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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 871 - 880 of 974. 10 per page. Page 88.

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Estimating Eligibility for Publicly-Financed Home Care: Not a Simple Task..

ASPE Research Notes INFORMATION FOR DECISION MAKERS FOCUS ON: Long-Term Care Issued April 1992 Estimating Eligibility for Publicly-Financed Home Care: Not a Simple Task... PDF Version:

The National Long-Term Care Surveys (1982, 1984, 1989)

The 1982 and 1984 National Long-Term Care Surveys (NLTCS) are household surveys of functionally impaired Medicare beneficiaries age 65+. The 1989 NTLCS is a resurveying of this population.

Brookings/ICF Long-Term Care Financing Model: Programmer's/Operator's Manual

The Brookings/ICF Long Term Care Financing Model is available to interested researchers. However, access to a mainframe computer and significant amounts of computer time are required. The computer tape containing the code of the model and associated input data can be purchased through NTIS.

Brookings/ICF Long-Term Care Financing Model: Designing and Using Model Simulations

U.S. Department of Health and Human Services

Brookings/ICF Long-Term Care Financing Model: User's Guide to Specifying Simulations

This report discusses the parameters of the model and provides examples of how these parameters can be changed to simulate alternative scenarios of the utilization and financing of nursing home and home care by elderly persons for the period 1986-2020. [94 PDF pages]

Reducing Nursing Home Use Through Community-Based Long-Term Care: An Optimization Analysis Using Data from the National Channeling Demonstration

A generally consistent finding of community-based long-term care demonstrations, including Channeling, is that these programs do not lead to net reductions in long-term care expenditures. Even though reducing nursing home costs was a goal of these demonstrations, none involved systematic managerial and resource allocation strategies specifically designed to research this goal.

Brookings/ICF Long-Term Care Financing Model: Model Assumptions

This report provides pertinent details about the variables, data, and equations on which the Brookings/ICF Long Term Care Financing Model is based. It is designed for those interested in learning precisely how the model generates its results.

Reducing Nursing Home Use Through Community Long-Term Care: An Optimization Analysis Using Data from the National Channeling Demonstration

Vernon L. Greene, Ph.D., Mary E. Lovely, Ph.D., Mark D. Miller, M.S., and Jan I. Ondrich, Ph.D. Syracuse University

A Synthesis and Critique of Studies on Medicaid Asset Spenddown

U.S. Department of Health and Human Services

An Analysis of the Impact of Spend-down on Medicaid Expenditures

  U.S. Department of Health and Human Services