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Long-Term Services & Supports, Long-Term Care

ASPE conducts research, analysis, and evaluation of policies related to the long-term care and personal assistance needs of people of all ages with chronic disabilities. ASPE’s work also highlights the financing, delivery, organization, and quality of long-term services and supports, including those supported or financed by private insurers, Medicaid, Medicare, and the Administration for Community Living (ACL). This includes assessing the interaction between health care, post-acute care, chronic care, long-term care, and supportive services needs of persons with disabilities across the age spectrum; determining service use and program participation patterns; and coordinating the development of long-term care data and policies that affect the characteristics, circumstances, and needs of people with long-term care needs, including older adults and people with disabilities. 

Most Older Adults Are Likely to Need and Use Long-Term Services and Supports

More than one-half of older adults, regardless of their lifetime earnings, are projected to experience serious LTSS needs and use some paid LTSS after turning 65. 

Older adults with limited lifetime earnings are more likely to develop serious LTSS needs than those with more earnings. 

However, fifty-six percent of older adults in the top lifetime earnings quintile receive some paid LTSS, and the likelihood of nursing home care does not vary much by lifetime earnings. Learn more.

Reports

Displaying 131 - 140 of 1008. 10 per page. Page 14.

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Report

Vaccine Hesitancy for COVID-19: State, County, and Local Estimates

To support state and local communication and outreach efforts, ASPE developed state, county, and sub-state level predictions of hesitancy rates using the most recently available federal survey data, the Household Pulse Survey from May 26-June 7, 2021. This page includes an interactive map, a pdf file with a methodological description, and datasets for download.

Vaccine Hesitancy for COVID-19: PUMA Estimates

To support state and local communication and outreach efforts, ASPE developed state, county, and sub-state level predictions of hesitancy rates using the most recently available federal survey data, the Household Pulse Survey from May 25-June 7, 2021. This page includes an interactive map and datasets for download.
ASPE Issue Brief

COVID-19 Intensifies Home Care Workforce Challenges: Policy Perspectives Issue Brief

Link to Printer Friendly Version in PDF Format (5 PDF pages)

COVID-19 Intensifies Home Care Workforce Challenges

June 1, 2021 Link to Printer Friendly Version in PDF Format (66 PDF pages)
ASPE Issue Brief

COVID-19 Intensifies Home Care Workforce Challenges: Agency Perspectives Issue Brief

June 1, 2021 Link to Printer Friendly Version in PDF Format (5 PDF pages)

Perspectives of Program Participants on Virtual Human Services During COVID-19

Focus groups with a small sample of program participants across a range of human services programs in Fall 2020 captured the perspectives of people served to better understand the perceived strengths and limitations of virtual services.

Factors influencing variation between states in efficiency of COVID-19 vaccine administration

Limited initial supplies of the COVID-19 vaccine necessitated the development of strategies to ensure efficient and equitable vaccine distribution. This brief summarizes the different vaccine distribution strategies and approaches taken by states and evaluates the extent to which these may have impacted the efficiency with which doses delivered to states are administered to patients.

Disparities in COVID-19 Vaccination Rates across Racial and Ethnic Minority Groups in the United States

Ensuring equitable distribution of the COVID-19 vaccine is essential to mitigate the disproportionate impact of COVID-19 on racial and ethnic minority populations. This brief summarizes currently available data on race and ethnicity of vaccinated persons at the state level.
Report

State Residential Treatment for Behavioral Health Conditions: Regulation and Policy

ABSTRACT: Residential treatment facilities are a key component of states' behavioral health systems. They form part of the spectrum of treatment for both mental and substance use disorders (M/SUDs).
ASPE Issue Brief

Crisis Services and the Behavioral Health Workforce Issue Brief

March 2021 Link to Printer Friendly Version in PDF Format (9 PDF pages)