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Prescription Drug Spending by Medicare

Prescription Drug Spending by Medicare Beneficiaries in Institutional and Residential Settings, 1998-2001

This study had three specific aims: (1) To prepare nationally-representative estimates of drug spending in long-term care (LTC) facilities; (2) To compare drug use and spending for beneficiaries in LTC facilities versus beneficiaries in the community; and (3) To examine medication use and spending by short-stay skilled nursing home facility reside
From: Prescription Drug Spending by Medicare Beneficiaries in Institutional and Residential Settings, 1998-2001
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Basic report
Housing units: Housing Units = Private homes (

The Size of the Long-Term Care Population in Residential Care: A Review of Estimates and Methodology

U.S. Department of Health and Human Services The Size of the Long-Term Care Population in Residential Care: A Review of Estimates and Methodology Brenda C. Spillman and Kirsten J. Black The Urban Institute , Health Policy Center February 28, 2005 PDF Version: http://aspe.hhs.gov/daltcp/reports/2005/ltcpopsz.pdf (57 PDF p
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A Study of Stroke Post-Acute Care Costs and

A Study of Stroke Post-Acute Care Costs and Outcomes: Final Report

This study compared the cost and outcomes of post acute care services after a hospitalization for stroke. After hospitalization, over a third of Medicare beneficiaries use post acute care services, including skilled nursing facilities, inpatient rehabilitation, long-term care hospital, home health care services or outpatient services. We know litt
From: A Study of Stroke Post-Acute Care Costs and Outcomes: Final Report
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Important Questions for Hospice in the Next

Important Questions for Hospice in the Next Century

This report contains six main sections. The first focuses on hospice coverage policies and reviews the history of the Medicare hospice benefit, its current structure, and its influence on care of the dying. Also included is a description of hospice care covered by other insurers including state Medicaid programs and private employers. The second s
From: Important Questions for Hospice in the Next Century
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PDF report
Examining Post Acute Care Relationships in an

Examining Post Acute Care Relationships in an Integrated Hospital System

This project continues the analysis of Medicare beneficiary level episodes of post-acute care. RTI builds on its previously funded ASPE project by expanding the episode file to include 2006 claims. The episode definition initiates with an acute hospital stay and includes all Medicare post acute care services (e.g., long-term care hospitals, skil
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Effects of Medicare's Hospital Prospective

Effects of Medicare's Hospital Prospective Payment System (PPS) on Disabled Medicare Beneficiaries: Final Report

The purpose of this study was to determine how PPS has affected the patterns of care received by Medicare beneficiaries with chronic disabling conditions. The study used the 1982 and 1984 National Long-Term Care Surveys to provide an empirical analysis of differences in the utilization patterns of hospital, skilled nursing facility and home health
From: Effects of Medicare's Hospital Prospective Payment System (PPS) on Disabled Medicare Beneficiaries: Final Report
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Overview of Long-Term Care in Five Nations:

Overview of Long-Term Care in Five Nations: Australia, Canada, the Netherlands, Norways, and the United States

After discusion about the possible approaches for conducting the international analysis, the International Collaborative Effort on Age research team concluded that the initial step in analysis should be to establish the 'context' of the research on outcomes of nursing home care. The purpose of this report is to describe the context of nursing home
From: Overview of Long-Term Care in Five Nations: Australia, Canada, the Netherlands, Norways, and the United States
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Post-Acute and Long-Term Care: A Primer on

Post-Acute and Long-Term Care: A Primer on Services, Expenditures and Payment Methods

U.S. Department of Health and Human Services Post-Acute and Long-Term Care: A Primer on Services, Expenditures and Payment Methods David C. Grabowski, PhD Harvard Medical School June 2010 PDF Version: http://aspe.hhs.gov/daltcp/reports/2010/paltc.pdf (20 PDF pages)
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Factors Predicting Transitions from Medicare-Only

Factors Predicting Transitions from Medicare-Only to Medicare-Medicaid Enrollee Status

This study focuses on understanding the rates and patterns of enrollment in Medicaid among individuals already enrolled in Medicare, the factors that predict this transition to dual coverage, and those that predict nursing home entry. This volume provides estimated econometric models that predict beneficiaries’ enrollment in Medicaid, and the
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Substitutability Across Institutional Post-Acute

Substitutability Across Institutional Post-Acute Care Settings: 1998-2006

This report examines trends in the provision of post-acute care to beneficiaries with diagnoses indicating a need for complex medical care for the years 1998-2006, with special attention to changes in care provided by long-term care hospitals and hospital-based skilled nursing facilities. It focuses in particular on the relationship between change
From: Substitutability Across Institutional Post-Acute Care Settings: 1998-2006
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Subacute Care: Policy Synthesis and Market Area

Subacute Care: Policy Synthesis and Market Area Analysis

Prepared by Lewin-VHI, Inc . This study was prepared for the Department of Health and Human Services , Office of the Assistant Secretary for Planning and Evaluation. November 1, 1995 Executive Summary
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Bar Chart: Decline in Supply of Direct Care

The Future Supply of Long-Term Care Workers in Relation to the Aging Baby Boom Generation

The Future Supply of Long-Term Care Workers in relation to The Aging Baby Boom Generation REPORT TO CONGRESS May 14, 2003 PDF Version: http://aspe.hhs.gov/daltcp/reports/ltcwork.pdf (59 PDF pages)
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Bar Chart: Number of Patients by Calendar Year.

Important Questions for Hospice in the Next Century

U.S. Department of Health and Human Services Important Questions for Hospice in the Next Century Barbara Gage, Ph.D., Susan C. Miller, Ph.D., MBA, Kristen Coppola, Ph.D., Jennie Harvell, M.Ed., Linda Laliberte, JD, MS, Vincent Mor, Ph.D., and Joan Teno, M.D., MS March 2000 PDF Version: http://aspe.hhs.gov/daltcp/reports/impques.pdf (19
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Pie Chart: National Long-Term Care Expenditures

Public Financing of Long-Term Care: Federal and State Roles

U.S. Department of Health and Human Services Public Financing of Long-Term Care: Federal and State Roles Brian O. Burwell and William H. Crown SysteMetrics September 1994 PDF Version (43 PDF pages)
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Ensuring a Qualified Long-Term Care Workforce:

Ensuring a Qualified Long-Term Care Workforce: From Pre-Employment Screens to On-the-Job Monitoring

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.
From: Ensuring a Qualified Long-Term Care Workforce: From Pre-Employment Screens to On-the-Job Monitoring
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Examining Relationships in an Integrated Hospital

Examining Relationships in an Integrated Hospital System

The Examining Relationships in an Integrated Hospital System research project with RTI explores whether an organizational link between a Medicare hospital and a Medicare post-acute care (PAC) setting, such as a long term care hospital, inpatient rehabilitation facility, skilled nursing facility, or home health agency, increases the likelihood of t
From: Examining Relationships in an Integrated Hospital System
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Caring for Frail Elderly People: Policies in

Caring for Frail Elderly People: Policies in Evolution

U.S. Department of Health and Human Services Caring for Frail Elderly People: Policies in Evolution Chapter 14: United States Pamela Doty, Ph.D. 1996 PDF Version (38 PDF pages)
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Medicare's Post-Acute Care Benefits:

Medicare's Post-Acute Care Benefits: Background, Trends, and Issues to Be Faced

ASPE funded the Urban Institute to synthesize trends and issues with Medicare post-acute care benefits. Rapidly rising expenditures for home health, skilled nursing facility, and rehabilitation and long-term care hospital services have caused policymakers to focus considerable attention on these benefits. The Balanced Budget Act (BBA) of 1997 mand
From: Medicare's Post-Acute Care Benefits: Background, Trends, and Issues to Be Faced
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The Size of the Long-Term Care Population in

The Size of the Long-Term Care Population in Residential Care: A Review of Estimates and Methodology

This report examines the differences in estimates of the older population in residential care by analyzing key national surveys. In it the authors present results of a review of existing estimates of the number of residential care settings, generally divided into nursing homes and alternative residential care settings, and the number of persons r
From: The Size of the Long-Term Care Population in Residential Care: A Review of Estimates and Methodology
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Basic report
The Size and Characteristics of the Residential

The Size and Characteristics of the Residential Care Population: Evidence from Three National Surveys

U.S. Department of Health and Human Services The Size and Characteristics of the Residential Care Population: Evidence from Three National Surveys Brenda C. Spillman and Kirsten J. Black The Urban Institute , Health Policy Center January 4, 2006 PDF Version
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