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Health & Health Care

ASPE produces health policy research with a focus on equity, coverage, and access. Find resources related to a broad range of topics, including the uninsured population, vaccine hesitancy, Medicaid/CHIP, Medicare, the federal marketplace (, telehealth, health care delivery, underserved areas, delivery system transformation, health outcomes, and social determinants of health.


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Population Estimates of Disability and Long-Term Care

A large minority of Americans (42.7 million or 17.2%) have disabilities, 12.7 million of whom need long-term care. About 29.7% of all people with disabilities and 5% of the entire population need long-term care.

Conditions and Impairments Among the Working Age Population with Disabilities

Most adults with disabilities are in their working (not their elderly) years. According to the 1990 Survey of Income and Program Participation, among the civilian non-institutionalized population, 20,266,000 adults in their working years (18-64) and 15,413,000 elderly persons (65+) reported a disability.

Disability Among Children

According to the 1990 Survey of Income and Program Participation (SIPP) and data from institutions, 4,536,000 children under 18 were reported as having a disability, with 4,444,500 living in the community and 91,800 residing in institutions.


The Office of the Assistant Secretary for Planning and Evaluation sponsored an expert meeting on research related to managed care and people with disabilities. This day long meeting was the second of an ongoing series of expert meetings on disability topic areas that DALTCP is considering for inclusion in its research agenda.

The Emerging Private Financing System

U.S. Department of Health and Human Services The Emerging Private Financing System Lisa Alecxih and David Kennell Lewin/ICF, Inc. October 1994 PDF Version (35 PDF pages)

The Disabled Elderly and Their Use of Long-Term Care

U.S. Department of Health and Human Services The Disabled Elderly and Their Use of Long-Term Care

Licensed Board and Care Homes: Preliminary Findings from the 1991 National Health Provider Inventory

This paper presents some preliminary findings on board and care at the national level. The data indicate that there were about 34,000 licensed board and care homes in 1991. Over three fifths were run on a for profit basis. Non profits and government sponsored board and care homes were more likely than for profits to serve the mentally ill and MR/DD populations.

The Elderly with Disabilities: At Risk for High Health Care Costs

According to the 1987 National Medical Expenditure Survey, elderly persons with severe disabilities (defined as needing assistance with one or more activities of daily living) had out-of-pocket health care expenses nearly four times greater than persons without disabilities. Approximately 9% of the elderly population was categorized as having a severe disability.