Reports

Contents Background and Purpose Methodology Summary of Key Findings and Stakeholder Suggestions Conclusions and Policy Implications A.

This report examines the potential for asset-based pre-funding of retirement income and disability insurance through an annuity that provides both income and long term care protection. The potential for such products is examined in the context of the possible use of reverse mortgage as a funding source for the annuity.

In previous work for ASPE, the University of Minnesota developed a model to simulate the effects of the Medicare Modernization Act of 2003 on the take-up of high-deductible health insurance plans.

To assess how different tax break proposals for private long-term care insurance might affect private coverage, better information is needed on the decision to purchase long-term care insurance and the sensitivity of the purchase decision to price changes. This report describes the results of efforts to model private long-term care insurance coverage and simulate policy reforms.

By: The Lewin Group, Inc. Prepared for: Office for Science and Data Policy Office of the Assistant Secretary for Planning and Evaluation

IntroductionWhat This Report Is About

U.S. Department of Health and Human Services 2007 PDF Version: http://aspe.hhs.gov/daltcp/reports/2007/annuity.pdf (41 PDF pages)

by: Gordon M. Fisher The opinions and conclusions expressed in this paper are solely those of the author and should not be construed as representing the opinions, views, or policy of the U. S. Department of Health and Human Services, the Administration, or any agency of the Federal government. January 2007

U.S. Department of Health and Human Services Modeling the Decision to Purchase Private Long-Term Care Insurance

U.S. Department of Health and Human Services

This study compared the cost and outcomes of post acute care services after a hospitalization for stroke. After hospitalization, over a third of Medicare beneficiaries use post acute care services, including skilled nursing facilities, inpatient rehabilitation, long-term care hospital, home health care services or outpatient services. We know little about the effectiveness of these settings.

U.S. Department of Health and Human Services

In the late 1990s, Oklahoma undertook an innovative strategy to strengthen families by reducing its divorce and nonmarital childbearing rates.В  With leadership and commitment from the highest levels, the state set out to build public support and develop a sustainable multisector initiative through a public-private collaboration.В  Since then, the Oklahoma Marriage Initiative (OMI

In the paper, the authors provide evidence based on analysis of recent data on how the individual health insurance market currently functions. The data will describe insurance pricing and purchasing by individuals who lack attractive access to the other market.

U.S. Department of Health and Human Services December 15, 2006 PDF Version (19 PDF pages)

Lisa R. Shugarman and Rena Garland RAND Corporation December 2006 This report was prepared under contract #HHS-100-03-0023 between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and the RAND Corporation.

This report was prepared under contract #HHS-100-02-0014 between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and LifePlans, Inc.

This project builds on previous ASPE-funded research on nursing homes. Specifically, a study of the nursing home liability insurance market conducted by MedStat which found that many nursing home chains have been reacting to environmental changes by divesting ownership of facilities in certain markets and pursuing other types of corporate restructuring.

The purpose of this study is to obtain a comprehensive demographic, health and attitudinal profile of individuals with private long-term care (LTC) insurance policies at the time that they begin using paid LTC services in their current service setting.

Prepared by: National Opinion Research Center (NORC) at the University of Chicago Prepared for:U.S. Department of Health and Human Services Office of the Assistant Secretary for Planning and Evaluation

This data catalog is a compilation of existing data sources pertaining to American Indian/Alaska Native/Native American (AI/AN/NA) populations. In the first component of this project, the contractor has identified existing sources of socioeconomic and health data using national and some state-level surveys.

Marc A. Cohen, Ph.D., Jessica S. Miller, M.S., and Xiaomei Shi, M.A. LifePlans, Inc.

This ASPE Issue Brief presents findings related to casework practice from a study that sought to determine the extent to which child welfare agencies seek out nonresident fathers of children in foster care and involve them in their children's case management and permanency planning.

Prepared by: Westat Contract: 233-02-0087

Lisa R. Shugarman and Rena Garland RAND Corporation December 2006 PDF Version

U.S. Department of Health and Human Services Nursing Home Divestiture and Corporate Restructuring: Final Report David Stevenson, Ph.D., David Grabowski, Ph.D., and Laurie Coots, B.A. Harvard Medical School December 2006 PDF Version (35 PDF pages)

This report summarizes key findings of a research initiative to survey consumers about their long-term care knowledge, attitudes and behavior both prior to and after a comprehensive consumer education campaign conducted in five states. [43 PDF pages]

The Federal Medical Assistance Percentages and Enhanced Federal Medical Assistance Percentages are calculated pursuant to the Social Security Act (the Act). These percentages will be effective from October 1 through September 30 of the indicated year.

U.S. Department of Health and Human Services Final Report on the "Own Your Future" Consumer Survey Long Term Care Group, Inc. LifePlans, Inc. November 30, 2006 PDF Version (43 PDF pages)

Federal Financial Participation in State Assistance Expenditures, FY 2008 [Federal Register: November 30, 2006 (Volume 71, Number 230)][Notices]               [Page 69209-69211]From the Federal Register Online via GPO Access [wais.access.gpo.gov][DOCID:fr30no06-33]

This paper presents data on the current state of Medicaid, the nation's program providing health and long-term care services to low-income families, elderly, and disabled individuals. The paper reports both historical and projected trends in Medicaid enrollment and spending.

Final Report Presented to: Lynn Nonnemaker DHHS/OS/ASPE Presented by: NORC at the University of Chicago 1350 Connecticut Ave, NW, Suite 500 Washington, DC 20036 (202) 223-6040

This paper presents data on the current state of Medicaid, the nation's program providing health and long-term care services to low-income families, elderly, and disabled individuals. The paper reports both historical and projected trends in Medicaid enrollment and spending. Information is presented on trends by major Medicaid eligibility category with some additional information by state.

  U.S. Department of Health and Human Services

The purpose of this report is to establish a baseline knowledge of the scope of assistive technology (AT) and home modifications (HM) services that states make available to Medicaid-eligible adults. This study provides federal and state policymakers with basic information to inform planning and policy development.

Terry Moore, BSN, MPH Abt Associates, Inc. October 27, 2006 PDF Version (244 pages)

U.S. Department of Health and Human Services

This Policy Brief offers an updated look at prescription drug utilization by Medicare beneficiaries residing in long-term care facilities and reports, for the first time, national estimates of prescription drug spending by this population. [23 PDF pages]

U.S. Department of Health and Human Services

Presented to: Lynn Nonnemaker, PhDDHHS/OS/ASPE Presented by: NORCA national organization for research at the University of Chicago