Reports

U.S. Department of Health and Human Services Brookings/ICF Long Term Care Financing Model: Programmer's/Operator's Manual Peter Robertshaw and Lisa Maria B. Alecxih February 1992 PDF Version (69 PDF pages)

U.S. Department of Health and Human Services

  U.S. Department of Health and Human Services

This study analyzes Connecticut nursing home data on a current resident cohort, with particular attention to how many residents began their stays as private pay, but eventually spent down to Medicaid eligibility. It also estimates how many residents were Medicaid eligible prior to admission or became eligible at admission.

The purpose of this paper was to provide a synthesis and critique of current research on Medicaid spenddown. The primary goal was to ask what these studies could tell us about the extent to which persons incurred catastrophic expenses in nursing homes. A corollary goal was to examine how the data and research methods used in the various studies affected the "results" reported.

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services A Synthesis and Critique of Studies on Medicaid Asset Spenddown E. Kathleen Adams, SysteMetrics/McGraw-Hill Mark R. Meiners, University of Maryland Center on Aging Brian O. Burwell, SysteMetrics/McGraw-Hill January 1992 PDF Version

U.S. Department of Health and Human Services

TEENAGE PARENT DEMONSTRATION Report on Case Management for Teenage Parents, Executive Summary CASE MANAGEMENT FOR TEENAGE PARENTS: Lessons from the Teenage Parent Demonstration Executiv

The project examined how states have used Medicaid's Personal Care Services Optional Benefit (also called the PC Option), assessed whether coverage regulations for these services be revised, and discussed the ways in which the program might affect public debate about the expansion of public funding for long-term care.

Jae Kennedy, M.A., and Simi Litvak, Ph.D. World Institute on Disability, Research and Training Center on Public Policy in Independent Living

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

By Alan M. Hershey

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

Simi Litval, Ph.D., and Jae Kennedy, M.A. World Institute on Disability

On August 8, 1991, the Division of Family and Community Policy within ASPE convened a meeting of family-related researchers to discuss the following questions: Why has so little family research impacted policy? What can be done to improve the situation? What issues are important to future research?

On August 8, 1991, the Division of Family and Community Policy within ASPE convened a meeting of family-related researchers to discuss the following questions: Why has so little family research impacted policy? What can be done to improve the situation? What issues are important to future research?

U.S. Department of Health and Human Services Family Research August 8, 1991 Meeting Summary HHS/ASPE Division of Family and Community Policy November 13, 1991 PDF Version

U.S. Department of Health and Human Services Community-Relevant Policy Research August 8, 1991 Meeting Summary HHS/ASPE Division of Family and Community Policy November 13, 1991 PDF Version

This compendium is published by the Division of Children and Youth Policy within the Office of the Assistant Secretary for Planning and Evaluation, of the U.S. Department of Health and Human Services. It summarizes the results of the Division's research projects from 1986 through the present.

This paper focuses on the elderly, aged 65 and over, who are the primary users of long-term care in the United States. It examines their use of long-term care services, particularly home and community-based care. It describes the kinds of data available on the functionally impaired elderly and their use of such care. [20 PDF pages]

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services Home and Commuity-Based Care in the USA Robert F. Clark, D.P.A. Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services October 1991 PDF Version

In February 1991, ASPE sponsored a two-day research seminar on infant attachment. This final report has three major sections. The first part is a brief summary of an extensive literature review on infant attachment. The second section summarizes the proceedings of the seminar, which was based on the topics outlined in the literature review.

U.S. Department of Health and Human Services Infant Attachment: What We Know Now Virginia L. Colin Nancy Low & Associates, Inc. June 28, 1991 PDF Version

U.S. Department of Health and Human Services

This paper reviews the current status of consumer protection issues associated with private long-term care insurance. It examines possible roles that the Federal Government might play in this area. The views of a panel of experts drawn from government, industry, academia, and consumer organizations are reported.

The repeal of many provisions of the 1988 Medicare Catastrophic Coverage Act was due to subjective impressions about the usefulness to many elderly persons of the services covered by the law and to the omission of long-term care services.

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

This paper was requested as part of the National Academy of Sciences, Committee on National Statistics Panel to Evaluate the Survey of Income and Program Participation (SIPP). SIPP is sponsored by the Bureau of the Census and has been an ongoing longitudinal survey of the civilian non-institutionalized population since 1983.

This study was designed to provide comprehensive information about future long-term care needs in the U.S. Using data from the U.S. Decennial Census of Population and Housing, National Long-Term Care Survey and National Nursing Home Survey, the study developed detailed projections of the need for long-term care among the elderly in the years 2000, 2020 and 2040.

Michele Adler

U.S. Department of Health and Human Services Estimating the Prevalence of Long-Term Disability for an Aging Society

This paper presents an overview of the results of the National Long-Term Care Channeling Demonstration, conducted in ten states to test the impact of a community-based system of long-term care upon the functionally disabled elderly.

U.S. Department of Health and Human Services

When women who receive welfare benefits are compared with other women, both poor and non-poor, in the NLSY and other national sample surveys, welfare mothers are notably different from non-poor mothers. At the same time, these data show that there is considerable diversity within the welfare population.

U.S. Department of Health and Human Services

This report examines how many disabled elderly are at risk because they do not receive the assistance they need in basic self-maintenance activities. The source of data was the 1982 and 1984 National Long-Term Care Surveys.

Although the current difficulties in developing an adequate system of long-term care are extensive, they pale in comparison to the challenges ahead as the "baby boomers" come of age.

U.S. Department of Health and Human Services Prevalence and Correlates of Unmet Need Among the Elderly with ADL Disabilities Mary E. Jackson SysteMetrics/McGraw-Hill February 1991 PDF Version

U.S. Department of Health and Human Services

This paper looks at programmatic definitions of disability for federal disability programs by: (1) reviewing and examining major programmatic definitions of disability, and (2) describing complex eligibility processes by using the Social Security Disability Insurance program as an example.

[17 PDF pages]

Physical impairments are commonly believed to require relatively more active hands-on assistance with the activities of daily living (ADLs) while cognitive impairments use relatively more supervisory or standby assistance.

U.S. Department of Health and Human Services Office of the Assistant Secretary for Planning and EvaluationU.S. Department of Health and Human Services 1991 PDF Version: http://aspe.hhs.gov/daltcp/reports/prodefes.pdf (26 PDF pages)

U.S. Department of Health and Human Services Foster Care Summary: 1991 Karl Ensign Office of the Assistant Secretary for Planning and Evaluation 1991 PDF Version

U.S. Department of Health and Human Services Physical and Cognitive Impairment: Do They Require Different Kinds of Help? Robert F. Clark 1991 PDF Version