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Aging & Disability

ASPE produces policy research focusing on older adults, Medicare, dual-eligible beneficiaries, individuals with disabilities, Alzheimer’s disease, dementia, and caregivers. Resources relating to aging and disability include advance directives, end-of-life care planning, elder abuse, long-term services and supports (LTSS), home and community-based services (HCBS), and healthy aging.

Reports

Displaying 281 - 290 of 726. 10 per page. Page 29.

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Hospitalizations of Nursing Home Residents: Background and Options

Extensive research has demonstrated that many of the hospitalizations of long stay nursing home residents are potentially avoidable. These hospitalizations add to Medicare and Medicaid costs and have an adverse impact on frail individuals. Current economic incentives that are not aligned, primarily between Medicare and Medicaid, contribute to the situation.

Design of a Demonstration of Coordinated Housing, Health and Long-Term Care Services and Supports for Low-Income Older Adults

This conceptual framework examines the possible ways that housing sites can link health and long-term services and supports, and potential ways that HUD and HHS could design a demonstration of such a model. [31 PDF pages]

NAPA Public Comment Attachment: Primary Care of Adults with Developmental Disabilities

This PDF (Canadian Family Physician, 2011, 57:541-53) was submitted as an attachment to a Public Comment sent to the Advisory Council on Alzheimer's Research, Care, and Services and/or the National Alzheimer's Project Act website.  
Environmental Scan

Medicaid and Permanent Supportive Housing for Chronically Homeless: Literature Synthesis and Environmental Scan

This report reflects existing published and unpublished literature on permanent supportive housing (PSH) for people who are chronically homeless. It has a particular focus on the role that Medicaid currently plays in covering the costs of the supportive services that help people keep their housing and improve their health and quality of life.

Understanding Medicaid Home and Community Services: A Primer, 2010 Edition

ASPE is releasing a 2010 update of "Understanding Medicaid Home and Community Services, A Primer". This is an update of the well-received document ASPE released in 2000 to address conflicting understanding and interpretation of Medicaid home and community-based services options.
Report

A Descriptive Analysis of the U.S. Department of Labor's Long-Term Care Registered Apprenticeship Programs

This report provides an overview of Long-Term Care Registered Apprenticeship Programs (LTC RAPs) based on existing administrative data from U.S. Department of Labor. The purpose of this initial review is to support the design of a potential future evaluation of the effects of LTC RAPs on apprentices and the program sponsors that administer or operate them.

Post-Acute and Long-Term Care: A Primer on Services, Expenditures and Payment Methods

ASPE awarded a small Professional Services Purchase Order to provide information to be used in the §4104(a). This Primer provides information on federal and state payment methods and sources of payments for Medicaid nursing facilities and Medicare skilled nursing facilities, home health agencies, inpatient rehabilitation and long-term care hospitals. [20 PDF pages]

Symposium on Health and Retirement Savings Accounts: Summary and Recommendations

This report summarizes feedback from issue experts to a proposal for financing long-term care services through the use of tax-advantaged Health and Retirement Savings Accounts. [14 PDF pages]

Disparities in Quality of Care for Midlife Adults (Ages 45 - 64) Versus Older Adults (Ages > 65)

This report discusses disparities in care of baby boom patients with diabetes who become eligible for Medicare. It also examines disparities related to cardiovascular conditions because of their prevalence among older adults and their association with diabetes. Specifically, this report contains 1.) an overarching conceptual model for disparities in midlife adults (45 – 64) vs.

National Long-Term Care Insurance Claims Decision Study: An Empirical Analysis of the Appropriateness of Claims Adjudication Decisions and Payments

Much of the information behind the charges of critics is anecdotal and based on a relatively small number of individuals concentrated in two companies who may indeed have had legitimate grievances based on their personal experience. Yet, this information alone should not allow one to draw broad conclusions about private industry performance in general.