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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 881 - 890 of 974. 10 per page. Page 89.

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Policy Issues Affecting the Medicaid Personal Care Services Optional Benefit

U.S. Department of Health and Human Services

Community-Relevant Policy Research Meeting: Summary

On August 8, 1991, the Division of Family and Community Policy within ASPE convened a meeting of family-related researchers to discuss the following questions: Why has so little family research impacted policy? What can be done to improve the situation? What issues are important to future research?

Home and Community-Based Care in the USA

This paper focuses on the elderly, aged 65 and over, who are the primary users of long-term care in the United States. It examines their use of long-term care services, particularly home and community-based care. It describes the kinds of data available on the functionally impaired elderly and their use of such care. [20 PDF pages]

Catastrophic Acute and Long-Term Care Costs: Risks Faced by Disabled Elderly Persons

The repeal of many provisions of the 1988 Medicare Catastrophic Coverage Act was due to subjective impressions about the usefulness to many elderly persons of the services covered by the law and to the omission of long-term care services.

The Federal Role in Consumer Protection and Regulation of Long-Term Care Insurance

U.S. Department of Health and Human Services

The Future of SIPP for Analyzing Disability and Health

This paper was requested as part of the National Academy of Sciences, Committee on National Statistics Panel to Evaluate the Survey of Income and Program Participation (SIPP). SIPP is sponsored by the Bureau of the Census and has been an ongoing longitudinal survey of the civilian non-institutionalized population since 1983.

Estimating the Prevalence of Long-Term Disability for an Aging Society

This study was designed to provide comprehensive information about future long-term care needs in the U.S. Using data from the U.S. Decennial Census of Population and Housing, National Long-Term Care Survey and National Nursing Home Survey, the study developed detailed projections of the need for long-term care among the elderly in the years 2000, 2020 and 2040.

National Long-Term Care Channeling Demonstration: Summary of Demonstration and Reports

This paper presents an overview of the results of the National Long-Term Care Channeling Demonstration, conducted in ten states to test the impact of a community-based system of long-term care upon the functionally disabled elderly.

Long-Term Care for the Boomers: A Public Policy Challenge for the Twenty-first Century

Although the current difficulties in developing an adequate system of long-term care are extensive, they pale in comparison to the challenges ahead as the "baby boomers" come of age.

Prevalence and Correlates of Unmet Need Among the Elderly with ADL Disabilities

This report examines how many disabled elderly are at risk because they do not receive the assistance they need in basic self-maintenance activities. The source of data was the 1982 and 1984 National Long-Term Care Surveys.