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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 161 - 170 of 920. 10 per page. Page 17.

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Health Information Exchange in Long-Term and Post-Acute Care Settings: Final Report

October 31, 2015
This report provides an overview of current efforts for implementing electronic health information exchange (eHIE) by long-term and post-acute care (LTPAC) providers. The report describes the extent to which LTPAC providers are preparing for and implementing eHIE with their partners and assessing its impact.
Case Study

Case Studies of Balancing Incentive Program Implementation Process

September 30, 2015
The Affordable Care Act included several provisions designed to increase the provision of Medicaid home and community-based services (HCBS) and to improve the infrastructure for provision of those services.

Preliminary Process Evaluation of the Balancing Incentive Program

September 30, 2015
Twenty-one states applied and were approved to participate in the Balancing Incentive Program enacted in the 2010 Affordable Care Act which offered enhanced Federal Financial Participation to states that were eligible for the program because their FY 2009 Medicaid spending on home and community-based services (HCBS) was less than 50% of their total Medicaid spending on long-term services and su

Survey for Caregivers Supporting a Person with a Disability Outside of the Disability Support Service System

September 28, 2015
Abt Associates Printer Friendly Version in PDF Format (32 PDF pages)

Valuing Utility Offsets to Regulations Affecting Addictive or Habitual Goods

August 2, 2015
In analyzing the value consumers place on goods, economic analysis begins with the presumption that consumers reveal their preferences through their consumption behavior. This view is based on the notion that consumers are well informed and well situated to rationally balance the costs and benefits of purchasing a specific good or service.

Descriptive Overview and Summary of Balancing Incentive Program Participating States at Baseline

July 31, 2015
Joshua M. Wiener, PhD, Sarita L. Karon, PhD, Mary McGinn-Shapiro, MPP, Brieanne Lyda-McDonald, MS, and Trini Thach, BSRTI International Diane Justice, MA, Scott Holladay, MPA, and Kimm Mooney, BANational Academy for State Health Policy Mary Sowers, BA

Descriptive Overview and Summary of Balancing Incentive Program Participating States at Baseline

July 31, 2015
The Balancing Incentive Program is one of several provisions included in the 2009 Affordable Care Act designed to increase the provision of Medicaid home and community-based services (HCBS) and to improve the infrastructure for the provision of HCBS.