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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

This project examines alternative episode definitions to better align performance measures, incentives, payments, and accountability within Medicare fee-for service in the near term and options for broader episode-based reforms. The project includes an environmental scan, a technical expert panel for review and input of deliverables in the project

U.S. Department of Health and Human Services Substitutability Across Institutional Post-Acute Care Settings: 1998-2006 Robert Schmitz and Samuel Simon Mathematica Policy Research, Inc. September 25, 2009 PDF Version: http://aspe.hhs.gov/daltcp/reports/2009/instPAC.pdf (63 PDF pages)

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

U.S. Department of Health and Human Services Survey Questions for EHR Adoption and Use in Nursing Homes: Final Report Andrew Kramer, MD, Meg Kaehny, MSPH, Angela Richard, MS, RN, and Karis May University of Colorado, DenverDivision of Health Care Policy and Research January 5, 2010 PDF Version: http://aspe.hhs.gov/dalt

As described in this report, the project was aimed at developing a core survey that has the sensitivity to capture change over time in nursing homes' level of automation and, whether fielded in conjunction with the NNHS or through other means, will provide a valuable snapshot of nursing home HIT use while establishing a baseline from which to trac

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)

ASPE awarded a small Professional Services Purchase Order to provide information to be used in the §4104(a). This Primer provides information on federal and state payment methods and sources of payments for Medicaid nursing facilities and Medicare skilled nursing facilities, home health agencies, inpatient rehabilitation and long-term care hospi

ASPE is releasing a 2010 update of "Understanding Medicaid Home and Community Services, A Primer". This is an update of the well-received document ASPE released in 2000 to address conflicting understanding and interpretation of Medicaid home and community-based services options. The 2000 "Primer," as it has come to be called, has served as a def

This PDF was submitted as an attachment to a Public Comment sent to the Advisory Council on Alzheimer's Research, Care, and Services and/or the National Alzheimer's Project Act website. The opinions and views expressed in this PDF are those of the authors and the person who submitted it. They do not necessarily reflect the views of any federal a

This project expands ASPE's Medicare post-acute care (PAC) episode analytic file in terms of sample size and the number of years used (2006-2008) to provide more detailed characteristics of PAC episodes under different definitions. This analysis provides information on changes in PAC use, allows for more detailed understanding of the patterns of

U.S. Department of Health and Human Services Hospitalizations of Nursing Home Residents: Background and Options Susan PolniaszekOffice of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services Edith G. Walsh, Ph.D., and Joshua M. Wiener, Ph.D.Aging, Disability and Long-Term Care, RTI Internati

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]

This report was prepared under contracts #HHSP23320074303EC and #HHSP23320110006EC between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and the American Health Information Management Association.  For additional information about this subject, you can visit the DALTCP home

This report provides a strategy and tools to support health information technology (HIT) adoption and use among long-term/post-acute care (LTPAC) providers, particularly nursing homes and home health agencies. The analysis and recommendations result from a four-year study sponsored by ASPE/HHS and undertaken by the American Health Information Mana

November 2012 By: Anne Deutsch, RN, PhD, CRRN, Tracy Kline, PhD, Cindy Kelleher, MPH, Lisa M. Lines, MPH, Laurie Coots, MS, MA, Danielle Garfinkel, BA, Trudy Mallinson, PhD, Barbara Gage, PhD Abstract