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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 481 - 490 of 1028. 10 per page. Page 49.

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Survey Questions for EHR Adoption and Use in Nursing Homes: Final Report

As described in this report, the project was aimed at developing a core survey that has the sensitivity to capture change over time in nursing homes' level of automation and, whether fielded in conjunction with the NNHS or through other means, will provide a valuable snapshot of nursing home HIT use while establishing a baseline from which to track future growth.

Individuals Living in the Community with Chronic Conditions and Functional Limitations: A Closer Look

This chartbook examines the combination of chronic conditions and functional limitations as a potentially better predictor of high health care utilization. [51 PDF pages]

Findings from a Study of the SSI/SSDI Outreach, Access, and Recovery (SOAR) Initiative

The Supplemental Security Income (SSI) and Social Security Disability Insurance (SSDI) programs provide critical income support for those who meet eligibility requirements.

Post Acute Care Episodes: Final Report

The purpose of this project is to continue the ASPE bundling research in the area of Medicare post acute care using the 2006 Medicare post acute episode file developed in the previous analysis.

Post Acute Care Episodes

Final Report Prepared for Susan Bogasky Assistant Secretary for Planning and Evaluation (ASPE) U.S. Department of Health and Human Services Hubert H. Humphrey Building, Room 443F5 200 Independence Avenue, SW Washington, DC 20201

State Long-Term Care Partnership Insurer Reporting Requirements

This paper outlines the specific data elements that long-term care insurance participating in a State Partnership for Long-Term Care must provide to the Department of Health and Human Services (HHS). This system of records is required by the Deficit Reduction Act of 2005. Federal regulations supporting these data requirements were published in the Federal Register on December 18, 2008.

Substitutability Across Institutional Post-Acute Care Settings: 1998-2006

  U.S. Department of Health and Human Services
Research Brief

Mental Health of Vulnerable Youth and their Transition to Adulthood: Examining the Role of the Child Welfare, Juvenile Justice, and Runaway/Homeless Systems

  ASPE RESEARCH BRIEF The Mental Health of Vulnerable Youth and their Transition to Adulthood: Examining the Role of the Child Welfare, Juvenile Justice, and Runaway/Homeless Systems August 2009

Nursing Home Ownership Trends and Their Impact on Quality of Care

Seeking greater understanding of the ownership structures of nursing homes, ASPE contracted with Harvard Medical School to study the trends in organizational structures of nursing homes and their impact on quality of care. This current work builds on previous research funded by ASPE.