This study describes community and institutional service use patterns over a five year period (1982-1987), based on secondary analyses of longitudinal data for over 4,000 Massachusetts elderly. Emphasis was placed on community service use of persons judged to be at high risk of institutional placement. For nursing home users, the elderly were dist
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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)
Many children with special health care needs depend on the health and supportive services provided by Medicaid. It is important that policymakers have a sound understanding of these children's patterns of health care use, especially given the shift to managed care. Previous studies of children on Medicaid with severe disability and/or chronic illn
This study uses the 1985 National Nursing Home Survey to examine the use and cost of nursing home care among the elderly population of the United States. The following questions are addressed: How many persons aged 65+ use nursing homes in a given year? How do they stay and what are their annual charges? How often, and to what extent, do residents
The purpose of this study is to explore the extent to which changes in medication use account for improvements in functioning among older Americans. Using several waves of the Health and Retirement Study, a nationally representative survey of non-institutionalized Americans ages 51-61, the authors examine changes between 1992 and 1998 and between
The purpose of this paper was to provide a synthesis and critique of current research on Medicaid spenddown. The primary goal was to ask what these studies could tell us about the extent to which persons incurred catastrophic expenses in nursing homes. A corollary goal was to examine how the data and research methods used in the various studies af
This paper describes research to estimate the rates of nursing home admissions and to identify the determinants of long and short stays in nursing homes. The research employed data available from the 1982 and 1984 National Long-Term Care Surveys. Hence, the results are both nationally representative and indicative of nursing home use patterns by t
Continuing Care Retirement Communities (CCRCs) are presently becoming a more viable option for seekers of long-term care for the elderly. CCRCs have been recognized for their unique strategy of combining various levels of health care within one community setting, as well as their potential for providing cost-effective care. As the industry undergo
Assessing the Economics of EMR Adoption and Successful Implementation in Physician Small Practice Settings
By: Moshman Associates, Booz, Allen, Hamilton This report is currently only available in PDF format.
As long-term care expenditures have risen, policymakers have sought ways to control costs while maintaining consumer satisfaction. Concurrently, there is increasing interest within the aging and disability communities in consumer-directed care. The Cash and Counseling Demonstration and Evaluation seeks to increase consumer direction and control co
This project had two major goals: (1) To describe the workings of a successful, large-scale, case disability allowance program from an administrative perspective. The Veterans Administration (VA) allowance program is described in detail, to provide a benchmark for future research and program design. (2) To examine the question whether recipients o