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This paper explains the cost estimates for the long-term care provisions of the Health Security Act. [44 PDF pages]
These Papers describe the current state of knowledge about long-term care in the U.S., and serve as a knowledge base for the difficult analytic tasks that lie ahead. They are based on the work of HHS's Task Force on Long-Term Care up to January 1981 and contain data that have not been available before. Five Papers make up this document: (1) an ove
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.
The purpose of this paper is to describe the diverse strategies that have been proposed for long-term care reform (for persons age 65+), and to present a balanced discussion of the points that have been made in support of, and in opposition to, each proposal. What the authors believe is "balanced" may not be perceived to be so by those who advocat
High Service or High Privacy Assisted Living Facilities, Their Residents and Staff: Results from a National Survey
This report gives a description of the policies and practices, residents, and staff in the segment of the assisted living facility (ALF) industry that provides the highest level of services and privacy. It reports data on a nationally representative sample of residents and staff in ALFs classified as providing relatively high services or offering
Information Needs Associated with the Changing Organization and Delivery of Health Care: Summary of Perceptions, Activities, Key Gaps, and Priorities
This report summarizes the insights and conclusions drawn from a project to asses unmet needs for supply-side information on the health system. The project focused on identifying how information needs associated with a changing health care system are perceived by providers, insurers, purchasers, consumers, and government at various levels. The pro
The objective of this report is to summarize the findings from the quantitative and qualitative methods used to answer the key study questions. The report provides a description of the states, agencies, and patients that participated in the study. Quantitative data are used to (1) examine the influence of patient, provider, agency, and market/regu
The privatization of welfare services has increased significantly and expanded into new services since passage of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA) gave states additional flexibility to design and operate their Temporary Assistance for Needy Families (TANF) programs. Despite its increasing popular
In the evaluation of the National Long-Term Care Channeling Demonstration, some members of the research sample were lost to the analysis due to sample attrition. Sample attrition could distort the treatment/control group comparison, depending on the type of attrition that occurred. This report investigates whether there was evidence of bias due to
This report analyzes the treatment and control groups in the National Long-Term Care Channeling Demonstration and concludes that the randomization procedure resulted in groups that are very similar on observable characteristics. Even for site level comparisons, where larger differences were expected because of smaller sample sizes, the number of s
Using MSIS Data to Analyze Mental Health Service Use and Expenditures for Medicaid Beneficiaries with Mental Illness in New Jersey in 1999
In the study described in this report, the authors used the Medicaid Statistical Information System (MSIS) files to examine the use and costs of Medicaid services for beneficiaries with mental illness in one state (New Jersey). This report includes an overview of findings on service use and costs for beneficiaries with mental illness compared with
The evaluation of the 2001 OPM policy of parity for mental health and substance abuse (MH/SA) health care insurance benefits in the FEHB Program was conducted primarily to assess the impact of this policy on utilization and cost. Would increases be within reasonable limits or would the increase to utilization and cost render MH/SA parity unafforda
This paper considers ways to determine the ability of users to contribute to the costs of their care. When better estimates of the costs of long-term care are known, the figures developed here can be used to indicate where shares of the health expenditure burden could be borne privately by individuals. For this analysis, two groups of households a
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.
This project focuses on the development, analysis, and use of neighborhood health indicators pertaining to children and youth. Using data provided by five data intermediary organizations (located in large cities) that participate in the Neighborhood Indicators Partnership (NNIP), Urban Institute conducted a cross-site analysis and provided technic