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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 841 - 850 of 974. 10 per page. Page 85.

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Population Estimates of Disability and Long-Term Care

A large minority of Americans (42.7 million or 17.2%) have disabilities, 12.7 million of whom need long-term care. About 29.7% of all people with disabilities and 5% of the entire population need long-term care.

Assisted Living Policy and Regulation: State Survey

U.S. Department of Health and Human Services

Conditions and Impairments Among the Working Age Population with Disabilities

Most adults with disabilities are in their working (not their elderly) years. According to the 1990 Survey of Income and Program Participation, among the civilian non-institutionalized population, 20,266,000 adults in their working years (18-64) and 15,413,000 elderly persons (65+) reported a disability.

Disability Among Children

According to the 1990 Survey of Income and Program Participation (SIPP) and data from institutions, 4,536,000 children under 18 were reported as having a disability, with 4,444,500 living in the community and 91,800 residing in institutions.

The Medicaid Personal Care Services Option Part II: Consumer-Directed Models of Care

This "ASPE Research Notes" article is a follow up to the earlier article The Medicaid Personal Care Option Part I: Cross State Variations and Trends Over Time that provided a descriptive overview of Medicaid personal care services programs.
Case Study

Rationing Case Management: Six Case Studies

U.S. Department of Health and Human Services Rationing Case Management: Six Case Studies Mary E. Jackson, Ph.D. The MEDSTAT Group November 30, 1994 PDF Version (43 PDF pages)

The Economic Impact of Long-Term Care on Individuals

U.S. Department of Health and Human Services The Economic Impact of Long-Term Care on Individuals

The Emerging Private Financing System

U.S. Department of Health and Human Services The Emerging Private Financing System Lisa Alecxih and David Kennell Lewin/ICF, Inc. October 1994 PDF Version (35 PDF pages)