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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 811 - 820 of 975. 10 per page. Page 82.

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The Personal Responsibility and Work Opportunity Reconciliation Act of 1996

Contact: HHS Press Office (202) 690-6343

Service Utilization and the Individual, Family, and Neighborhood Characteristics of Children with Disabilities in Illinois

This report describes the demographic characteristics and human services utilization of all children and adolescents who are identified as having a disability in Illinois. It also seeks to understand the stability of care that these children receive through childhood and adolescence.

Cost of Care for Medicaid-Enrolled Children with Selected Disabilities

The purpose of this study is to estimate and compare costs of care for children with 11 selected chronic conditions, to compare these costs with costs of care for children without any of these conditions, and to identify whether selected demographic variables are associated with cost variation.

Work, Welfare, and the Burden of Disability: Caring for Special Needs of Children in Poor Families

This paper addresses issues which arise at the juncture of welfare and disability policies. Using preliminary data from a recent survey of current and recent AFDC recipients in California, we find that disabilities and chronic health problems affect the mothers or children in 43% of all households in the AFDC system.

Health Policy for Medically Fragile Children: An Analysis of Factors Impacting Care in Texas

U.S. Department of Health and Human Services

Managed Care and People with Disabilities: Research Project Descriptions

In an effort to better understand the impact of managed care on disabled populations, staff from the Office of the Assistant Secretary for Planning and Evaluation's Office of Disability, Aging and Long-Term Care Policy and the Office of Health Policy, in collaboration with HCFA, have developed a series of research and evaluation efforts focused on managed care and people with disabilities.

Managed Care and People With Disabilities Research Inventory

This research inventory was assembled in preparation for the National Conference on Managed Care for People with Disabilities.

Report on Study Methods: Analysis of the Effect of Regulation on the Quality of Care in Board and Care Homes

The goals of this project were to describe the quality of care in board and care homes and how it varies across licensure and regulatory systems. Accomplishment of these objectives required a study design that incorporated several activities, including a major collection of new data. This report provides a detailed discussion of methods used in this project. [66 PDF pages]

A National Study of Assisted Living for the Frail Elderly: Literature Review Update

In 1992, Lewin-VHI produced the report Policy Synthesis on Assisted Living for the Frail Elderly in order to address: the policy concerns generated by a growing frail elderly population, rapid increases in costs of care, and growing interest in various types of supportive housing for the elderly.