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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

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ASPE Issue Brief

Substance Use Disorder Workforce Issue Brief

May 31, 2018
Many barriers to accessing evidence-based treatment for substance use disorder (SUD), particularly medication assisted treatment, are related to the workforce. Barriers include workforce shortages for certain providers, insufficient training, education and experience, lack of institutional and clinician peer support, provider stigma and inadequate or burdensome reimbursement.

Research Summit on Dementia Care: Main Summit Recommendations

May 15, 2018
This is the PDF version of the 12 Recommendation Themes from National Research Summit on Care, Services, and Supports for Persons with Dementia and Their Caregivers: Report to the National Advisory Council on Alzheimer's Research, Care, and Service.

Dementia Family Caregiving

October 30, 2017
This is the PDF version of a Pre-Summit Activity Paper prepared for the National Research Summit on Care, Services, and Supports for Persons with Dementia and Their Caregivers (also called the Research Summit on Dementia Care).

Health Plan Choice and Premiums in the 2018 Federal Health Insurance Exchange

October 29, 2017
This issue brief presents analysis of Qualified Health Plan (QHP) data in the individual market Exchanges for plan year 2018 for states that use the HealthCare.gov platform.  It examines issuer participation, plan options and premiums for individuals enrolling in coverage through the Exchanges.

Dementia Caregiving in the U.S.: Research Recommendations

September 30, 2017
This is the PDF version of a Pre-Summit Activity Paper prepared for the National Research Summit on Care, Services, and Supports for Persons with Dementia and Their Caregivers (also called the Research Summit on Dementia Care).

Workforce Development Stakeholder Group Interviews

September 30, 2017
This is the PDF version of a Stakeholder Group Interview prepared for the National Research Summit on Care, Services, and Supports for Persons with Dementia and Their Caregivers (also called the Research Summit on Dementia Care).

Serious Mental Illness and Prolonged Youth Homelessness

September 27, 2017
Research about adults experiencing chronic homelessness shows a relationship with serious mental illness. This brief aims to explore whether this same intersection between prolonged homelessness and serious mental illness exists among youth.

Factors Associated with Prolonged Youth Homelessness

September 27, 2017
Organizations can use their resources more efficiently to reduce and end prolonged youth homelessness if they know who they are trying to serve, and the issues that these youth face.This brief aims to summarize factors associated with prolonged episodes of homelessness among youth.

Interventions for Addressing Prolonged Youth Homelessness

September 27, 2017
This brief aims to arm service providers with information regarding available evidence about interventions to prevent or reduce prolonged youth homelessness, in order to support providers in using their resources as efficiently and effectively as possible.