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Long-Term Services & Supports, Long-Term Care

ASPE conducts research, analysis, and evaluation of policies related to the long-term care and personal assistance needs of people of all ages with chronic disabilities. ASPE’s work also highlights the financing, delivery, organization, and quality of long-term services and supports, including those supported or financed by private insurers, Medicaid, Medicare, and the Administration for Community Living (ACL). This includes assessing the interaction between health care, post-acute care, chronic care, long-term care, and supportive services needs of persons with disabilities across the age spectrum; determining service use and program participation patterns; and coordinating the development of long-term care data and policies that affect the characteristics, circumstances, and needs of people with long-term care needs, including older adults and people with disabilities. 

Most Older Adults Are Likely to Need and Use Long-Term Services and Supports

More than one-half of older adults, regardless of their lifetime earnings, are projected to experience serious LTSS needs and use some paid LTSS after turning 65. 

Older adults with limited lifetime earnings are more likely to develop serious LTSS needs than those with more earnings. 

However, fifty-six percent of older adults in the top lifetime earnings quintile receive some paid LTSS, and the likelihood of nursing home care does not vary much by lifetime earnings. Learn more.

Reports

Displaying 1 - 10 of 889. 10 per page. Page 1.

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Research Brief

The Initial Impact of COVID-19 on Children and Youth (Birth to 24 years)

September 21, 2021
This brief provides a high level overview of the impact of COVID-19 on the development, emotional and behavioral health, social, and economic well-being of children and youth (ages birth to 24).
ASPE Issue Brief

Trends in Antimicrobial Drug Prescribing During the COVID-19 Pandemic

September 20, 2021
COVID-19 has impacted antimicrobial drug prescribing both directly, through COVID-19 treatment, and indirectly, through the reduced spread of illnesses for which antimicrobial drugs are commonly prescribed.
Report

Comprehensive Plan for Addressing High Drug Prices: A Report in Response to the Executive Order on Competition in the American Economy

September 9, 2021
President Biden’s Executive Order 14036, “Promoting Competition in the American Economy” (the Competition Executive Order), identifies a lack of competition as a key driver for problems across economic sectors.
Report

Value-Based Payment and Health Care System Preparedness and Resilience

August 16, 2021
Over the past 20 years, Medicare and many private payers have transitioned to policies known collectively as value based purchasing (VBP). The COVID-19 pandemic has had an unprecedented impact on health, health care, the economy, and our daily lives over the past 15 months.
ASPE Issue Brief

Unvaccinated for COVID-19 but Willing: Demographic Factors, Geographic Patterns, and Changes Over Time

August 9, 2021
As of August 4, 2021, 70.1 percent of U.S. adults have received at least one dose of a COVID-19 vaccine. However, vaccine coverage varies dramatically across the country, with vaccine coverage being less than 40 percent in a third of U.S. counties. Despite a sufficient supply of COVID-19 vaccines, daily vaccinations have dwindled in recent months.
ASPE Issue Brief

Health Insurance Coverage Among Working-Age Adults with Disabilities: 2010-2018

July 30, 2021
For working-age adults with disabilities, consistent access to health insurance may be critical to continuity of care and good health outcomes. We tracked changes in health insurance coverage for this population from 2010-2018.
ASPE Issue Brief

State Medicaid Telehealth Policies Before and During the COVID-19 Public Health Emergency

July 19, 2021
States have embraced Medicaid telehealth flexibilities during the COVID-19 Public Health Emergency (PHE), enhancing beneficiary access to services delivered via telehealth. This Issue Brief examines state Medicaid telehealth coverage and policies before and after the COVID-19 PHE was declared in January 2020. Related Products
ASPE Issue Brief

The Impact of the COVID-19 Pandemic on Medicare Beneficiary Utilization and Provider Payments: Fee-For-Service (FFS) Data for 2020

June 28, 2021
Medicare FFS beneficiary service use and associated payments to providers dropped substantially from mid-March through mid-April, but had returned to near-2019 levels by the fall of 2020. The rebound in the fall was not sufficient to offset the earlier declines in the spring, and cumulative payment levels across all states were lower in 2020 compared to 2019.

Vaccine Hesitancy for COVID-19: PUMA Estimates

June 16, 2021
To support state and local communication and outreach efforts, ASPE developed state, county, and sub-state level predictions of hesitancy rates using the most recently available federal survey data, the Household Pulse Survey from May 25-June 7, 2021. This page includes an interactive map and datasets for download.