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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 611 - 620 of 1017. 10 per page. Page 62.

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A Study of Negotiated Risk Agreements in Assisted Living: Final Report

U.S. Department of Health and Human Services

Evaluation Design of the Business Case of Health Information Technology in Long-Term Care: Project Summary

This paper describes the work that will be undertaken to measure financial and non-financial benefits, and identify to whom the benefits accrue. [1 PDF page]

Health Information Exchange in Post-Acute and Long-Term Care: Project Summary

This paper describes the work that will examine how Health Information Exchange (HIE) is occurring between health delivery systems and unaffiliated post-acute and long-term care settings and factors that promote or hinder the exchange. [1 PDF page]

Community Health Center Information Systems Assessment: Issues and Opportunities

The Office of the Assistant Secretary for Planning and Evaluation (ASPE), in close collaboration with the Health Resources and Services Administration (HRSA), contracted with NORC to conduct an assessment of information technology use in ambulatory care health centers whose funding is administered by HRSA's Bureau of Primary Healthcare (BPHC).

Community Health Center Information Systems Assessment: Issues and Opportunities. Final Report

Prepared by: NORC at the University of Chicago Dan Gaylin, M.P.A. Sidra Goldman Alana Ketchel Adil Moiduddin, M.P.P. October 2005 This report is available on the Internet at:http://aspe.hhs.gov/sp/chc
Literature Review

Literature Review and Synthesis of Physician Practices in Nursing Homes

This literature review first summarizes the current knowledge of physician practice in nursing homes and identifies gaps in the knowledge base. It then presents the physician practice models applied in nursing homes, including integrated and managed care delivery models, and describes the characteristics of physicians who practice in nursing homes.

Evaluability Assessment of Discharge Planning and the Prevention of Homelessness

Contents Introduction Key Research Questions Methods Key Findings Key Study Design and Measurement Issues Alternative Research Designs

Assistive Device Use Among the Elderly: Trends, Characteristics of Users, and Implications for Modeling

This study adds to understanding by updating information on trends in use of disability equipment and exploring how disability and other characteristics differ for equipment users and nonusers. Data are from the 1984-1999 rounds of the National Long Term Care Survey, which has been a key source of earlier information on trends in equipment use.