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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. 

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 1 - 10 of 873. 10 per page. Page 1.

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ASPE Issue Brief

The Impact of the COVID-19 Pandemic on Medicare Beneficiary Utilization and Provider Payments: Fee-For-Service (FFS) Data for 2020

June 28, 2021
Medicare FFS beneficiary service use and associated payments to providers dropped substantially from mid-March through mid-April, but had returned to near-2019 levels by the fall of 2020. The rebound in the fall was not sufficient to offset the earlier declines in the spring, and cumulative payment levels across all states were lower in 2020 compared to 2019.

Vaccine Hesitancy for COVID-19: PUMA Estimates

June 16, 2021
To support state and local communication and outreach efforts, ASPE developed state, county, and sub-state level predictions of hesitancy rates using the most recently available federal survey data, the Household Pulse Survey from May 25-June 7, 2021. This page includes an interactive map and datasets for download.
Report

Vaccine Hesitancy for COVID-19: State, County, and Local Estimates

June 16, 2021
To support state and local communication and outreach efforts, ASPE developed state, county, and sub-state level predictions of hesitancy rates using the most recently available federal survey data, the Household Pulse Survey from May 26-June 7, 2021. This page includes an interactive map, a pdf file with a methodological description, and datasets for download.

COVID-19 Intensifies Home Care Workforce Challenges: Policy Perspectives Issue Brief

May 31, 2021
COVID-19 Intensifies Home Care Workforce Challenges: Policy Perspectives

COVID-19 Intensifies Home Care Workforce Challenges

May 31, 2021
COVID-19 Intensifies Home Care Workforce Challenges Denise Tyler, PhD, Melissa Hunter, MSW, Natalie Mulmule, BS, and Kristie Porter, MPH RTI International June 1, 2021 Link to Printer Friendly Version in PDF Format (66 PDF pages)

COVID-19 Intensifies Home Care Workforce Challenges: Agency Perspectives Issue Brief

May 31, 2021
COVID-19 Intensifies Home Care Workforce Challenges: Agency Perspectives

Factors influencing variation between states in efficiency of COVID-19 vaccine administration

May 4, 2021
Limited initial supplies of the COVID-19 vaccine necessitated the development of strategies to ensure efficient and equitable vaccine distribution. This brief summarizes the different vaccine distribution strategies and approaches taken by states and evaluates the extent to which these may have impacted the efficiency with which doses delivered to states are administered to patients.

Disparities in COVID-19 Vaccination Rates across Racial and Ethnic Minority Groups in the United States

May 4, 2021
Ensuring equitable distribution of the COVID-19 vaccine is essential to mitigate the disproportionate impact of COVID-19 on racial and ethnic minority populations. This brief summarizes currently available data on race and ethnicity of vaccinated persons at the state level.

Workforce Implications of Behavioral Health Care Models: Final Report

April 14, 2021
Workforce Implications of Behavioral Health Care Models: Final Report Stefanie Pietras and Allison Wishon Mathematica March 2021 Link to Printer Friendly Version in PDF Format (57 PDF pages)
ASPE Issue Brief

COVID-19 and Economic Opportunity: Unequal Effects on Economic Need and Program Response

April 13, 2021
The COVID-19 pandemic has had an unprecedented economic and social impact on Americans, with particularly harsh effects on people in certain race and ethnic groups. Public programs intended to address these needs have also had uneven reach, with many less likely to benefit families of color.