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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.


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Differential Impacts Among Subgroups of Channeling Enrollees

April 30, 1986
  U.S. Department of Health and Human Services

Channeling Effects on Formal Community-Based Services and Housing

April 30, 1986
U.S. Department of Health and Human Services

The Evaluation of the National Long Term Care Demonstration: Final Report

April 30, 1986
  U.S. Department of Health and Human Services

Channeling Effects on Hospital, Nursnig Home and Other Medical Services

April 30, 1986
U.S. Department of Health and Human Services

The Effects of Case Management and Community Services on the Impaired Elderly

January 31, 1986
  U.S. Department of Health and Human Services

Final Report on the Effects of Sample Attrition on Estimates of Channeling's Impacts

January 12, 1986
This report results from an investigation of the extent to which differential attrition from the research sample in the Channeling Demonstration might have led to biased estimates of program impact. Two analytical approaches were adopted--a heuristic approach and a statistical modeling approach.

Private Financing of Long-Term Care: Current Methods and Resources--Phase I Final Report

December 31, 1984
U.S. Department of Health and Human Services