Reports

ASPE Research Notes INFORMATION FOR DECISION MAKERS FOCUS ON: Family Issues Issued May 1995 Trends in AFDC and Food Stamp Benefits: 1972-1994 PDF Version:

Child Care Prices: A Profile of Six Communities Sandra J. Clark and Sharon K Long The Urban Institute April 1995

By Lorelei Brush, Ph.D.,Sharon Deich, Kerry Traylor,and Nancy Pindus Pelavin Research Institute and The Urban Institute For the Office of the Assistant Secretary for Planning and Evaluation Department of Health and Human Services

The statistical procedure of "re-benchmarking" the March 1993 Current Population Survey on the 1990 Census instead of the 1980 Census of the Population resulted in increased estimates of the number of both insured and uninsured persons. The total population increased by 2.6 million (about 1%).

  ASPE Research Notes INFORMATION FOR DECISION MAKERS FOCUS ON: Insurance Issued March 1995 March 1993 Current Population Survey Re-Benchmarked on 1990

A large minority of Americans (42.7 million or 17.2%) have disabilities, 12.7 million of whom need long-term care. About 29.7% of all people with disabilities and 5% of the entire population need long-term care.

Foreword Continuous improvement in government is a central theme of the Clinton Administration. As we move toward a balanced Federal budget, funds available for all Departments will be increasingly constrained. All programs must become more efficient and must demonstrate their effectiveness in improving the lives of all Americans.

ASPE Research Notes INFORMATION FOR DECISION MAKERS FOCUS ON: Disability/Long-Term Care Issued February 1995 Population Estimates of Disability and Long-Term Care PDF Version:

In 1992, the National Academy for State Health Policy published ABuilding Assisted Living For The Elderly Into Public Policy: A Guide For States@ to help state policy makers examine an emerging concept for providing residential, home like settings for elders.

Most adults with disabilities are in their working (not their elderly) years. According to the 1990 Survey of Income and Program Participation, among the civilian non-institutionalized population, 20,266,000 adults in their working years (18-64) and 15,413,000 elderly persons (65+) reported a disability.

According to the 1990 Survey of Income and Program Participation (SIPP) and data from institutions, 4,536,000 children under 18 were reported as having a disability, with 4,444,500 living in the community and 91,800 residing in institutions.

The Office of the Assistant Secretary for Planning and Evaluation sponsored an expert meeting on research related to managed care and people with disabilities. This day long meeting was the second of an ongoing series of expert meetings on disability topic areas that DALTCP is considering for inclusion in its research agenda.

U.S. Department of Health and Human Services Conditions and Impairments Among the Working-Age Population with Disabilities Michele Adler 1995 PDF Version (22 PDF pages)

  ASPE Research Notes INFORMATION FOR DECISION MAKERS FOCUS ON: Disability Issued January 1995 Disability Among Children PDF Version:

U.S. Department of Health and Human Services RESEARCH AGENDA: Managed Care Andreas Frank U.S. Department of Health and Human Services January 1995 PDF Version (37 PDF pages)

U.S. Department of Health and Human Services

PATTERNS OF SUBSTANCE USE AND SUBSTANCE-RELATED IMPAIRMENT AMONG PARTICIPANTS IN THE AID TO FAMILIES WITH DEPENDENT CHILDREN PROGRAM (AFDC)  

This "ASPE Research Notes" article is a follow up to the earlier article The Medicaid Personal Care Option Part I: Cross State Variations and Trends Over Time that provided a descriptive overview of Medicaid personal care services programs.

This paper reports the findings of an exploratory study to document and analyze selected best practices related to state-administered home and community-based services (HCBS) programs.

The Office of the Assistant Secretary for Planning and Evaluation sponsored an expert meeting on research related to personal assistance services (PAS). This day long meeting was the first of three expert meetings on disability topic areas that DALTCP is considering for inclusion in its research agenda.

U.S. Department of Health and Human Services

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