Reports

Contents Background and Methods Findings:  Data Availability and Gaps, By Policy Area and Population Groups Findings:  Strategies and Current/Planned Initiatives for Improving AI/AN/NA Data Availability Summary and Conclusions

Prepared for: U.S. Department of Health and Human Services Office of the Assistant Secretary for Planning and Evaluation Office of Human Services Policy

Report authors : George Greenberg, Nancy DeLew Office of the Assistant Secretary for Planning and Evaluation (ASPE) U.S. Department of Health and Human Services

Prepared For: U.S. Department of Health and Human Services Office of the Assistant Secretary for Planning and Evaluation Office of Human Services Policy

Contents Background and Study Objectives

By: Janet P. Sutton, PhD, Lauren Silver, BA, Lucia Hammer, MBA, and Alycia Infante, MPA NORC Prepared for: Office of the Assistant Secretary for Planning and Evaluation (ASPE)

Final Technical Report for DHHS Contract HHSP23320054301ER Please do not circulate without permission of the authors or the Office of the Assistant Secretary of the Department of Health and Human Services. January 21, 2007

Brenda C. Spillman and Sharon K. Long Urban Institute January 26, 2007 This report was prepared under contract #HHS-100-03-0011 between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and the Urban Institute.

Understanding the role of informal caregiving in preventing or delaying nursing home entry among chronically disabled elders is increasingly important for policy. Continued aging of the population and other demographic shifts are likely to increase the caregiving burden for a smaller number of caregivers per elder in the coming decades.

U.S. Department of Health and Human Services Does High Caregiver Stress Lead to Nursing Home Entry? Brenda C. Spillman and Sharon K. Long Urban Institute January 26, 2007 PDF Version (33 PDF pages)

RIchard W. Johnson, Simone G. Schaner, Desmond Toohey, and Cori E. Uccello The Urban Institute   This report was prepared under contract between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and the Urban Institute.

Contents Background and Purpose Methodology Summary of Key Findings and Stakeholder Suggestions Conclusions and Policy Implications A.

This report examines the potential for asset-based pre-funding of retirement income and disability insurance through an annuity that provides both income and long term care protection. The potential for such products is examined in the context of the possible use of reverse mortgage as a funding source for the annuity.

In previous work for ASPE, the University of Minnesota developed a model to simulate the effects of the Medicare Modernization Act of 2003 on the take-up of high-deductible health insurance plans.

To assess how different tax break proposals for private long-term care insurance might affect private coverage, better information is needed on the decision to purchase long-term care insurance and the sensitivity of the purchase decision to price changes. This report describes the results of efforts to model private long-term care insurance coverage and simulate policy reforms.

By: The Lewin Group, Inc. Prepared for: Office for Science and Data Policy Office of the Assistant Secretary for Planning and Evaluation

IntroductionWhat This Report Is About

U.S. Department of Health and Human Services 2007 PDF Version: http://aspe.hhs.gov/daltcp/reports/2007/annuity.pdf (41 PDF pages)

by: Gordon M. Fisher The opinions and conclusions expressed in this paper are solely those of the author and should not be construed as representing the opinions, views, or policy of the U. S. Department of Health and Human Services, the Administration, or any agency of the Federal government. January 2007

U.S. Department of Health and Human Services Modeling the Decision to Purchase Private Long-Term Care Insurance

U.S. Department of Health and Human Services

This study compared the cost and outcomes of post acute care services after a hospitalization for stroke. After hospitalization, over a third of Medicare beneficiaries use post acute care services, including skilled nursing facilities, inpatient rehabilitation, long-term care hospital, home health care services or outpatient services. We know little about the effectiveness of these settings.

U.S. Department of Health and Human Services

In the late 1990s, Oklahoma undertook an innovative strategy to strengthen families by reducing its divorce and nonmarital childbearing rates.В  With leadership and commitment from the highest levels, the state set out to build public support and develop a sustainable multisector initiative through a public-private collaboration.В  Since then, the Oklahoma Marriage Initiative (OMI

In the paper, the authors provide evidence based on analysis of recent data on how the individual health insurance market currently functions. The data will describe insurance pricing and purchasing by individuals who lack attractive access to the other market.

U.S. Department of Health and Human Services December 15, 2006 PDF Version (19 PDF pages)

Lisa R. Shugarman and Rena Garland RAND Corporation December 2006 This report was prepared under contract #HHS-100-03-0023 between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and the RAND Corporation.

This report was prepared under contract #HHS-100-02-0014 between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and LifePlans, Inc.

This project builds on previous ASPE-funded research on nursing homes. Specifically, a study of the nursing home liability insurance market conducted by MedStat which found that many nursing home chains have been reacting to environmental changes by divesting ownership of facilities in certain markets and pursuing other types of corporate restructuring.

The purpose of this study is to obtain a comprehensive demographic, health and attitudinal profile of individuals with private long-term care (LTC) insurance policies at the time that they begin using paid LTC services in their current service setting.

Prepared by: National Opinion Research Center (NORC) at the University of Chicago Prepared for:U.S. Department of Health and Human Services Office of the Assistant Secretary for Planning and Evaluation

This data catalog is a compilation of existing data sources pertaining to American Indian/Alaska Native/Native American (AI/AN/NA) populations. In the first component of this project, the contractor has identified existing sources of socioeconomic and health data using national and some state-level surveys.

Marc A. Cohen, Ph.D., Jessica S. Miller, M.S., and Xiaomei Shi, M.A. LifePlans, Inc.

This ASPE Issue Brief presents findings related to casework practice from a study that sought to determine the extent to which child welfare agencies seek out nonresident fathers of children in foster care and involve them in their children's case management and permanency planning.

Prepared by: Westat Contract: 233-02-0087

Lisa R. Shugarman and Rena Garland RAND Corporation December 2006 PDF Version

U.S. Department of Health and Human Services Nursing Home Divestiture and Corporate Restructuring: Final Report David Stevenson, Ph.D., David Grabowski, Ph.D., and Laurie Coots, B.A. Harvard Medical School December 2006 PDF Version (35 PDF pages)

This report summarizes key findings of a research initiative to survey consumers about their long-term care knowledge, attitudes and behavior both prior to and after a comprehensive consumer education campaign conducted in five states. [43 PDF pages]

The Federal Medical Assistance Percentages and Enhanced Federal Medical Assistance Percentages are calculated pursuant to the Social Security Act (the Act). These percentages will be effective from October 1 through September 30 of the indicated year.

U.S. Department of Health and Human Services Final Report on the "Own Your Future" Consumer Survey Long Term Care Group, Inc. LifePlans, Inc. November 30, 2006 PDF Version (43 PDF pages)

Federal Financial Participation in State Assistance Expenditures, FY 2008 [Federal Register: November 30, 2006 (Volume 71, Number 230)][Notices]               [Page 69209-69211]From the Federal Register Online via GPO Access [wais.access.gpo.gov][DOCID:fr30no06-33]

This paper presents data on the current state of Medicaid, the nation's program providing health and long-term care services to low-income families, elderly, and disabled individuals. The paper reports both historical and projected trends in Medicaid enrollment and spending.

Final Report Presented to: Lynn Nonnemaker DHHS/OS/ASPE Presented by: NORC at the University of Chicago 1350 Connecticut Ave, NW, Suite 500 Washington, DC 20036 (202) 223-6040

This paper presents data on the current state of Medicaid, the nation's program providing health and long-term care services to low-income families, elderly, and disabled individuals. The paper reports both historical and projected trends in Medicaid enrollment and spending. Information is presented on trends by major Medicaid eligibility category with some additional information by state.