal assistance programs targeted on non-elderly persons with disabilities. Program descriptions include expenditures, trends, the number and characteristics of recipients, eligibility rules, recent program history and legislative changes, and interactions with other federal programs.

This report presents selected statistics gathered on residential facilities designated as mental retardation facilities and their residents as part of the 1987 National Medical Expenditure Survey Institutional Population Component (NMES/IPC). In addition to presenting a general background and overview of NMES — the design of NMES/IPC, data avail

U.S. Department of Health and Human Services Use of Functional Criteria in Allocating Long-Term Care Benefits: What Are the Policy Implications? Mary E. Jackson, Ph.D., and Brian O. Burwell SysteMetrics/McGraw-Hill November 1989 PDF Version

This paper discusses the policy implications of allocating long-term care benefits to the elderly on the basis of objective functional criteria, particularly functioning in the activities of daily living (ADLs). Although research has documented the link between measures of ADL performance and the need for services, developing a long-term care prog

U.S. Department of Health and Human Services