RIchard W. Johnson, Simone G. Schaner, Desmond Toohey, and Cori E. Uccello The Urban Institute This report was prepared under contract between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and the Urban Institute.
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.
Noteworthy
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
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An Overview of Recent Work on Standard Budgets in the United States and Other Anglophone Countries
Modeling the Decision to Purchase Private Long-Term Care Insurance
To assess how different tax break proposals for private long-term care insurance might affect private coverage, better information is needed on the decision to purchase long-term care insurance and the sensitivity of the purchase decision to price changes. This report describes the results of efforts to model private long-term care insurance coverage and simulate policy reforms.
Simulation Modeling on Life Care Annuity: Final Report
U.S. Department of Health and Human Services
2007
PDF Version: http://aspe.hhs.gov/daltcp/reports/2007/annuity.pdf (41 PDF pages)
A Study of Stroke Post-Acute Care Costs and Outcomes: Final Report
U.S. Department of Health and Human Services
Nursing Home Divestiture and Corporate Restructuring: Final Report
This project builds on previous ASPE-funded research on nursing homes. Specifically, a study of the nursing home liability insurance market conducted by MedStat which found that many nursing home chains have been reacting to environmental changes by divesting ownership of facilities in certain markets and pursuing other types of corporate restructuring.
Nursing Home Selection: How Do Consumers Choose? Volume II: Findings from the Website Content Review
Lisa R. Shugarman and Rena Garland RAND Corporation December 2006 This report was prepared under contract #HHS-100-03-0023 between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and the RAND Corporation.
Service Use and Transitions: Decisions, Choices and Care Management among an Admissions Cohort of Privately Insured Disabled Elders
This report was prepared under contract #HHS-100-02-0014 between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and LifePlans, Inc.
Final Report on the "Own Your Future" Consumer Survey
U.S. Department of Health and Human Services Final Report on the "Own Your Future" Consumer Survey Long Term Care Group, Inc. LifePlans, Inc. November 30, 2006 PDF Version (43 PDF pages)
Historical and Projected Trends In Medicaid
This paper presents data on the current state of Medicaid, the nation's program providing health and long-term care services to low-income families, elderly, and disabled individuals. The paper reports both historical and projected trends in Medicaid enrollment and spending.