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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 231 - 240 of 975. 10 per page. Page 24.

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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.
Research Brief

Findings from the Survey of Long-Term Care Awareness and Planning Research Brief

This Research Brief was authored by Joshua M. Wiener, Galina Khatutsky, Nga Thach, Angela M. Greene and Benjamin Allaire (RTI International); Derek Brown (Washington University); and Helen Lamont, William Marton and Samuel Shipley (Department of Health and Human Services).

Evaluation of the Medicaid Health Home Option for Beneficiaries with Chronic Conditions: Annual Report - Year Three

This report presents findings from the first three years of the five-year evaluation of Medicaid health homes, a new integrated care model authorized in Social Security Act Section 1945 and created by Section 2703 of the Affordable Care Act. The model is designed to target high-need, high-cost beneficiaries with chronic conditions or serious mental illness.

Long-Term Services and Supports for Older Americans: Risks and Financing Research Brief

This revised Research Brief, authored by Melissa Favreault (Urban Institute) and Judith Dey (Department of Health and Human Services), presents information about the risk of needing care and associated costs to provide content for policymakers and others considering long-term care financing proposals. 

Compendium of Residential Care and Assisted Living Regulations and Policy: 2015 Edition - Indiana Profile

The purpose of this Compendium is to summarize and compare states’ residential care setting regulations. This is the Indiana state profile. A list of URLs for the full report and other state profiles can be found at the end of this paper.

Compendium of Residential Care and Assisted Living Regulations and Policy: 2015 Edition - Vermont Profile

The purpose of this Compendium is to summarize and compare states’ residential care setting regulations. This is the Vermont state profile. A list of URLs for the full report and other state profiles can be found at the end of this paper.