Reports

U.S. Department of Health and Human Services

    U.S. Department of Health and Human Services   Important Questions for Hospice in the Next Century Executive Summary

The Welfare Indicators Act of 1994 requires the Department of Health and Human Services to prepare annual reports to Congress on indicators and predictors of welfare dependence.

This report contains six main sections. The first focuses on hospice coverage policies and reviews the history of the Medicare hospice benefit, its current structure, and its influence on care of the dying. Also included is a description of hospice care covered by other insurers including state Medicaid programs and private employers.

This study is part of a larger project exploring the use of hospice benefits and services provided by the Medicare program and to those who are privately insured. The MEDSTAT Group's contribution to the larger study is an examination of hospice benefits in commercial plans and the use of hospice benefits by persons commercially insured.

This comparative study first identifies and describes two cohorts of nursing facility decedents, those that did and did not elect Medicare hospice. Then, using data for up to one year prior to death, the study characterizes utilization and quality of care for these two cohorts.

This report presents information on Medicare's hospice benefit — who is using it, how it is being used, what costs are associated with its use, what costs precede hospice enrollment and how these vary by type of enrollee.

Prepared by Staff of the U.S. Department of Health and Human Services Acknowledgements

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

Susan C. Miller, Pedro Gozalo and Vincent Mor Center for Gerontology and Health Care Research, Brown University PDF Version: http://aspe.hhs.gov/daltcp/reports/2000/oututil.pdf (63 PDF pages)

Susan C. Miller, Pedro Gozalo and Vincent Mor Center for Gerontology and Health Care Research, Brown University This report was prepared under contract #100-97-0010 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.

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services Important Questions for Hospice in the Next Century

Contents Study Purpose and Design Defining Intermediaries Characteristics of Intermediaries Key Decisions Regarding the Use of Intermediaries Implementation of the Intermediary Function Implementati

By: LaDonna Pavetti, Michelle Derr, Jacquelyn Anderson, Carole Trippe, and Sidnee Paschal

  U.S. Department of Health and Human Services

This report describes how the state of Oregon designed and implemented its Exceptional Needs Care Coordinator (ENCC) function, assesses the extent to which this role is meeting the state's objectives, and discusses design elements that support the state's objectives.

U.S. Department of Health and Human Services The Exception Needs Care Coordinator in the Oregon Health Plan

A Summary of a Meeting Attended by Grantees of the Advancing States' Child Indicator Initiatives Project and the STATES Initiative/Family Support America Project Saint Paul, February 3 & 4, 2000

Contents TANF Policies Summary of Key Findings

INTRODUCTION The Welfare-to-Work (WtW) grants program was created under the 1997 Balanced Budget Act (BBA) to provide job opportunities, employment preparation, and job retention services for welfare recipients who are the hardest to employ.

Prepared for: Assistant Secretary for Planning and Evaluation (ASPE) U.S. Department of Health and Human Services (HHS)

The Lewin Group, Inc. for the Office of the Assistant Secretary for Planning and Evaluation

  U.S. Department of Health and Human Services

Ronald J. Ozminkowski, Ph.D., Mark W. Smith, Ph.D., Rosanna M. Coffey, Ph.D., Tami L. Mark, Ph.D., Cheryl A. Neslusan, Ph.D., and John Drabek, Ph.D. The MEDSTAT Group  

This article is intended to provide historical perspective on the Federal Government's involvement in the Cash and Counseling Demonstration and Evaluation as an example of the federal role in consumer direction. Specifically, it describes how previous research and analysis led to DALTCP's interest in sponsoring this social experiment and shaped our thinking about its purpose and design.

The purpose of this report is to provide basic descriptive statistics on the primary informal caregivers of disabled private long-term care insurance policyholders who have accessed long-term care benefits and are living in the community. Also compared are key characteristics of these individuals to informal caregivers of non-privately insured disabled elders. [54 PDF pages]

Ronald J. Ozminkowski, Ph.D., Mark W. Smith, Ph.D., Rosanna M. Coffey, Ph.D., Tami L. Mark, Ph.D., Cheryl A. Neslusan, Ph.D., and John Drabek, Ph.D. The MEDSTAT Group This report was prepared under contract #HHS-100-95-0044 between the U.S.

AcknowledgmentsThis report, and its earlier editions, would not have been possible without the substantial support of the Federal Interagency Forum on Child and Family Statistics whose member agencies provided data and carefully reviewed relevant sections.

By: The Lewin Group

ForewordPerformance Improvement 2000: Evaluation Activities of the U.S. Department of Health and Human Services is the sixth annual report to Congress summarizing previous fiscal year evaluation efforts. The purpose of this report is to provide Congress with evaluative information on the Department’s programs, policies, activities, and strategies.

U.S. Department of Health and Human Services January 2000 PDF Version: http://aspe.hhs.gov/daltcp/reports/icdeltci.pdf (54 PDF pages)

Hosted by Rhode Island KIDS COUNT Providence, December 2 & 3, 1999

Contents Characterizing the Low-Wage Labor Market Policy Interventions Affecting Low-Wage Labor Markets Barriers to Entering the Low-Wage Labor Market Opportunities for Advancement and Benefits in the Low-Wage Labor Market

Catherine Hawes, Ph.D., Miriam Rose, M.Ed., and Charles D. Phillips, Ph.D., M.P.H. Myers Research Institute December 14, 1999 This report was prepared under #HHS-100-94-0024 and #HHS-100-98-0013 between HHS's ASPE/DALTCP and the Research Triangle Institute.

This report presents data from a telephone survey of the administrators of assisted living facilities across the country. These facilities were selected from a national probability sample of all facilities that met the criteria for inclusion in the study. Thus, the findings are representative of the industry as a whole.

PrefaceThis volume was prepared at the Urban Institute, a non-profit non-partisan research organization, for the Assistant Secretary for Planning and Evaluation (ASPE) of the U.S.

by David M. Smith and Stephen A. Woodbury