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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 391 - 400 of 1025. 10 per page. Page 40.

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Children with Disabilities and Special Health Care Needs in NCQA-Recognized Patient-Centered Medical Homes: Health Care Utilization, Provider Perspectives and Parental Expectations - Executive Summary

Kate Stewart, Dana Petersen, Joe Zickafoose, Beny Wu, Mynti Hossain, Lisa Schottenfeld, Caroline Massad Francis, Randall Brown and Henry Ireys Mathematica Policy Research  

Strategies for Integrating and Coordinating Care for Behavioral Health Populations: Case Studies of Four States

This report describes the different strategies that four states--Louisiana, North Carolina, Tennessee and Vermont--are utilizing to improve the integration and coordination of care for individuals with mental health and substance use disorders.

Impacts of Waiting Periods for Home and Community-Based Services on Consumers and Medicaid Long-Term Care Costs in Iowa

This report compares the risk of nursing home entry, hospitalization rates, and Medicaid long-term care costs, among people with disabilities who faced widely-varying waiting times (ranging from 3 to 25 months), depending on when they applied for home and community-based services (HCBS) though Iowa Medicaid 1915(c) waivers.

Descriptive Study of Three Disability Competent Managed Care Plans for Medicaid Enrollees - Executive Summary

Vanessa Oddo, Angela Gerolamo, David R. Mann and Catherine DesRoches Mathematica Policy Research January 2014  
Literature Review

Evaluating PACE: A Review of the Literature - Executive Summary

Arkadipta Ghosh, Cara Orfield and Robert Schmitz Mathematica Policy Research January 2014  

Factors Predicting Transitions from Medicare-Only to Medicare-Medicaid Enrollee Status

This study focuses on understanding the rates and patterns of enrollment in Medicaid among individuals already enrolled in Medicare, the factors that predict this transition to dual coverage, and those that predict nursing home entry. This volume provides estimated econometric models that