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Long-Term Services and Supports for Older Americans: Risks and Financing, 2020 Research Brief

Publication Date
Jan 31, 2021

Long-Term Care Services and Supports for Older Americans: Risks and Financing, 2020

Melissa Favreault
Urban Institute

Judith Dey
U.S. Department of Health and Human Services

January 2021

Link to HTML Version (23 PDF pages)

ABSTRACT: This Research Brief presents information about the risk of needing care and associated costs to provide content for policymakers and others considering long-term care financing proposals.

The authors gratefully acknowledge conceptual and modeling help from Owen Haaga, Paul Johnson, Richard Johnson, and Brenda Spillman. We also thank Lauren Anderson, Chris Giese, Richard Johnson, Harriet Komisar, William Marton, Al Schmitz, Brenda Spillman, Anne Tumlinson, and the late Joshua Wiener for helpful comments on earlier drafts of earlier versions of this brief and the longer report on which this brief is based. We are also grateful to them and others in the LTSS research community for extensive conversations about specification issues. Many advisory panel members and attendees of seminars describing earlier versions of these projections helped to refine our work. This remains work in progress that we will update regularly as new data become available. All errors are our own.

This report was prepared under contract #HHSP233201600024I between HHS's ASPE/BHDAP and the Urban Institute. For additional information about this subject, you can visit the BHDAP home page at or contact the ASPE Project Officers, at HHS/ASPE/BHDAP, Room 424E, H.H. Humphrey Building, 200 Independence Avenue, S.W., Washington, D.C., 20201;,,

DISCLAIMER: The opinions and views expressed in this report are those of the authors. They do not reflect the views of the Department of Health and Human Services, the contractor or any other funding organization. This report was completed and submitted on October 2020.