The historical increases in use of assistive devices continued between 1999 and 2004, so that in 2004, nine in ten elders with disabilities were using at least one device. This represented an increase of nearly a million elders using devices, roughly equivalent to the increase in the 15 years between 1984 and 1999. What was different between 1999
Updated Analyses of Trends in Use of Assistive Devices. Analysis of Independent Device Use, Hours of Care, and Unmet Need
This new analysis takes a first multivariate look at factors associated with independent device use for some activities and the association of independent device use with hours of care and unmet need in cross-section. To abstract from the larger question of whether any devices are used and focus on the effect of independent use on care hours and u
The upward trend in assistive device use continued at about the same pace between 1999 and 2004, rising from 86 percent of community residents with chronic disabilities to 90 percent ( Figure 1 ). The combined effects of the increase in the number with disabilities from 5.1 million to 5.7 million and the increased prevalence of device use
The remainder of this memorandum first presents updated trends in use of assistive devices through 2004 for the community-residing population with chronic disabilities. Results are then presented for an exploratory cross-sectional multivariate analysis of the 2004 data, examining whether the earlier descriptive those using both help and devices wh
Updated Analyses of Trends in Use of Assistive Devices. Hours, Device Use, and Independent Device Use
Hours of care received in the last week rose with disability level and generally were higher for the group using both help and devices than for the group using only help. Frequency of need for accommodations, especially for mobility or transfer was important; hours of help were more than doubled for respondents reporting they needed accom
Updated Analyses of Trends in Use of Assistive Devices. Characteristics of Users and Nonusers of Devices
In 1999, about one in four chronically disabled community residents used only devices for all disabilities; nearly 60 percent used a combination of help and devices; and only about 15 percent reported using only help with all chronic disabilities. Persons managing all chronic disabilities with only devices were less disabled than persons
Between 1984 and 1999, the proportion of chronically disabled community residents using assistive devices, with or without help, for all activities doubled to nearly 30 percent; the proportion relying solely on help fell. Almost 1 million more elders were using devices with at least one activity in 1999 than in 1984.
The NLTCS is a nationally representative survey of persons aged 65 or older residing in the community or institutions conducted from 1982 through 2004, its final year. 1 The survey was designed to identify those with chronic disabilities and to collect detailed data on their disability, service use, family support, and health and demographic ch
This research updates an earlier study conducted to better understand the upward trend in assistive device use by older persons with disabilities between 1984 and 1999 observed in estimates from the National Long-Term Care Survey (NLTCS) and the implications for policy (Spillman 2005). The context of the earlier study was a declining overall disab
Overview of 20-Year Trends (1984-2004) in Assistive Device Use in the Older Population
The Effects of Congressional Proposals on Prescription Drug Costs for Medicare Beneficiaries. Other Key Provisions of the House Republican Plan
The discussion above focuses on the savings that seniors will obtain once the full Medicare drug benefit is available. But the bill would generate other benefits as well and would not make seniors wait until 2005 to begin getting help with their drug costs.
The Effects of Congressional Proposals on Prescription Drug Costs for Medicare Beneficiaries. Illustrative Beneficiary Scenarios
These savings under the House Republican plan will really add up for seniors who now lack drug coverage, as indicated in the following hypothetical but true-to-life examples:
The Effects of Congressional Proposals on Prescription Drug Costs for Medicare Beneficiaries. State-by-State Analysis of Help for Lower-Income Seniors and Savings for State Governments
The House Republican plan recognizes that seniors with the lowest incomes have the greatest difficulty affording the drugs they need. That is why it offers substantial premium subsidies and only nominal co-payments to those beneficiaries with incomes below 175% of poverty.
The Effects of Congressional Proposals on Prescription Drug Costs for Medicare Beneficiaries. Added Help for Lower-Income Seniors
Seniors with incomes below 175% of poverty would see even more dramatic savings under the House Republican bill. They would generally pay only $2-5 for each prescription. And those with incomes below 150% of poverty would pay no monthly premium, while seniors with incomes between 150% and 175% of poverty would pay reduced monthly premiums.
The Effects of Congressional Proposals on Prescription Drug Costs for Medicare Beneficiaries. Protection Against High Drug Costs with a Secure Entitlement
The House proposal also includes generous catastrophic protection for all seniors who have high out-of-pocket drug expenses – targeting help to those who need it most. It thus would help fulfill President Bush’s call to renew the commitment that President Johnson made when Medicare was enacted – so that illness will no longer crush and dest
The Effects of Congressional Proposals on Prescription Drug Costs for Medicare Beneficiaries. Effects of Prescription Drug Benefit Proposals for Typical Medicare Beneficiaries
Under the 2002 House Republican bill, CBO’s analysis indicates that seniors now paying full retail prices would on average save 20-25 percent on their prescriptions as plans compete to serve them by offering price discounts and other help to lower their drug costs. Seniors would benefit from the efficiencies of private sector management tools a
The Effects of Congressional Proposals on Prescription Drug Costs for Medicare Beneficiaries. Background on Current Prescription Drug Coverage and Spending
About 25 percent of Medicare beneficiaries have no drug coverage during the year, and many others have only partial coverage or have a drug plan – such as a Medigap policy – that does not negotiate price discounts on their behalf.
The Effects of Congressional Proposals on Prescription Drug Costs for Medicare Beneficiaries. Overview
The House Republican plan would provide real relief for seniors and disabled Americans: those who now pay full retail prices would typically see the costs of each prescription cut by 60-85 percent, and their overall out-of-pocket drug costs would fall by as much as 70 percent – in exchange for a stable and affordable premium starting at $34 per
Market Barriers to the Development of Pharmacotherapies for the Treatment of Cocaine Abuse and Addiction: Final Report
This report was prepared by Clifford Goodman, Roy Ahn, Rick Harwood, Deborah Ringel, Kareen Savage, Daniel Mendelson, and Robert Rubin of The Lewin Group. Other staff that contributed to the report included Ansari Ameen, Dawn Bartoszewicz, Timothy Field, Doug Fountain, and George Steinfels of The Lewin Group. This report was prepared under contrac