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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.


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The Effects of Case Management and Community Services on the Impaired Elderly

January 31, 1986
  U.S. Department of Health and Human Services

Final Report on the Effects of Sample Attrition on Estimates of Channeling's Impacts

January 12, 1986
This report results from an investigation of the extent to which differential attrition from the research sample in the Channeling Demonstration might have led to biased estimates of program impact. Two analytical approaches were adopted--a heuristic approach and a statistical modeling approach.

Private Financing of Long-Term Care: Current Methods and Resources--Phase I Final Report

December 31, 1984
U.S. Department of Health and Human Services

Differential Impacts Among Subgroups of Early Channeling Enrollees Six Months After Randomization

June 30, 1984
    U.S. Department of Health and Human Services   Differential Impacts Among Subgroups of Early Channeling Enrollees Six Months After Randomization Executive Summary

The Effects of Sample Attrition on Estimates of Channeling's Impacts for an Early Sample

June 30, 1984
In the evaluation of the National Long-Term Care Channeling Demonstration, some members of the research sample were lost to the analysis due to sample attrition. Sample attrition could distort the treatment/control group comparison, depending on the type of attrition that occurred.

Long-Term Care Service Supply: Levels and Behavior

December 31, 1983
In this paper, the authors attempt to describe the current supply of institutional long-term care and to discuss the developments in the last 20 years that have affected that supply. The have not attempted to model quantitatively the growth of institutional care or its variation across areas.

The Comparability of Treatment and Control Groups at Randomization

October 26, 1983
This report analyzes the treatment and control groups in the National Long-Term Care Channeling Demonstration and concludes that the randomization procedure resulted in groups that are very similar on observable characteristics.