This New Jersey case study provides insights into the daunting challenges states face in seeking to address the home care worker shortage, which has become more acute as New Jersey and other states have striven to “re-balance” Medicaid long-term services and supports use and spending away from institutional care toward home and community-based services.
Long-Term Services & Supports, Long-Term Care
ASPE conducts research, analysis, and evaluation of policies related to the long-term care and personal assistance needs of people of all ages with chronic disabilities. ASPE’s work also highlights the financing, delivery, organization, and quality of long-term services and supports, including those supported or financed by private insurers, Medicaid, Medicare, and the Administration for Community Living (ACL). This includes assessing the interaction between health care, post-acute care, chronic care, long-term care, and supportive services needs of persons with disabilities across the age spectrum; determining service use and program participation patterns; and coordinating the development of long-term care data and policies that affect the characteristics, circumstances, and needs of people with long-term care needs, including older adults and people with disabilities.
Noteworthy
Most Older Adults Are Likely to Need and Use Long-Term Services and Supports
More than one-half of older adults, regardless of their lifetime earnings, are projected to experience serious LTSS needs and use some paid LTSS after turning 65.
Older adults with limited lifetime earnings are more likely to develop serious LTSS needs than those with more earnings.
However, fifty-six percent of older adults in the top lifetime earnings quintile receive some paid LTSS, and the likelihood of nursing home care does not vary much by lifetime earnings. Learn more.
Reports
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Advanced SearchASPE Issue Brief, Report
Direct Care Worker Wages
Direct care workers (DCWs) such as nursing assistants, home health aides, and personal care assistants play an essential role in the health and well-being of over 20 million Americans. Yet DCW wages are not enough to make jobs competitive with entry level positions in other industries with similar job requirements which exacerbates the challenges in recruitment and retention of these workers.
ASPE Issue Brief
Bridging Healthcare and Social Services for People Living with Dementia and Their Caregivers
People living with dementia often have complex health and social support needs that can best be met by health care and community-based providers working together. This brief examines promising practices for bridging community-based organizations and health care systems in the providing comprehensive dementia care.
ASPE Issue Brief
Use of Medicare-Covered Telerehabilitation for PT/OT/SLP Services during the COVID-19 PHE
This study examined the extent therapist practices and nursing homes adopted telehealth services for physical therapy (PT), occupational therapy (OT), and speech-language pathology (SLP); explored the major challenges and facilitators in adopting telerehabilitation services, and whether these services were effective in addressing patient care and staffing needs during the public health emergenc
ASPE Issue Brief
Identifying Employer Supports for Family Caregivers of Older Adults Issue Brief
Recruiting and retaining a talented workforce requires employers to implement supports for family caregivers who are balancing the dual roles of working and caregiving.
ASPE Issue Brief
Innovative 988 Crisis Service Systems for Children, Youth, and People with Disabilities
In 2020, Congress designated the new 988 dialing code to be operated through the existing National Suicide Prevention Lifeline. The 988 Suicide and Crisis Lifeline was established to improve access to immediate support to meet the behavioral health crisis needs in the United States.
ASPE Issue Brief
Medical Respite Programs: A Critical Service for Individuals Experiencing Homelessness
People experiencing homelessness often have complex health care and social service needs which present significant care challenges to hospitals, such as longer lengths of stays, higher readmission rates, and complicated chronic illnesses.
Report
Understanding Economic Risk for Low-Income Families: Economic Security, Program Benefits, and Decisions about Work
IntroductionMeans-tested benefits are designed to support basic needs such as food, health insurance, and child care for households with low incomes. When considering whether to take a new job opportunity that will increase their income, recipients of these benefits may be forced to consider trade-offs. For example:
Fact Sheet, Policy Brief
Understanding Economic Risk for Low-Income Families: Economic Security, Program Benefits, and Decisions about Work
This project explored how workers with low incomes who receive federal benefits weigh factors including marginal tax rates, benefit loss, ease of resuming benefits once lost, and job instability when deciding whether to accept an earnings increase.
Fact Sheet, Visualization
Earnings, Benefit Loss, and Job Instability: What Do People Receiving TANF Consider When Offered a Higher-Paying Job?
Infographic: Earnings, Benefit Loss, and Job Instability: What Do People Receiving TANF Consider When Offered a Higher-Paying Job?Related Products: