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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 21 - 30 of 873. 10 per page. Page 3.

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Research Brief

Long-Term Services and Supports for Older Americans: Risks and Financing, 2020 Research Brief

January 31, 2021
Long-Term Care Services and Supports for Older Americans: Risks and Financing, 2020 ASPE RESEARCH BRIEF Melissa Favreault Urban Institute Judith Dey
ASPE Issue Brief

Extended LTSS Utilization Makes Older Adults More Reliant on Medicaid Issue Brief

January 31, 2021
Extended LTSS Utilization Makes Older Adults More Reliant on Medicaid Issue Brief ASPE ISSUE BRIEF Richard W. Johnson and Melissa M. Favreault Urban Institute Judith Dey, William Marton, and Lauren Anderson

Medicare Part D: Competition and Generic Drug Prices, 2007-2018

January 26, 2021
The United States relies on the interactions of private entities – drug manufacturers, health plans and pharmaceutical benefit managers (PBMs) - to achieve value by negotiating prices, operating formularies and implementing other benefit management strategies. The U.S. does not establish or negotiate prices for prescription drugs, as do some other countries. A critical part of the U.S.
Literature Review

Informal Caregiver Supply and Demographic Changes: Review of the Literature

January 7, 2021
Informal Caregiver Supply and Demographic Changes: Review of the Literature Brenda C. Spillman, Eva H.
ASPE Issue Brief

Family Structures and Support Strategies in the Older Population: Implications for Baby Boomers Issue Brief

January 7, 2021
Family Structures and Support Strategies in the Older Population: Implications for Baby Boomers

Long-Term Care and the Impact of COVID-19: A First Look at Comparative Cross-National Statistics

December 29, 2020
Long-Term Care and the Impact of COVID-19: A First Look at Comparative Cross-National Statistics ASPE Research Brief Pamela Doty, PhD, and Martin Blanco, MA, MPH U.S. Department of Health and Human Services

Strengthening the Entry-Level Health Care Work Force: Finding a Path

December 10, 2020
This project report provides potential approaches to expand and strengthen the entry-level health care workforce in the United States, with a primary focus on seven occupations: nurses, medical assistants, dental ass istants and hygienists, health aides, community health workers, peer specialists, and other specialized providers. Resource:

Disparities in Rates of COVID-19 Infection, Hospitalization, and Death by Race and Ethnicity

November 9, 2020
The COVID-19 pandemic has exposed long-standing health disparities through the disproportionate impact of COVID-19 on racial and ethnic minority communities. This brief analyzes data from state and county health departments on the racial and ethnic demographics of COVID-19 infection, hospitalization, and death.

COVID-19 INTENSIFIES NURSING HOME WORKFORCE CHALLENGES

October 18, 2020
COVID-19 INTENSIFIES NURSING HOME WORKFORCE CHALLENGES Noelle Denny-Brown, Denise Stone, Burke Hays, and Dayna Gallaghe Mathematica October 2020 Link to HTML Version (45 PDF pages)

Projections of Poverty and Program Eligibility during the COVID-19 Pandemic

October 15, 2020
The COVID-19 pandemic and the slowdown in economic activity have impacted the well-being of many U.S. families. Unemployment peaked at 14.7 percent in April, and remained above 8 percent in August. The CARES Act and the Family First Coronavirus Response Act used several short-term policy strategies to address this challenge.