Skip to main content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.


The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Aging & Disability

ASPE produces policy research focusing on older adults, Medicare, dual-eligible beneficiaries, individuals with disabilities, Alzheimer’s disease, dementia, and caregivers. Resources relating to aging and disability include advance directives, end-of-life care planning, elder abuse, long-term services and supports (LTSS), home and community-based services (HCBS), and healthy aging.


Displaying 41 - 50 of 669. 10 per page. Page 5.

Advanced Search
Research Brief

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

May 14, 2019
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.
ASPE Issue Brief

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

April 15, 2019
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.

Patterns of Care and Home Health Utilization for Community-Admitted Medicare Patients

April 3, 2019
This study conducted exploratory analyses to develop a better understanding of community-admitted Medicare home health patients, including whether there have been any differential trends between community-admitted and post-acute care (PAC) patients over time and what their patterns of care tell us about the underlying reasons for the community-admitted increased numbers.

How Many Older Adults Can Afford To Purchase Home Care?

April 3, 2019
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 assistance.

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

April 3, 2019
This brief provides new evidence on the lifetime risk that older adults will need LTSS and receive paid services and supports.

Primary and Behavioral Health Care Integration Program: Impacts on Health Care Utilization, Cost, and Quality

March 28, 2019
This report describes an extension of the RAND Corporation's evaluation of the Substance Abuse and Mental Health Services Administration's Primary and Behavioral Health Care Integration (PBHCI) grants program.
ASPE Issue Brief

Housing and Delivery System Reform Collaborations: Issue Brief

February 13, 2019
Brenda C. Spillman, Joshua Leopold, Eva H. Allen and Pamela Blumenthal Urban Institute Printer Friendly Version in PDF Format (25 PDF pages)

Final Outcome Evaluation of the Balancing Incentive Program

February 11, 2019
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

Community-Dwelling Older Adults with Dementia and Their Caregivers: Key Indicators from the National Health and Aging Trends Study

January 29, 2019
ABSTRACT ASPE has an interest in understanding the national profile of older adults with dementia and their caregivers.
ASPE Issue Brief

A Profile of Older Adults with Dementia and their Caregivers Issue Brief

January 23, 2019
This brief describes findings from the ASPE chartbook "Older Adults with Dementia and Their Caregivers: Key Indicators from the National Health and Aging Trends Study".