This document provides highlights of the evaluation of the Support and Services at Home (SASH) program for the first years of the program (2010-2016). The SASH program in Vermont is a promising approach to providing support services and care coordination to older adults and individuals with disabilities, using affordable housing properties as a platform for service delivery.
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 151 - 160 of 974. 10 per page. Page 16.
Advanced SearchChoice Matters: Housing Models that May Promote Recovery for Individuals and Families Facing Opioid Use Disorder
The purpose of the Opioid Use Disorder, Housing Instability and Housing Options for Recovery project was to help ASPE and HUD describe the housing models available for individuals with Opioid Use Disorder (OUD) who experience housing instability or homelessness.
Choices Matter: Housing Models that May Promote Recovery for Individuals and Families Facing Opioid Use Disorder
ASPE recently completed a research project, conducted by Abt Associates, that explored homelessness and opioid use disorder, along with the evidence base for different models for care. This brief is highlights of findings from the project.
Literature Review
Housing Options for Recovery for Individuals with Opioid Use Disorder: A Literature Review
This environmental scan is part of a larger project whose purpose is to help the Assistant Secretary for Planning and Evaluation and HUD describe the housing programs available for individuals with OUD who experience housing instability or homelessness.
Research Brief
Assessing the Out-of-Pocket Affordability of Long-Term Services and Supports Research Brief
This Research Brief summarizes recent research on older adults' LTSS risks and financial resources that the Urban Institute completed for ASPE. Except where noted, the studies used data from the Health and Retirement Study, a large, nationally representative survey that has been tracking older Americans since 1992.
Analysis of Pathways to Dual Eligible Status: Final Report
Zhanlian Feng, PhD,Alison Vadnais, MHS, Emily Vreeland, BA, Susan Haber, PhD, Joshua Wiener, PhD, and Bob Baker, BA RTI International Printer Friendly Version in PDF Format (46 PDF pages)
Loss of Medicare-Medicaid Dual Eligible Status: Frequency, Contributing Factors and Implications
Printer Friendly Version in PDF Format (32 PDF pages)
ASPE Issue Brief
Transitions in Care and Service Use among Medicare Beneficiaries in Inpatient Psychiatric Facilities Issue Brief
Medicare beneficiaries in inpatient psychiatric facilities (IPFs) have complex conditions that require sustained engagement with physical and mental health care providers. People who receive care from IPFs are at risk for a range of negative health outcomes, but surprisingly little is known about their patterns of care.
Integrating Care through Dual Eligible Special Needs Plans (D-SNPs): Opportunities and Challenges
The 11 million individuals dually-eligible for Medicare and Medicaid are among the highest need populations in either program. However, a lack of coordination between the Medicare and Medicaid programs makes it difficult for individuals enrolled in both to navigate these fragmented systems of care and adds to the cost of both programs.
What Is the Lifetime Risk of Needing and Receiving Long-Term Services and Supports?
This brief provides new evidence on the lifetime risk that older adults will need LTSS and receive paid services and supports.