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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 111 - 120 of 974. 10 per page. Page 12.

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ASPE Issue Brief

The Impact of COVID-19 on Medicare Beneficiaries with Dementia Issue Brief

April 6, 2021 Link to Printer Friendly Version in PDF Format (11 PDF pages)
ASPE Issue Brief

Characteristics of Homebound Older Adults: Potential Barriers to Accessing the COVID-19 Vaccine Issue Brief

April 6, 2021 Link to Printer Friendly Version in PDF Format (11 PDF pages) KEY POINTS

Risk of COVID-19 Infections, Hospitalization, and Death in Fee-For-Service Medicare

Experience during the first six months of the pandemic shows that the risks of Medicare fee-for-service (FFS) beneficiaries contracting COVID-19 and subsequent hospitalization and mortality vary significantly by demographic characteristics, health status, and nursing home residence. There are several factors that indicate significantly elevated risk.

Health Disparities by Race and Ethnicity during the COVID-19 Pandemic: Current Evidence and Policy Approaches

The COVID-19 pandemic has highlighted stark health disparities among Black, Hispanic, Native American, and Native Hawaiian/Pacific Islander populations in several areas, including infections, hospitalizations, death rates, and vaccination rates.

Lessons Learned from Virtual Human Services during COVID-19

Interviews with program administrators and frontline workers across a range of human services programs early in the COVID-19 pandemic provided key takeaways to help promote effective, accessible, and equitable virtual service delivery.
ASPE Issue Brief

Most Older Adults Are Likely to Need and Use Long-Term Services and Supports Issue Brief

Most Older Adults Are Likely to Need and Use Long-Term Services and Supports ASPE ISSUE BRIEF Richard W. Johnson and Melissa M. Favreault Urban Institute Judith Dey, William Marton, and Lauren Anderson

Economic Hardship and Medicaid Enrollment in Later Life: Assessing the Impact of Disability, Health, and Marital Status Shocks

Richard W. Johnson and Melissa M. Favreault Urban Institute January 2021 Link to Printer Friendly Version in PDF Format (50 PDF pages)
ASPE Issue Brief

Extended LTSS Utilization Makes Older Adults More Reliant on Medicaid Issue Brief

Extended LTSS Utilization Makes Older Adults More Reliant on Medicaid Issue Brief ASPE ISSUE BRIEF Richard W. Johnson and Melissa M. Favreault Urban Institute Judith Dey, William Marton, and Lauren Anderson
ASPE Issue Brief

Risk of Economic Hardship Among Older Adults Issue Brief

Risk of Economic Hardship Among Older Adults ASPE ISSUE BRIEF Richard W. Johnson and Melissa M. Favreault Urban Institute Judith Dey, William Marton, and Lauren Anderson
Literature Review

Informal Caregiver Supply and Demographic Changes: Review of the Literature

Informal Caregiver Supply and Demographic Changes: Review of the Literature Brenda C. Spillman, Eva H.