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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 731 - 740 of 1028. 10 per page. Page 74.

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Medication Use in Long-Term Care Facilities and Community Settings for Medicare Beneficiaries with Cardiovascular Disease

This report compares medication use in long-term care facilities and community settings for Medicare beneficiaries with heart conditions. The purpose of this comparison was to evaluate the utility of a new file of institutional drug use in the Medicare Current Beneficiary Survey (MCBS), the premier source of health care information on the Medicare population.

Trends in Residential Long-Term Care: Use of Nursing Homes and Assisted Living and Characteristics of Facilities and Residents

Brenda C. Spillman, Senior Research AssociatKorbin Liu, Principal Research AssociateCarey McGilliard, Research Assistant Urban Institute PDF Version: http://aspe.hhs.gov/daltcp/reports/2002/rltct.pdf (34 PDF pages)

Trends in Residential Long-Term Care: Use of Nursing Homes and Assisted Living and Characteristics of Facilities and Residents

In this paper, the authors use data from the Medicare Current Beneficiary Survey, which represents the full Medicare population, regardless of living arrangement, to describe characteristics of elderly residents of both types of facility and the characteristics of the facilities. Our sample is limited to beneficiaries age 65 or older.

Analysis of the Joint Distribution of Disproportionate Share Hospital Payments

The Medicare and Medicaid programs distribute extra payments to hospitals that treat a disproportionate share of indigent patients. The disproportionate share hospital (DSH) payment policies differ substantially between the two programs and, under Medicaid, across states as well.

Special Update on Medical Liability Crisis

U.S. Department of Health and Human Services

Update on the Medical Litigation Crisis: Not the Result of the "Insurance Cycle"

U.S. Department of Health and Human Services

State Welfare-to-Work Policies for People with Disabilities: Implementation Challenges and Considerations - Executive Summary

Pamela A. Holcomb and Terri S. Thompson The Urban Institute This report was prepared under contract #HHS-100-95-0021 between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and the Urban Institute.

Study of Medicare Home Health Practice Variations: Final Report

The objective of this report is to summarize the findings from the quantitative and qualitative methods used to answer the key study questions. The report provides a description of the states, agencies, and patients that participated in the study.

The Contribution of Medication Use to Recent Trends in Old-Age Functioning

U.S. Department of Health and Human Services

The Homecoming Project: Wisconsin's Nursing Home Transition Demonstration

This paper--which is one of a series of Appendices which will be included in the demonstration's final report-- begins with a description of Wisconsin's Homecoming Project, followed by a summary of the program's results.