Reports

U.S. Department of Health and Human Services Assistive Technology for the Frail Elderly: An Introduction and Overview Robert Elliot University of Pennsylvania August 15, 1991 Revised April 28, 1992 PDF Version (19 PDF pages)

Standard research literature reviews are the usual means of summing up and interpreting the accumulated findings of research studies in a given research field. Review results generally serve as the best guide for further research.

U.S. Department of Health and Human Services

The number of persons with no health insurance coverage rose by 4% between 1989 and 1990, while the number with insurance rose less than 1%. The increase in insurance coverage was due primarily to increases in Medicaid coverage for children under 15.

A number of proposals have been advanced to establish a uniform home care benefit for the frail elderly. Measures of disability using the Activities of Daily Living (ADL) have been used to estimate the numbers of persons potentially eligible under such proposals.

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 March 1991 Current Population Survey (CPS) shows that the number of uninsured persons was 34.7 million in 1990, up 1.3 million from 33.4 million in 1989 (Table 1) and up 3.7 million from 31.0 million in 1987 (not shown in the table).1 At the same time, the total number of insured persons also rose by 1.4 million from 212.8 m

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.

U.S. Department of Health and Human Services The National Long-Term Care Surveys (1982, 1984, 1989) Robert Clark March 1992 PDF Version: http://aspe.hhs.gov/daltcp/reports/nltcssum.pdf (12 PDF pages)

  U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

The purpose of this paper is to provide background information which summarizes various perspectives on the definitions, incidence and causes of abuse of elderly citizens in institutional and domestic settings. Also, this paper will describe the range of programs, both in HHS and in the states, that address elder abuse.

The purpose of this survey was to determine: (1) whether the Census provides a suitable frame for selecting board and care places; and (2) whether the questionnaire would elicit sufficient information to identify such places. Board and care places are housing units or group quarters which provide room, meals and one or more services to dependent persons.

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.

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]

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.

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.

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

U.S. Department of Health and Human Services Report from the Secretary's Task Force on Elder Abuse Secretary's Task Force on Elder Abuse February 1992 PDF Version (25 PDF pages)

    U.S. Department of Health and Human Services   Brookings/ICF Long-Term Care Financing Model: User’s Guide to Specifying Simulations

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services Brookings/ICF Long Term Care Financing Model: Model Assumptions David L. Kennell and Lisa Maria B. Alecxih, Lewin-ICF Joshua M. Wiener and Raymond J. Hanley, Brookings Institution February 1992 PDF Version (75 PDF pages)

U.S. Department of Health and Human Services Brookings/ICF Long Term Care Financing Model: Programmer's/Operator's Manual Peter Robertshaw and Lisa Maria B. Alecxih February 1992 PDF Version (69 PDF pages)

U.S. Department of Health and Human Services

  U.S. Department of Health and Human Services

This study analyzes Connecticut nursing home data on a current resident cohort, with particular attention to how many residents began their stays as private pay, but eventually spent down to Medicaid eligibility. It also estimates how many residents were Medicaid eligible prior to admission or became eligible at admission.

The purpose of this paper was to provide a synthesis and critique of current research on Medicaid spenddown. The primary goal was to ask what these studies could tell us about the extent to which persons incurred catastrophic expenses in nursing homes. A corollary goal was to examine how the data and research methods used in the various studies affected the "results" reported.

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services A Synthesis and Critique of Studies on Medicaid Asset Spenddown E. Kathleen Adams, SysteMetrics/McGraw-Hill Mark R. Meiners, University of Maryland Center on Aging Brian O. Burwell, SysteMetrics/McGraw-Hill January 1992 PDF Version

U.S. Department of Health and Human Services

TEENAGE PARENT DEMONSTRATION Report on Case Management for Teenage Parents, Executive Summary CASE MANAGEMENT FOR TEENAGE PARENTS: Lessons from the Teenage Parent Demonstration Executiv

The project examined how states have used Medicaid's Personal Care Services Optional Benefit (also called the PC Option), assessed whether coverage regulations for these services be revised, and discussed the ways in which the program might affect public debate about the expansion of public funding for long-term care.

Jae Kennedy, M.A., and Simi Litvak, Ph.D. World Institute on Disability, Research and Training Center on Public Policy in Independent Living

Submitted to: U.S. Department of Health and Human ServicesAssistant Secretary for Planning and Evaluation (ASPE) Rm. 404E, HHH Bldg. 200 Independence Ave., SW

By Alan M. Hershey

Submitted to: U.S. Department of Health and Human ServicesAssistant Secretary for Planning and Evaluation (ASPE) Rm. 404E, HHH Bldg. 200 Independence Ave., SW

Simi Litval, Ph.D., and Jae Kennedy, M.A. World Institute on Disability

On August 8, 1991, the Division of Family and Community Policy within ASPE convened a meeting of family-related researchers to discuss the following questions: Why has so little family research impacted policy? What can be done to improve the situation? What issues are important to future research?

On August 8, 1991, the Division of Family and Community Policy within ASPE convened a meeting of family-related researchers to discuss the following questions: Why has so little family research impacted policy? What can be done to improve the situation? What issues are important to future research?

U.S. Department of Health and Human Services Family Research August 8, 1991 Meeting Summary HHS/ASPE Division of Family and Community Policy November 13, 1991 PDF Version

U.S. Department of Health and Human Services Community-Relevant Policy Research August 8, 1991 Meeting Summary HHS/ASPE Division of Family and Community Policy November 13, 1991 PDF Version

This compendium is published by the Division of Children and Youth Policy within the Office of the Assistant Secretary for Planning and Evaluation, of the U.S. Department of Health and Human Services. It summarizes the results of the Division's research projects from 1986 through the present.

This paper focuses on the elderly, aged 65 and over, who are the primary users of long-term care in the United States. It examines their use of long-term care services, particularly home and community-based care. It describes the kinds of data available on the functionally impaired elderly and their use of such care. [20 PDF pages]

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services Home and Commuity-Based Care in the USA Robert F. Clark, D.P.A. Office of the Assistant Secretary for Planning and Evaluation, U.S. Department of Health and Human Services October 1991 PDF Version

In February 1991, ASPE sponsored a two-day research seminar on infant attachment. This final report has three major sections. The first part is a brief summary of an extensive literature review on infant attachment. The second section summarizes the proceedings of the seminar, which was based on the topics outlined in the literature review.

U.S. Department of Health and Human Services Infant Attachment: What We Know Now Virginia L. Colin Nancy Low & Associates, Inc. June 28, 1991 PDF Version

U.S. Department of Health and Human Services

This paper reviews the current status of consumer protection issues associated with private long-term care insurance. It examines possible roles that the Federal Government might play in this area. The views of a panel of experts drawn from government, industry, academia, and consumer organizations are reported.