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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 221 - 230 of 975. 10 per page. Page 23.

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Preliminary Process Evaluation of the Balancing Incentive Program

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

Abt Associates Printer Friendly Version in PDF Format (32 PDF pages)

Valuing Utility Offsets to Regulations Affecting Addictive or Habitual Goods

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

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.

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

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

Information Exchange in Integrated Care Models: Final Report

Communicating necessary and timely information to providers across the continuum of care is central to providing coordinated care. This report focuses on the information exchange processes of integrated care models that provide care for populations with long-term service and support (LTSS) needs.

The Risk of Needing LTSS: DYNASIM Projections

Briefing for ASPE Long-Term Care Financing Colloquium Melissa Favreault Washington, DC

ASPE Long-Term Care Financing Colloquium Presentation: Long-Term Care Awareness and Planning

This is the PDF version of the meeting presentation given by Joshua M. Wiener, Galina Khatutsky, Angela M. Greene, Trini Thach, and Benjamin Allaire from RTI International, and Derek Brown from Washington University for the July 2015 meeting and webinar.

Beyond Spend-down: The Prevalence and Process of Transitions to Medicaid

  Brenda Spillman and Timothy Waidmann

ASPE Long-Term Care Financing Colloquium Presentation: Risk of Needing LTSS

This is the PDF version of the meeting presentation given by Melissa Favreault for the July 2015 meeting and webinar.