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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 111 - 120 of 936. 10 per page. Page 12.

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Report to Congress

Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018

September 9, 2019
U.S. Department of Health and Human Services September 2019 Printer Friendly Version in PDF Format (61 PDF pages)

Support And Services at Home (SASH) Evaluation: SASH Evaluation Findings, 2010-2016

July 9, 2019
This document provides highlights of the evaluation of the Support and Services at Home (SASH) program for the first years of the program (2010-2016). The SASH program in Vermont is a promising approach to providing support services and care coordination to older adults and individuals with disabilities, using affordable housing properties as a platform for service delivery.

Support And Services at Home (SASH) Evaluation: Highlights from the Evaluation of Program Outcomes from 2010 to 2016

July 9, 2019
This paper describes the primary features of the SASH program and summarizes the main findings of the evaluation to date.

Choices Matter: Housing Models that May Promote Recovery for Individuals and Families Facing Opioid Use Disorder

June 23, 2019
ASPE recently completed a research project, conducted by Abt Associates, that explored homelessness and opioid use disorder, along with the evidence base for different models for care. This brief is highlights of findings from the project.
Literature Review

Housing Options for Recovery for Individuals with Opioid Use Disorder: A Literature Review

June 23, 2019
This environmental scan is part of a larger project whose purpose is to help the Assistant Secretary for Planning and Evaluation and HUD describe the housing programs available for individuals with OUD who experience housing instability or homelessness.

Choice Matters: Housing Models that May Promote Recovery for Individuals and Families Facing Opioid Use Disorder

June 23, 2019
The purpose of the Opioid Use Disorder, Housing Instability and Housing Options for Recovery project was to help ASPE and HUD describe the housing models available for individuals with Opioid Use Disorder (OUD) who experience housing instability or homelessness.
Research Brief

Assessing the Out-of-Pocket Affordability of Long-Term Services and Supports Research Brief

May 14, 2019
This Research Brief summarizes recent research on older adults' LTSS risks and financial resources that the Urban Institute completed for ASPE. Except where noted, the studies used data from the Health and Retirement Study, a large, nationally representative survey that has been tracking older Americans since 1992.

Loss of Medicare-Medicaid Dual Eligible Status: Frequency, Contributing Factors and Implications

May 8, 2019
Printer Friendly Version in PDF Format (32 PDF pages)

Analysis of Pathways to Dual Eligible Status: Final Report

May 8, 2019
Zhanlian Feng, PhD,Alison Vadnais, MHS, Emily Vreeland, BA, Susan Haber, PhD, Joshua Wiener, PhD, and Bob Baker, BA RTI International Printer Friendly Version in PDF Format (46 PDF pages)
ASPE Issue Brief

Transitions in Care and Service Use among Medicare Beneficiaries in Inpatient Psychiatric Facilities Issue Brief

April 15, 2019
Medicare beneficiaries in inpatient psychiatric facilities (IPFs) have complex conditions that require sustained engagement with physical and mental health care providers. People who receive care from IPFs are at risk for a range of negative health outcomes, but surprisingly little is known about their patterns of care.