Content by Keyword: Healthcare/Long-Term Care Financing

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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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Analysis of Pathways to Dual Eligible Status:

Analysis of Pathways to Dual Eligible Status: Final Report

Zhanlian Feng, PhD,Alison Vadnais, MHS, Emily Vreeland, BA, Susan Haber, PhD, Joshua Wiener, PhD, and Bob Baker, BA RTI International Printer Friendly Version in PDF Format (46 PDF pages)
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Analysis of Pathways to Dual Eligible Status:

Analysis of Pathways to Dual Eligible Status: Final Report

There are multiple pathways to becoming dually eligible for Medicare and Medicaid. The purpose of this study is to identify the frequency with which these pathways are followed and the beneficiary characteristics and patterns of service use by pathway. We used the Medicare-Medicaid Linked Enrollee Analytic Data Source (MMLEADS) to identify individ
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Loss of Medicare-Medicaid Dual Eligible Status:

Loss of Medicare-Medicaid Dual Eligible Status: Frequency, Contributing Factors and Implications

Zhanlian Feng, PhD, Alison Vadnais, MHS, Emily Vreeland, MSPH, MicahSegelman, PhD, Abigail Ferrell, BA, Joshua M. Wiener, PhD, and Bob Baker, BA RTI International Printer Friendly Version in PDF Format (32 PDF pages)
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Loss of Medicare-Medicaid Dual Eligible Status:

Loss of Medicare-Medicaid Dual Eligible Status: Frequency, Contributing Factors and Implications

This paper seeks to document the frequency of Medicaid coverage loss among full-benefit dual eligible beneficiaries and identify potential causes for coverage loss. For dual eligible beneficiaries, the loss of full-benefit Medicaid coverage is of concern because most of them do not have an alternative source of health insurance for the services co
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Transitions in Care and Service Use among

Transitions in Care and Service Use among Medicare Beneficiaries in Inpatient Psychiatric Facilities Issue Brief

Randall Blair, Jonathan D. Brown, Xiao Barry, and Angela Schmitt Mathematica Policy Research Printer Friendly Version in PDF Format (22 PDF pages)
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Transitions in Care and Service Use among

Transitions in Care and Service Use among Medicare Beneficiaries in Inpatient Psychiatric Facilities Issue Brief

Medicare beneficiaries in inpatient psychiatric facilities (IPFs) have complex conditions that require sustained engagement with physical and mental health care providers. People who receive care from IPFs are at risk for a range of negative health outcomes, but surprisingly little is known about their patterns of care.
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Integrating Care through Dual Eligible Special

Integrating Care through Dual Eligible Special Needs Plans (D-SNPs): Opportunities and Challenges

Nancy Archibald, Michelle Soper, Leah Smith, and Alexandra Kruse Center for Health Care Strategies Joshua Wiener RTI International Printer Friendly Version in PDF Format (59 PDF pages)
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Integrating Care through Dual Eligible Special

Integrating Care through Dual Eligible Special Needs Plans (D-SNPs): Opportunities and Challenges

The 11 million individuals dually-eligible for Medicare and Medicaid are among the highest need populations in either program. However, a lack of coordination between the Medicare and Medicaid programs makes it difficult for individuals enrolled in both to navigate these fragmented systems of care and adds to the cost of both programs. Special Nee
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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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Work-Focused Interventions for Depression: Final

Work-Focused Interventions for Depression: Final Report

Gary R. Bond, Debra Lerner, Robert E. Drake, Cheryl Reidy, and Jacky Choi Westat Printer Friendly Version in PDF Format (55 PDF pages)
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Work-Focused Interventions for Depression: Final

Work-Focused Interventions for Depression: Final Report

Among employed adults, major depression is a leading cause of work absences (absenteeism) and impaired work performance (presenteeism) as well as short-term and long-term work disability. Depression is one of the largest and fastest growing categories of work disability claims filings in the public and private disability insurance sectors. Despite
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Housing and Delivery System Reform Collaborations

Housing and Delivery System Reform Collaborations: Issue Brief

Brenda C. Spillman, Joshua Leopold, Eva H. Allen and Pamela Blumenthal Urban Institute Printer Friendly Version in PDF Format (25 PDF pages)
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Housing and Delivery System Reform Collaborations

Housing and Delivery System Reform Collaborations: Issue Brief

This project examined current collaborations between housing providers and health care providers. Recent delivery system reforms have provided new or expanded opportunities at the state, local, and organizational level to forge collaborations between health care and housing providers.
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Final Outcome Evaluation of the Balancing

Final Outcome Evaluation of the Balancing Incentive Program

Sarita L. Karon, PhD, Molly Knowles, MPP, Brieanne Lyda-McDonald, MS, Nga Thach, BS, and Joshua M. Wiener, PhD RTI International Diane Justice, MA, Scott Holladay, MPA, John Tranfaglia, BA National Academy for State Health Policy Mary Sowers, BA National Association of State Directors of Developmental Disability Services Printer Frien
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Final Outcome Evaluation of the Balancing

Final Outcome Evaluation of the Balancing Incentive Program

This is the final report of the Balancing Incentive Program evaluation. Five earlier progress reports on the Balancing Incentive Program (BIP) have already been published. The BIP, legislated in the 2010 Affordable Care Act, offered states temporary enhanced federal financial participation for Medicaid home and community-based services (HCBS). Par
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An Overview of Long-Term Services and Supports

An Overview of Long-Term Services and Supports and Medicaid: Final Report

Nga T. Thach, BS, and Joshua M. Wiener, PhD RTI International May 2018 Printer Friendly Version in PDF Format (34 PDF pages)

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Form Approved OMB# 0990-0379 Exp. Date 9/30/2020