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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 61 - 70 of 894. 10 per page. Page 7.

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ECONOMIC IMPACTS OF PROGRAMS TO SUPPORT CAREGIVERS: FINAL REPORT

February 9, 2020
ECONOMIC IMPACTS OF PROGRAMS TO SUPPORT CAREGIVERS: FINAL REPORT Stipica Mudrazija and Richard W. Johnson Urban Institute January 2020 Printer Friendly Version in PDF Format (68 PDF pages)

Functional Trajectories at the End of Life for Individuals with Dementia: Final Report

February 9, 2020
Dementia, including Alzheimer’s disease and related disorders, is a neurocognitive disease affecting an individual’s cognitive function and behavior. Dementia is a leading cause of death and is particularly prevalent at the end of life (EOL) in older adults.

Analysis of State Efforts to Comply with Fair Labor Standards Act Protections to Home Care Workers

January 7, 2020
Analysis of State Efforts to Comply with Fair Labor Standards Act Protections to Home Care Workers Pamela J. Doty, Ph.D., and Marie R. Squillace, Ph.D. Office of the Assistant Secretary for Planning and Evaluation U.S. Department of Health and Human Services Edward Kako, Ph.D.

Credentialing, Licensing and Reimbursement of the SUD Workforce: A Review of Policies and Practices Across the Nation

November 30, 2019
The main purpose of this study was to investigate the barriers to and facilitators of licensing, credentialing, and insurance reimbursement for substance use disorder (SUD) treatment providers across the nation.
ASPE Issue Brief

CREDENTIALING SUBSTANCE USE DISORDER COUNSELORS: THE NEED FOR UNIFORM STANDARDS ISSUE BRIEF

November 30, 2019
The main purpose of this study was to investigate the barriers to and facilitators of licensing, credentialing, and insurance reimbursement for substance use disorder (SUD) treatment providers across the nation.

CREDENTIALING, LICENSING, AND REIMBURSEMENT OF THE SUD WORKFORCE: A REVIEW OF POLICIES AND PRACTICES ACROSS THE NATION

November 30, 2019
CREDENTIALING, LICENSING, AND REIMBURSEMENT OF THE SUD WORKFORCE: A REVIEW OF POLICIES AND PRACTICES ACROSS THE NATION Nilufer Isvan, Rachael Gerber, David Hughes, Kristin Battis, and Evan Anderson Human Services Research Institute John O'Brien

STATE LICENSURE FOR SUBSTANCE USE DISORDER COUNSELING: IMPLICATIONS FOR BILLING ELIGIBILITY

November 30, 2019
The main purpose of this study was to investigate the barriers to and facilitators of licensing, credentialing, and insurance reimbursement for SUD treatment providers across the nation.

Impact of Participation in Technology-Enabled Collaborative Learning and Capacity Building (ECHO) Models on Provider Retention

September 22, 2019
This analysis, which used data on participation in Project ECHO provided by New Mexico’s ECHO Institute, explored two retention-related hypotheses: Participation in an ECHO intervention results in increased provider retention at the individual practitioner level; and
Report to Congress

Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2018

September 9, 2019
U.S. Department of Health and Human Services September 2019 Printer Friendly Version in PDF Format (61 PDF pages)

Support And Services at Home (SASH) Evaluation: Highlights from the Evaluation of Program Outcomes from 2010 to 2016

July 9, 2019
This paper describes the primary features of the SASH program and summarizes the main findings of the evaluation to date.