The Brookings/ICF Long Term Care Financing Model is available to interested researchers. However, access to a mainframe computer and significant amounts of computer time are required. The computer tape containing the code of the model and associated input data can be purchased through NTIS. Two volumes of documentation have been prepared for those
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This report discusses the parameters of the model and provides examples of how these parameters can be changed to simulate alternative scenarios of the utilization and financing of nursing home and home care by elderly persons for the period 1986-2020. [94 PDF pages]
This report provides pertinent details about the variables, data, and equations on which the Brookings/ICF Long Term Care Financing Model is based. It is designed for those interested in learning precisely how the model generates its results. The Brookings/ICF Long Term Care Financing Model is a microsimulation model which ages a large file of ind
This problem-specific approach describes various circumstances likely to be encountered among frail elderly persons in the community. Each problem area includes a comprehensive list of items that should be considered by a case manager. Model care plans are also included. This document can be used for training case managers in the specifics of effe
The Role of Home and Community-Based Services in Meeting the Health Care Needs of People with AIDS: Final Report
This is the final report for the project, "Role of Home and Community-Based Services in Meeting the Health Care Needs of People with AIDS," conducted by Mathematica Policy Research, Inc. for the U.S. Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation (ASPE). The goal of the project was to assist
This project generated estimates of benefits, costs and premiums for prototype long-term care insurance policies to provide the federal, state and local government and private insurance companies with an independent means of estimating the potential for long-term care insurance coverage. The modeling techniques to be used in this study have been t
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).
This report results from an investigation of the extent to which differential attrition from the research sample in the Channeling Demonstration might have led to biased estimates of program impact. Two analytical approaches were adopted--a heuristic approach and a statistical modeling approach. The results from these approaches lead to the conclu
This study assessed a variety of longitudinal models to examine the effect of different types of caregiver burden on outcomes important to policymakers: nursing home admissions, hospital use, and stability of the family and formal care networks. Analyses were carried out on the 1982 National Long-Term Care Survey (NLTCS) and the 1984 NLTCS Longitu
Issues in Developing the Client Assessment Instrument for the National Long Term Care Channeling Demonstration
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
Concern about inappropriate nursing home placement and rising long-term care costs led to a series of government-financed demonstrations to study whether substituting care at home for care in nursing homes could reduce costs and improve the quality of life for the frail elderly. Based on the evaluation of these demonstrations, the authors conclude
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 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
Prepared by: R. William Thomas Abt Associates Prepared for: Office of the Assistant Secretary for Planning and Evaluation Department of Health, Education, and Welfare Contract: HEW-100-76-0179 Each chapter of the Report is in PDF format. Download a copy of the reader .
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.