In 2013, ASPE contracted with Mathematica Policy Research to conduct case studies of the financing arrangements and delivery models that states are using to improve the coordination of care for Medicaid beneficiaries with mental health and substance use disorders in four states: Illinois, Louisiana, Massachusetts, and Tennessee.
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.
Noteworthy
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 351 - 360 of 1025. 10 per page. Page 36.
Advanced SearchASPE Issue Brief
State Strategies for Improving Provider Collaboration and Care Coordination for Medicaid Beneficiaries with Behavioral Health Conditions
This Issue Brief highlights the efforts of four states--Illinois, Louisiana, Massachusetts, and Tennessee--to facilitate provider-level coordination for Medicaid beneficiaries with behavioral health disorders. It describes the financing strategies and specific mechanisms that states are using to improve care coordination.
NAPA Public Comment Attachment: Draft Chapter on Intellectual and Developmental Disability
This PDF was submitted as an attachment to a Public Comment sent to the Advisory Council on Alzheimer's Research, Care, and Services and/or the National Alzheimer's Project Act website.
Regulatory Review of Adult Day Services: Final Report, 2014 Edition - Executive Summary
Janet O'Keeffe, Dr.PH, RN, Christine O'Keeffe, BA, and Madhu Shrestha, BS RTI International Abstract Adult day services (ADS)--a non-residential service provides outside an individual's home for less than a full day--prov
Why Do Elders Receiving Informal Home Care Transition to Long Stay Nursing Home Residency?
High stress reported by informal (unpaid, mostly family) caregivers providing functional assistance to chronically disabled elders residing in the community is a very powerful predictor of care recipients' subsequent transition from community living to long-stay nursing home residence.
What is the Effect of Dementia on Hospitalization and Emergency Department Use in Residential Care Facilities?
What is the Effect of Dementia on Hospitalization and Emergency Department Use in Residential Care Facilities? Executive Summary September 2014 Joshua M. Wiener, PhD, Zhanlian Feng, PhD, Laura A.
What Factors Affect Residential Care Facility Charges?
What Factors Affect Residential Care Facility Charges? Executive Summary September 2014 Sarita L. Karon, PhD, Joshua M. Wiener, PhD, Angela M.
Support and Services at Home (SASH) Evaluation: First Annual Report
September 2014 RTI International Abstract The Support and Services at Home (SASH) program in Vermont is a subcomponent of a larger Medicare demonstration--the Multi-payer Advanced Primary Ca