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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 41 - 50 of 893. 10 per page. Page 5.

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ASPE Issue Brief

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

December 29, 2020
December 2020 Link to HTML Version (12 PDF pages)

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
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.

Understanding the Characteristics of Older Adults in Different Residential Settings: Data Sources and Trends

October 15, 2020
UNDERSTANDING THE CHARACTERISTICS OF OLDER ADULTS IN DIFFERENT RESIDENTIAL SETTINGS: DATA SOURCES AND TRENDS Matthew Toth, PhD, Lauren A. Martin Palmer, PhD, Lawren E.

Trends in the Use of Residential Settings among Older Adults Issue Brief

October 15, 2020
TRENDS IN THE USE OF RESIDENTIAL SETTINGS AMONG OLDER ADULTS ISSUE BRIEF Matthew Toth, PhD; Lauren A. Martin Palmer, PhD; Lawren E.

ADVANCE CARE PLANNING AMONG MEDICARE FEE-FOR-SERVICE BENEFICIARIES AND PRACTITIONERS: FINAL REPORT

September 30, 2020
ADVANCE CARE PLANNING AMONG MEDICARE FEE-FOR-SERVICE BENEFICIARIES AND PRACTITIONERS: FINAL REPORT Fang He, PhD, Angela Gasdaska, BS, Hannah Friedman, BA, Brendan Wedehas, BS, Alexis Kirk, PhD, Ila Broyles, PhD, and SaritaL.
Research Brief

Advance Care Planning Among Medicare Fee-For-Service Beneficiaries and Practitioners: Research Brief

September 30, 2020
Advance Care Planning Among Medicare Fee-For-Service Beneficiaries and Practitioners: Research Brief Fang He, PhD; Angela Gasdaska, BS; Hannah Friedman, BA; Brendan Wedehase, BS; Alexis Kirk, PhD; Ila Broyles, PhD; Sarita L.
ASPE Issue Brief

The Impact of COVID-19 on Medicare Health Services and Payments

September 28, 2020
Beginning in mid-March 2020, the COVID-19 pandemic has had an unprecedented impact on health care utilization. The impact on patients, their families and the health care system was significant.