This paper provides an overview of public financing of long-term care services for the elderly under Medicare, Medicaid and other public programs. Recent program data on public spending for both nursing home and home care services are presented, as well as selected data on recent expenditure trends, particularly under Medicare and Medicaid.
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
Displaying 851 - 860 of 974. 10 per page. Page 86.
Advanced SearchThe Disabled Elderly and Their Use of Long-Term Care
U.S. Department of Health and Human Services The Disabled Elderly and Their Use of Long-Term Care
Licensed Board and Care Homes: Preliminary Findings from the 1991 National Health Provider Inventory
This paper presents some preliminary findings on board and care at the national level. The data indicate that there were about 34,000 licensed board and care homes in 1991. Over three fifths were run on a for profit basis. Non profits and government sponsored board and care homes were more likely than for profits to serve the mentally ill and MR/DD populations.
Cost Estimates for the Long-Term Care Provisions Under the Health Security Act
This paper explains the cost estimates for the long-term care provisions of the Health Security Act. [44 PDF pages]
Summary of Long-Term Care Provisions Under the Health Security Act
U.S. Department of Health and Human Services Short Long-Term Care Summary Under the Health Security Act March 1994 PDF Version (9 PDF pages)
The Elderly with Disabilities: At Risk for High Health Care Costs
According to the 1987 National Medical Expenditure Survey, elderly persons with severe disabilities (defined as needing assistance with one or more activities of daily living) had out-of-pocket health care expenses nearly four times greater than persons without disabilities. Approximately 9% of the elderly population was categorized as having a severe disability.
Consumer Choice and the Frontline Worker
(Article prepared for GENERATIONS, Fall 1994, Volume 18, Number 3, pages 65-70.) [15 PDF pages]
The Medicaid Personal Care Services Option Part I: Cross-State Variations and Trends Over Time
ASPE Research Notes INFORMATION FOR DECISION MAKERS FOCUS ON: Long-Term Care Issued November 1993 The Medicaid Personal Care Services Option Part I: Cross-State Variations and Trends Over Time
Disability, Health Insurance Coverage, and Utilization of Acute Health Services in the United States
U.S. Department of Health and Human Services Disability, Health Insurance Coverage, and Utilization of Acute Health Services in the United States Executive Summary