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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 873. 10 per page. Page 2.

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ASPE Issue Brief

COVID-19 and Economic Opportunity: Inequities in the Employment Crisis

April 12, 2021
The COVID-19 pandemic caused an unprecedented economic crisis with inequitable effects. Overall employment figures mask the disparate impacts on some communities of color, women, and low-wage workers. These groups were more likely to lose jobs, reduce hours worked, or withdraw from the labor market.
Research Brief

Mental Health Consequences of COVID-19: The Role of Social Determinants of Health Research Brief

April 8, 2021
Mir M. Ali, Ph.D., Health Economist Office of Behavioral Health, Disability, and Aging Policy Office of the Assistant Secretary for Planning and Evaluation April 6, 2021 Link to Printer Friendly Version in PDF Format (11 PDF pages)
ASPE Issue Brief

The Impact of COVID-19 on Medicare Beneficiaries with Dementia Issue Brief

April 7, 2021
Helen Lamont, Ph.D., Judy Dey, Ph.D., and Iara Oliveira Office of Behavioral Health, Disability, and Aging Policy Office of the Assistant Secretary for Planning and Evaluation Lok Wong Samson, Ph.D., Rachael Zuckerman, Ph.D., and Wafa Tarazi, Ph.D. Office of Health Policy Office of the Assistant Secretary for Planning and Evaluation April 6, 2021
ASPE Issue Brief

Characteristics of Homebound Older Adults: Potential Barriers to Accessing the COVID-19 Vaccine Issue Brief

April 5, 2021
Characteristics of Homebound Older Adults: Potential Barriers to Accessing the COVID-19 Vaccine ASPE ISSUE BRIEF Emma Nye and Martin Blanco Office of Behavioral Health, Disability, and Aging Policy

Risk of COVID-19 Infections, Hospitalization, and Death in Fee-For-Service Medicare

March 18, 2021
Experience during the first six months of the pandemic shows that the risks of Medicare fee-for-service (FFS) beneficiaries contracting COVID-19 and subsequent hospitalization and mortality vary significantly by demographic characteristics, health status, and nursing home residence. There are several factors that indicate significantly elevated risk.

Health Disparities by Race and Ethnicity during the COVID-19 Pandemic: Current Evidence and Policy Approaches

March 15, 2021
The COVID-19 pandemic has highlighted stark health disparities among Black, Hispanic, Native American, and Native Hawaiian/Pacific Islander populations in several areas, including infections, hospitalizations, death rates, and vaccination rates.
ASPE Issue Brief

Risk of Economic Hardship Among Older Adults Issue Brief

January 31, 2021
Risk of Economic Hardship Among Older Adults ASPE ISSUE BRIEF Richard W. Johnson and Melissa M. Favreault Urban Institute Judith Dey, William Marton, and Lauren Anderson
ASPE Issue Brief

Most Older Adults Are Likely to Need and Use Long-Term Services and Supports Issue Brief

January 31, 2021
Most Older Adults Are Likely to Need and Use Long-Term Services and Supports ASPE ISSUE BRIEF Richard W. Johnson and Melissa M. Favreault Urban Institute Judith Dey, William Marton, and Lauren Anderson

Economic Hardship and Medicaid Enrollment in Later Life: Assessing the Impact of Disability, Health, and Marital Status Shocks

January 31, 2021
Richard W. Johnson and Melissa M. Favreault Urban Institute January 2021 Link to Printer Friendly Version in PDF Format (50 PDF pages)

Projections of Risk of Needing Long-Term Services and Supports at Ages 65 and Older

January 31, 2021
Projections of Risk of Needing Long-Term Services and Supports at Ages 65 and Older Melissa M. Favreault and Richard W.