Content by Keyword: Financing and Costs

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ECONOMIC IMPACTS OF PROGRAMS TO SUPPORT

ECONOMIC IMPACTS OF PROGRAMS TO SUPPORT CAREGIVERS: FINAL REPORT

As the nation ages and more individuals live longer with chronic illness and disabilities, the need for long-term services and supports (LTSS) will rise. Roughly 9.8 million Americans ages 65 and older living in settings other than nursing homes need care and help with personal activities, with 2.7 million requiring assistance with at least three
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ECONOMIC IMPACTS OF PROGRAMS TO SUPPORT

ECONOMIC IMPACTS OF PROGRAMS TO SUPPORT CAREGIVERS: FINAL REPORT

ECONOMIC IMPACTS OF PROGRAMS TO SUPPORT CAREGIVERS: FINAL REPORT Stipica Mudrazija and Richard W. Johnson Urban Institute January 2020 Printer Friendly Version in PDF Format (68 PDF pages)
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Assessing the Out-of-Pocket Affordability of Long

Assessing the Out-of-Pocket Affordability of Long-Term Services and Supports Research Brief

Richard W. Johnson Urban Institute Printer Friendly Version in PDF Format (14 PDF pages)
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Assessing the Out-of-Pocket Affordability of Long

Assessing the Out-of-Pocket Affordability of Long-Term Services and Supports Research Brief

This Research Brief summarizes recent research on older adults' LTSS risks and financial resources that the Urban Institute completed for ASPE. Except where noted, the studies used data from the Health and Retirement Study, a large, nationally representative survey that has been tracking older Americans since 1992.
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What Is the Lifetime Risk of Needing and

What Is the Lifetime Risk of Needing and Receiving Long-Term Services and Supports?

Richard W. Johnson Urban Institute Printer Friendly Version in PDF Format (26 PDF pages)
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What Is the Lifetime Risk of Needing and

What Is the Lifetime Risk of Needing and Receiving Long-Term Services and Supports?

This brief provides new evidence on the lifetime risk that older adults will need LTSS and receive paid services and supports. Using longitudinal household survey data from 1995 to 2014 from the Health and Retirement Study, we estimated the likelihood that adults ever development disabilities after age 65 and receive paid care, including paid home
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How Many Older Adults Can Afford To Purchase Home

How Many Older Adults Can Afford To Purchase Home Care?

Richard W. Johnson and Claire Xiaozhi Wang Urban Institute Printer Friendly Version in PDF Format (22 PDF pages)
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How Many Older Adults Can Afford To Purchase Home

How Many Older Adults Can Afford To Purchase Home Care?

To estimate home much paid home could possibly be purchased out of income and wealth, we estimated the share of older adults with sufficient monthly income to cover median home care costs as well as other living expenses. Our results show that many older adults with severe LTSS needs could not afford 2 years of paid home care without financial ass
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Later-Life Household Wealth Before and After

Later-Life Household Wealth Before and After Disability Onset

Richard W. Johnson Urban Institute Printer Friendly Version in PDF Format (52 PDF pages)
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Later-Life Household Wealth Before and After

Later-Life Household Wealth Before and After Disability Onset

To assess the financial impact on families of LTSS needs and the potential for families to set aside funds to cover future LTSS spending, this brief examines later-life household wealth before and after disability onset. We followed over time a large sample of older adults who did not have any functional limitations at baseline, comparing the dist
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How Much Nursing Home Care Can Home Equity

How Much Nursing Home Care Can Home Equity Finance?

Stephan Lindner Urban Institute Printer Friendly Version in PDF Format (39 PDF pages)
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How Much Nursing Home Care Can Home Equity

How Much Nursing Home Care Can Home Equity Finance?

Older adults who have income and assets have choices should they need long-term services and supports (LTSS). In this paper we estimate the extent to which older adults could potentially use home equity to help pay for nursing home care. By estimating the relationship between home equity and care costs, we provide an upper bound on how much assist
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Older Adults' Living Expenses and the

Older Adults' Living Expenses and the Adequacy of Income Allowances for Medicaid Home and Community-Based Services

Richard W. Johnson and Stephan Lindner Urban Institute Printer Friendly Version in PDF Format (22 PDF pages)
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Older Adults' Living Expenses and the

Older Adults' Living Expenses and the Adequacy of Income Allowances for Medicaid Home and Community-Based Services

This brief assesses the adequacy of the income allowances granted to older Medicaid HCBS enrollees and their spouses. We measure household expenditures made by older households and compare them to the Medicaid HCBS income allowances provided by the state in which they reside, to see how much they would have to reduce their spending if they enrolle
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Rural Hospital Participation and Performance in

Rural Hospital Participation and Performance in Value-Based Purchasing and Other Delivery System Reform Initiatives

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Health Care Spending Growth and Federal Policy

Health Care Spending Growth and Federal Policy

In this Issue Brief, we examine spending growth through 2014, the first year the Affordable Care Act’s coverage provisions were in effect, and 2015, where possible. We provide detailed cost growth trends for Medicare and the private insurance market. We also estimate the effect of recently introduced specialty drugs on current and future spendin
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Observations on Trends in Prescription Drug

Observations on Trends in Prescription Drug Spending

Key findings • Expenditures on prescription drugs are rising and are projected to continue to rise faster than overall health spending thereby increasing this sector’s share of health care spending. • ASPE estimates that prescription drug spending in the United States was about $457 billion in 2015, or 16.7 percent of overall personal
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Footnotes

Short-Term Fixes to the Sustainable Growth Rate Process . Footnotes

1 E.g., GAO, Medicare Physician Payments: Concerns about Spending Target System Prompt Interest in Considering Reforms. Washington GAO, Report #GAO-05-85, October 2004. 2 Data presented in this section are based on NORC’s analysis of allowed charges from the Physician/Supplier Procedure Summary Master Files (PSPSMFs) for years 1996-2004.
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Appendix. SGR Spending Predictions

Short-Term Fixes to the Sustainable Growth Rate Process . Appendix. SGR Spending Predictions

Data Sources.  Implementation of the SGR process requires that CMS use the most current information at its disposal to estimate components of the SGR formula, including spending, and components that are used to calculate the SGR (which in turn, are used to calculate annual target spending and cumulated target spending).  As noted in the text,
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6.0 Discussion

Short-Term Fixes to the Sustainable Growth Rate Process . 6.0 Discussion

The primary objective of this report has been to evaluate revisions to the current SGR physician payment update methodology with a focus on refinements to attributes of the SGR process and changes in the definition of target spending.  A spreadsheet model of the current SGR process was constructed for comparative study of effects of changes in th

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