In an effort to better understand the impact of managed care on disabled populations, staff from the Office of the Assistant Secretary for Planning and Evaluation's Office of Disability, Aging and Long-Term Care Policy and the Office of Health Policy, in collaboration with HCFA, have developed a series of research and evaluation efforts focused on managed care and people with disabilities.
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 871 - 880 of 1028. 10 per page. Page 88.
Advanced SearchReport on Study Methods: Analysis of the Effect of Regulation on the Quality of Care in Board and Care Homes
The goals of this project were to describe the quality of care in board and care homes and how it varies across licensure and regulatory systems. Accomplishment of these objectives required a study design that incorporated several activities, including a major collection of new data. This report provides a detailed discussion of methods used in this project. [66 PDF pages]
A National Study of Assisted Living for the Frail Elderly: Literature Review Update
In 1992, Lewin-VHI produced the report Policy Synthesis on Assisted Living for the Frail Elderly in order to address: the policy concerns generated by a growing frail elderly population, rapid increases in costs of care, and growing interest in various types of supportive housing for the elderly.
Caring for Frail Elderly People: Policies in Evolution
In Chapter 14 (United States), the long development of long-term care policy is described, giving particular emphasis to the functioning of the main programs introduced in the 1960s, and their progressive modification up to the 1990s. Finally, an outline is given of the main reform debates of the late 1980s and 1990s. [38 PDF pages]
Consumer-Directed Models of Personal Care: Lessons from Medicaid
In this article, the authors compare and contrast alternative approaches to administering programs, financed under the Medicaid personal care services (PCS) optional benefit, that make attendant services available to low-income elderly and disabled persons in need of help with daily living tasks.
Diagnostic Risk Adjustment for Medicaid: The Disability Payment System
U.S. Department of Health and Human Services
Encyclopedia of Financial Gerontology: Federal Disability Programs Section
Federal disability programs, which provide services such as cash support, health care coverage, and direct supportive services to eligible people with disabilities, are typically limited to people under the age of 65.
Home and Community-Based Care: The U.S. Example
In 1985 there were about 5.5 million functionally disabled elderly persons (65+) in the United States (U.S.) living in the community and an additional 1.3 million in nursing homes. By 2020, these figures are expected to almost double to 10.1 million and 2.5 million respectively. The long-term care (LTC) system in the U.S. is large and complex.
National Study of Assisted Living for the Frail Elderly: Literature Review Update
U.S. Department of Health and Human Services National Study of Assisted Living for the Frail Elderly: Literature Review Update Lewin-VHI, Inc. February 1996 PDF Version: http://aspe.hhs.gov/daltcp/reports/litrev.pdf (98 PDF pages)