Long-Term Services & Supports (LTSS)

A large minority of Americans (42.7 million or 17.2%) have disabilities, 12.7 million of whom need long-term care. About 29.7% of all people with disabilities and 5% of the entire population need long-term care.

U.S. Department of Health and Human Services Rationing Case Management: Six Case Studies Mary E. Jackson, Ph.D. The MEDSTAT Group November 30, 1994 PDF Version (43 PDF pages)

U.S. Department of Health and Human Services The Economic Impact of Long-Term Care on Individuals

U.S. Department of Health and Human Services The Emerging Private Financing System Lisa Alecxih and David Kennell Lewin/ICF, Inc. October 1994 PDF Version (35 PDF pages)

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.

U.S. Department of Health and Human Services The Disabled Elderly and Their Use of Long-Term Care

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.

This paper explains the cost estimates for the long-term care provisions of the Health Security Act. [44 PDF pages]

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)