Reports

The repeal of many provisions of the 1988 Medicare Catastrophic Coverage Act was due to subjective impressions about the usefulness to many elderly persons of the services covered by the law and to the omission of long-term care services.

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

This paper was requested as part of the National Academy of Sciences, Committee on National Statistics Panel to Evaluate the Survey of Income and Program Participation (SIPP). SIPP is sponsored by the Bureau of the Census and has been an ongoing longitudinal survey of the civilian non-institutionalized population since 1983.

This study was designed to provide comprehensive information about future long-term care needs in the U.S. Using data from the U.S. Decennial Census of Population and Housing, National Long-Term Care Survey and National Nursing Home Survey, the study developed detailed projections of the need for long-term care among the elderly in the years 2000, 2020 and 2040.

Michele Adler

U.S. Department of Health and Human Services Estimating the Prevalence of Long-Term Disability for an Aging Society

This paper presents an overview of the results of the National Long-Term Care Channeling Demonstration, conducted in ten states to test the impact of a community-based system of long-term care upon the functionally disabled elderly.

U.S. Department of Health and Human Services

When women who receive welfare benefits are compared with other women, both poor and non-poor, in the NLSY and other national sample surveys, welfare mothers are notably different from non-poor mothers. At the same time, these data show that there is considerable diversity within the welfare population.

U.S. Department of Health and Human Services

This report examines how many disabled elderly are at risk because they do not receive the assistance they need in basic self-maintenance activities. The source of data was the 1982 and 1984 National Long-Term Care Surveys.

Although the current difficulties in developing an adequate system of long-term care are extensive, they pale in comparison to the challenges ahead as the "baby boomers" come of age.

U.S. Department of Health and Human Services Prevalence and Correlates of Unmet Need Among the Elderly with ADL Disabilities Mary E. Jackson SysteMetrics/McGraw-Hill February 1991 PDF Version

U.S. Department of Health and Human Services

This paper looks at programmatic definitions of disability for federal disability programs by: (1) reviewing and examining major programmatic definitions of disability, and (2) describing complex eligibility processes by using the Social Security Disability Insurance program as an example.

[17 PDF pages]

Physical impairments are commonly believed to require relatively more active hands-on assistance with the activities of daily living (ADLs) while cognitive impairments use relatively more supervisory or standby assistance.

U.S. Department of Health and Human Services Office of the Assistant Secretary for Planning and EvaluationU.S. Department of Health and Human Services 1991 PDF Version: http://aspe.hhs.gov/daltcp/reports/prodefes.pdf (26 PDF pages)

U.S. Department of Health and Human Services Foster Care Summary: 1991 Karl Ensign Office of the Assistant Secretary for Planning and Evaluation 1991 PDF Version

U.S. Department of Health and Human Services Physical and Cognitive Impairment: Do They Require Different Kinds of Help? Robert F. Clark 1991 PDF Version

Burton D. Dunlop, Ph.D., and James A. Wells, Ph.D. Project HOPE, Center for Health Affairs  

U.S. Department of Health and Human Services

The Congress, HHS, and other federal agencies have expressed considerable interest in the adequacy of current programs and policies affecting severely disabled children, particularly those who are technology dependent and whose health and medical care place catastrophic financing and caregiving burdens on their families.

The purpose of this paper is to demonstrate the variability in estimates of disability in the U.S. elderly population as a function of differing definitions of physical disability and cognitive impairment.

This project generated estimates of benefits, costs and premiums for prototype long-term care insurance policies to provide the federal, state and local government and private insurance companies with an independent means of estimating the potential for long-term care insurance coverage. The modeling techniques to be used in this study have been tested in other analyses. [76 PDF pages]

U.S. Department of Health and Human Services Publicly-Financed Home Care for the Disabled Elderly: Who Would Be Eligible? Mary E. Jackson, Ph.D., and Brian O. Burwell SysteMetrics/McGraw-Hill December 1990 PDF Version

U.S. Department of Health and Human Services Summary and Policy Implications: Analyses of Medicaid Financing for Disabled and High Cost Children Marilyn Rymer Ellwood and Leighton Ku SysteMetrics December 1990 PDF Version

U.S. Department of Health and Human Services Premium Pricing of Prototype Private Long-Term Care Insurance Policies Joshua M. Wiener, Katherine M. Harris and Raymond J. Hanley The Brookings Institution December 1990 PDF Version

This report analyzes the Medicaid experience of children and young adults with total annual Medicaid claims of $25,000 or more in California, Georgia, Michigan and Tennessee in order to better understand service utilization patterns and how they vary by age and other characteristics.

U.S. Department of Health and Human Services

This report analyzed the Medicaid experience of children in California who had at least $25,000 in claims in 1983. The study analyzed their enrollment in claims experience over the period 1980-1986 in order to determine whether these children remain high cost over a number of years, and whether their eligibility changes over time. [35 PDF pages]

U.S. Department of Health and Human Services Longitudinal Analysis of High Cost Medicaid Children in California Marilyn Rymer Ellwood and Elicia Herz SysteMetrics/McGraw-Hill, Inc. October 1990 PDF Version

This study analyzes data from the 1985 National Nursing Home Survey to examine the phenomenon of multiple nursing home admissions. This is done in order to determine the number of individuals who would be fully covered if "front-end" nursing home coverage options were enacted.

U.S. Department of Health and Human Services

This compendium is published by the Division of Children and Youth Policy within the Office of the Assistant Secretary for Planning and Evaluation. It summarizes the results of the Division’s research projects from 1986 through the present and highlights future plans.

This paper compares the health characteristics (health status, health insurance coverage, use of physician and hospital care, and cost of care) of persons with and without disabilities. Three separate analyses are included: one on children, one on working age adults (aged 18-64), and one on the elderly. Various levels of functional disability are also examined.

This report analyzed data on all pediatric hospitalizations of $25,000 or more in California to determine the relationship between source of payment and various characteristics, including age and diagnosis. [39 PDF pages]

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services The Disabled: Their Health Care and Health Insurance Michele Adler August 1990 PDF Version

U.S. Department of Health and Human Services Who Is Paying the Big Bills Very High Cost Pediatric Hospitalizations in California, 1987 Leighton Ku SysteMetrics/McGraw-Hill August 1990 PDF Version

This analysis compares predictors of institutional residency in 1977 and 1985 among two national cohorts of individuals who responded to national surveys of nursing home and community-dwelling elderly persons. A state-level analysis of change in predictors of state nursing home use rates for 1976 and 1986 was also conducted using aggregate state sociodemographic and Medicaid policy variables.

U.S. Department of Health and Human Services

This paper was prepared as part of the Project to Design a Survey of Persons with Developmental Disabilities. The overall purpose of this project was to develop a national survey design that would provide data on a nationally representative sample of persons. This paper was conducted to develop a National Survey of Mentally Retarded and Developmentally Disabled Persons in Community Settings.

U.S. Department of Health and Human Services

This report analyzed the 1984 Medicaid experience of all children passing the Supplemental Security Income (SSI) disability test in California, Georgia, and Michigan to determine the enrollment, utilization, and expenditure patterns of these children. The study estimated the proportion of Medicaid expenditures attributable to SSI-related disabled children. [33 PDF pages]

U.S. Department of Health and Human Services SSI-Related Disabled Children and Medicaid Marilyn Rymer Ellwood SysteMetrics/McGraw-Hill June 1990 PDF Version

Pat Doyle, Esther Miller and Jim Sears Mathematica Policy Research, Inc. This report was prepared under contract #HHS-88-0047 between the U.S. Department of Health and Human Services (HHS) Office of Social Services Policy (now DALTCP) and Mathematica Policy Research, Inc.

This report contains information on the extent to which persons with disabilities rely on federal programs, based on the 1984 Survey of Income and Program Participation. Information on multiple program participation is also presented. The different levels of functional disability derived in Task I (Population Profile of Disability) are used. [87 PDF pages]