Reports

U.S. Department of Health and Human Services

ASPE Research Notes INFORMATION FOR DECISION MAKERS FOCUS ON: Long-Term Care Issued December 1994 The Medicaid Personal Care Services Option Part II: Consumer-Directed Models of Care PDF

Lewin-VHI, Inc.

U.S. Department of Health and Human Services Rationing Case Management: Six Case Studies Mary E. Jackson, Ph.D. The MEDSTAT Group November 30, 1994 PDF Version (43 PDF pages)

U.S. Department of Health and Human Services The Economic Impact of Long-Term Care on Individuals

U.S. Department of Health and Human Services The Emerging Private Financing System Lisa Alecxih and David Kennell Lewin/ICF, Inc. October 1994 PDF Version (35 PDF pages)

This paper provides an overview of public financing of long-term care services for the elderly under Medicare, Medicaid and other public programs. Recent program data on public spending for both nursing home and home care services are presented, as well as selected data on recent expenditure trends, particularly under Medicare and Medicaid.

U.S. Department of Health and Human Services Public Financing of Long-Term Care: Federal and State Roles Brian O. Burwell and William H. Crown SysteMetrics September 1994 PDF Version (43 PDF pages)

U.S. Department of Health and Human Services The Disabled Elderly and Their Use of Long-Term Care

RISK AND REALITY: THE IMPLICATIONS OF PRENATAL EXPOSURE TO ALCOHOL AND OTHER DRUGS By Joanne P. Brady, Marc Posner, Cynthia Lang and Michael J. Rosati The Education Development Center, Inc. 1994.

This paper presents some preliminary findings on board and care at the national level. The data indicate that there were about 34,000 licensed board and care homes in 1991. Over three fifths were run on a for profit basis. Non profits and government sponsored board and care homes were more likely than for profits to serve the mentally ill and MR/DD populations.

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services Short Long-Term Care Summary Under the Health Security Act March 1994 PDF Version (9 PDF pages)

This paper explains the cost estimates for the long-term care provisions of the Health Security Act. [44 PDF pages]

The long-term care component of the Health Security Act encompasses six key elements: (1) a new home and community-based services program; (2) improvements in long-term care coverage under Medicaid; (3) private long-term care insurance standards and tax incentives; (4) tax incentives that help individuals with disabilities to work; (5) a demonstration study of acute and long-term care integrati

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services Summary of Long-Term Care Provisions Under the Health Security Act March 1994 PDF Version (26 PDF pages)

According to the 1987 National Medical Expenditure Survey, elderly persons with severe disabilities (defined as needing assistance with one or more activities of daily living) had out-of-pocket health care expenses nearly four times greater than persons without disabilities. Approximately 9% of the elderly population was categorized as having a severe disability.

ASPE Research Notes INFORMATION FOR DECISION MAKERS FOCUS ON: Long-Term Care Issued February 1994 The Elderly with Disabilities: At Risk for High Health Care Costs PDF Version:

(Article prepared for GENERATIONS, Fall 1994, Volume 18, Number 3, pages 65-70.) [15 PDF pages]

U.S. Department of Health and Human Services

The past decade or so has seen considerable growth in the number of Medicaid programs electing to cover personal care services--from only ten in FY 1979 to 29 in FY 1992. Substantial inter-state variation exists in Medicaid personal care services coverage.

ASPE Research Notes INFORMATION FOR DECISION MAKERS FOCUS ON: Long-Term Care Issued November 1993 The Medicaid Personal Care Services Option Part I: Cross-State Variations and Trends Over Time

    U.S. Department of Health and Human Services   Disability, Health Insurance Coverage, and Utilization of Acute Health Services in the United States Executive Summary

U.S. Department of Health and Human Services

This project was designed to explore the utilization and expenditures to Medicaid of substance exposed children, using data on the experience of children born in California in 1986, 1987 and 1988. The Medicaid experience of these children in their first two years of life was the focus of the analysis.

U.S. Department of Health and Human Services

Submitted to: U.S. Department of Health and Human ServicesAssistant Secretary for Planning and Evaluation (ASPE) Rm. 404E, HHH Bldg. 200 Independence Ave., SW

This report summarizes ASPE's analysis of the effect of regulation and licensure on the quality of care in board and care homes. Study purpose and methodology are described, major findings are presented, and implications of the study findings are discussed. [48 PDF pages]

U.S. Department of Health and Human Services

(Journal of the International Federation on Ageing, AGEING INTERNATIONAL Long-Term Care Challenges an Aging World supplement, Volume XX, Number 2) [10 PDF pages]

By Rebecca Maynard The Teenage Parent Demonstration (TPD) was a major, large-scale, federal demonstration initiative sponsored by the U.S.

U.S. Department of Health and Human Services Nursing Home Care in Five Nations Joan F. Van Nostrand, Robert F. Clark and Tor Inge Romoren June 1993 PDF Version

Board and care homes are non-medical community-based facilities that provide at least two meals a day and routine protective oversight to one or more residents with functional limitations. Unweighted data from the 1991 National Health Provider Inventory (NHPI) indicate that there were about 30,000 licensed board and care homes in the United States serving over half a million persons.

ASPE Research Notes INFORMATION FOR DECISION MAKERS FOCUS ON: Long-Term Care Issued May 1993 Licensed Board and Care Homes: Preliminary Findings from the 1991 National Health P

Three studies sponsored by HHS confirm previous research linking health impairment levels, advanced age, and various indicators of caregivers' physical burden and emotional stress with individual caregivers' decisions to stop giving care and increased likelihood of nursing home placement.

ASPE Research Notes INFORMATION FOR DECISION MAKERS FOCUS ON: Long-Term Care Issued April 1993 Informal Caregiver Burnout: Predictors and Prevention PDF Version:

Services For Migrant Children in the Health, Social Services, and Education Systems. Nancy M. Pindus, Fran E. O'Reilly, Margaret Schulte, and Lenore Webb The Urban Institute March, 1993

The number of persons with health insurance coverage kept pace with the growth of the population between 1990 and 1991--with approximately 86% of the population insured. The most important new information regarding health insurance in the 1992 CPS is that the number of persons helped by the Medicaid program during the year rose by 2.6 million or 11% to almost 27 million in 1991.

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 advocate a particular proposal, but so be it.

Submitted to:

ASPE Research Notes INFORMATION FOR DECISION MAKERS FOCUS ON: Insurance Issued March 1995 March 1992 Current Population Survey Shows Health Insurance Coverage Up in 1991: Number of Medicaid Recipients Also Rises

U.S. Department of Health and Human Services

During the 1989 VISTA Reauthorization Hearings, Congress expressed interest in raising the proportion of VISTA volunteers with college degrees. As part of this effort, ACTION endeavored to make college students more aware of the VISTA program and increase applications from college campuses through a targeted marketing campaign. This campaign took place during the 1991-1992 school year.

Bob Clark and Michele AdlerOffice of Family, Community, and Long-Term Care Policy/ASPE/HHS

The purpose of this paper is to: (1) examine family definitions used in federal programs; (2) look at how family definitions are used in some broad policy areas; and, (3) suggest improvements in how families can be defined for policy research. This paper was presented at the American Statistical Association, Winter Conference. [25 PDF pages]