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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 11 - 20 of 893. 10 per page. Page 2.

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ASPE Issue Brief

Health Insurance Coverage Among Working-Age Adults with Disabilities: 2010-2018

July 30, 2021
For working-age adults with disabilities, consistent access to health insurance may be critical to continuity of care and good health outcomes. We tracked changes in health insurance coverage for this population from 2010-2018.
ASPE Issue Brief

State Medicaid Telehealth Policies Before and During the COVID-19 Public Health Emergency

July 19, 2021
States have embraced Medicaid telehealth flexibilities during the COVID-19 Public Health Emergency (PHE), enhancing beneficiary access to services delivered via telehealth. This Issue Brief examines state Medicaid telehealth coverage and policies before and after the COVID-19 PHE was declared in January 2020. Related Products
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.
ASPE Issue Brief

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

June 1, 2021
Link to Printer Friendly Version in PDF Format (5 PDF pages)

COVID-19 Intensifies Home Care Workforce Challenges

May 31, 2021
June 1, 2021 Link to Printer Friendly Version in PDF Format (66 PDF pages)
ASPE Issue Brief

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

May 31, 2021
June 1, 2021 Link to Printer Friendly Version in PDF Format (5 PDF pages)

Perspectives of Program Participants on Virtual Human Services During COVID-19

May 20, 2021
Focus groups with a small sample of program participants across a range of human services programs in Fall 2020 captured the perspectives of people served to better understand the perceived strengths and limitations of virtual services.

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.