Home- & Community-Based Services (HCBS)

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:

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.

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

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?

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]

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 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

U.S. Department of Health and Human Services