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The primary objective of the research in the National Long-Term Care Channeling Demonstration was to determine the impacts of the demonstration on service utilization, public and private costs, clients and caregivers. The demonstration employed a randomized experimental design with random assignment of eligible participants to either treatment gro

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

This preliminary report addresses a number of issues pertaining to the development of a combined research and clinical instrument for assessing the functional status of clients in the National Long-Term Care Channeling Demonstration. The report contains an extensive literature review, evaluation of existing instruments and appraisal of the experie

The principal finding of this report is that Channeling led to an increase in total costs for clients, including costs for medical and long-term care services and costs for shelter, food and other daily living expenses. The Basic Case Management Model appeared to increase these costs by about $1,300 during the 18-month period of the demonstration;

This report examines a small but key aspect of Channeling — the costs of operating the demonstration itself. The ten sites incurred costs of $23 million as they prepared for and later provided case management and long-term care services to clients between September 1980 and June 1984. In addition to the project costs, the states spent $2.8 milli

Tables in this report were prepared in response to a contractual charge to analyze existing data sources for answers to as many long-term care questions as data and resources would permit. More than two dozen research papers containing roughly 500 tables were produced as a result of that effort. This report contains a substantial portion of those

This Handbook is designed to improve understanding and provide greater clarity concerning Medicaid's contribution in supporting working-age adults with serious mental illnesses in the community. The Handbook focuses on working-age adults between the ages of 21 and 64 with serious mental illnesses, whose need for support extends beyond mental healt

The LTC industry's need for workers and TANF recipients' need for jobs could be mutually beneficial if, indeed, recipients' characteristics, skills, and circumstances match the requirements, accessibility, and availability of LTC jobs. In this paper, the authors provide a brief overview of what is already known about the characteristics of long-te

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

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

This literature review first summarizes the current knowledge of physician practice in nursing homes and identifies gaps in the knowledge base. It then presents the physician practice models applied in nursing homes, including integrated and managed care delivery models, and describes the characteristics of physicians who practice in nursing home

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

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

This document is the information package given to the attendees of the conference “Pathway to the Future: How Workforce Development and Quality Jobs Can Promote Quality Care.” The held in Washington, D.C. on May 23-25, 2004, and was sponsored by the U.S. Department of Health and Human Services and the U.S. Department of Labor.

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.

The purposes of this report is to: describe the characteristics of elderly people who need long-term care and how these characteristics will change over time; assess the potential of private financing mechanisms to lessen the catastrophic impact of nursing home and home care expenses which can wipe out individual and family savings; develop action

This report to Congress responds to a mandate of the Orphan Drug Act (P.L.97-414, January 4, 1983), which called for the Secretary of HHS to conduct demonstration projects to test methods for identifying individuals at risk of institutional placement who could be treated more cost-effectively with home health and other non-institutional services.

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]

Technology plays a vital role in the lives of older individuals. This report: (1) describes a range of existing and emerging technological solutions for select care issues salient to residential care settings; (2) identifies, based on a review of the literature and discussions with experts in the field, barriers to the successful implementation of

This report is the second of two prepared as part of a project to better understand the size and characteristics of the long-term care population in all settings. Identified were three recently federally supported surveys — the 2002 Health and Retirement Survey, the 2002 Medicare Current Beneficiary Survey Cost and Use file, and the National Lo