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1441 - 1460 of 1610
Post-Acute Care Issues for Medicare: Interviews with Provider and Consumer Groups, and Researchers and Policy Analysts
Widespread interest in Medicare post-acute care issues, particularly after the Balanced Budget Act (BBA) passed, prompted DALTCP to sponsor an "early indication" qualitative study of the potential effects of the BBA provisions and other related issues. To obtain timely information on such issues, this study collected information through interviews
Development of an Assistive Technology and Environmental Assessment Instrument for National Surveys: Final Report - Part I
The purpose of this project was to develop, pilot, and disseminate a set of instruments for national surveys to measure the use of assistive technology and the environments in which they are used. The project focused on older adults living in the community. The instruments have been designed as a series of modules that can be adopted in whole or p
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
This report presents information on Medicare's hospice benefit who is using it, how it is being used, what costs are associated with its use, what costs precede hospice enrollment and how these vary by type of enrollee. This information will be important for understanding the role of Medicare's hospice benefit in the context of the other benef
This project developed an inventory of Quality Improvement Program (QIO) activities and then proposed methodologies to evaluate Medicare's QIO in the future. The contractor gathered information from publicly available sources, from CMS data when available, and from nine site visits to a variety of QIOs. Based on the findings, NORC developed a list
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.
The purpose of this report is to provide basic descriptive statistics on the primary informal caregivers of disabled private long-term care insurance policyholders who have accessed long-term care benefits and are living in the community. Also compared are key characteristics of these individuals to informal caregivers of non-privately insured dis
Policy Frameworks for Designing Medicaid Buy-In Programs and Related State Work Incentive Initiatives
This report provides policy frameworks to assist stakeholders design and implement Medicaid Buy-In programs and related work incentive initiatives to enhance the level of economic self-sufficiency of persons with significant disabilities. Of particular focus are the design decisions affecting enrollment, costs, and a state's fiscal exposure. The p
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
Reducing Nursing Home Use Through Community-Based Long-Term Care: An Optimization Analysis Using Data from the National Channeling Demonstration
A generally consistent finding of community-based long-term care demonstrations, including Channeling, is that these programs do not lead to net reductions in long-term care expenditures. Even though reducing nursing home costs was a goal of these demonstrations, none involved systematic managerial and resource allocation strategies specifically d
This study analyzes Connecticut nursing home data on a current resident cohort, with particular attention to how many residents began their stays as private pay, but eventually spent down to Medicaid eligibility. It also estimates how many residents were Medicaid eligible prior to admission or became eligible at admission. Using data on the amount
Measuring Long-Term Care Work: A Guide to Selected Instruments to Examine Direct Care Worker Experiences and Outcomes
This Guide was developed to help long-term care providers devise appropriate surveys for measuring the experiences, behaviors and outcomes of Direct Care Workers (DCW) which might influence DCW retention and the long-term care work environment. This Guide can help organizations: (1) understand the importance of accurate measurement to guiding effe
In February 1991, ASPE sponsored a two-day research seminar on infant attachment. This final report has three major sections. The first part is a brief summary of an extensive literature review on infant attachment. The second section summarizes the proceedings of the seminar, which was based on the topics outlined in the literature review. The Re
This report describes the implementation of consumer directed care by synthesizing information from in-person discussions with program staff, a mail survey of program consultants, telephone interviews with consumers in the treatment group, and program records. It discusses the program's goals and features, the ways beneficiaries managed their pro
Report from the Working Group on Improving Public Policies and Programs Affecting Persons with Mental Retardation and Other Developmental Disabilities
This report analyzes the impact of current federal policies and programs on the growth of community living arrangements and supportive services for people with mental retardation and other developmental disabilities (MR/DD).