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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 31 - 40 of 893. 10 per page. Page 4.

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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.

Lessons Learned from Virtual Human Services during COVID-19

March 4, 2021
Interviews with program administrators and frontline workers across a range of human services programs early in the COVID-19 pandemic provided key takeaways to help promote effective, accessible, and equitable virtual service delivery.
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)
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
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

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

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

January 31, 2021
  Melissa M. Favreault and Richard W. Johnson Urban Institute January 2021 Link to Printer Friendly Version in PDF Format (78 PDF pages)
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