Aging & Disability

<!DOCTYPE html> <html lang="en" dir="ltr" prefix="content: http://purl.org/rss/1.0/modules/content/ dc: http://purl.org/dc/terms/ foaf: http://xmlns.com/foaf/0.1/ og: http://ogp.me/ns# rdfs: http://www.w3.org/2000/01/rdf-schema# schema: http://schema.org/ sioc: http://rdfs.org/sioc/ns# sioct: http://rdfs.org/sioc/types# skos: http://www.w3.org/2004/02/skos/core# xsd: http://www.w3.org/2001/XMLSchema# "> <head> <meta charset="utf-8" /> <meta name="description" content="ASPE produces policy research focusing on older adults, Medicare, dual-eligible beneficiaries, individuals with disabilities, Alzheimer’s disease, dementia, and caregivers. 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<div class="grid-row grid-gap"> <h1 class="margin-0"> <div class="field field--name-name name field--type-string field--label-hidden"> Aging & Disability </div> </h1> </div> </div> </div> <div class="grid-container"> <div class="grid-row padding-top-1 padding-bottom-5"> <div class="region region--breadcrumb"> <div id="block-aspe-uswds-breadcrumbs" class="settings-tray-editable block block-system block-system-breadcrumb-block" data-drupal-settingstray="editable"> <nav class="usa-breadcrumb" role="navigation" aria-labelledby="system-breadcrumb"> <h2 id="system-breadcrumb" class="usa-sr-only">Breadcrumb</h2> <ol class="usa-breadcrumb__list"> <li class="usa-breadcrumb__list-item"> <a href="/" class="usa-breadcrumb__link"><span>ASPE</span></a> </li> <li class="usa-breadcrumb__list-item"> <a href="/topics" class="usa-breadcrumb__link"><span>Topics</span></a> </li> <li class="usa-breadcrumb__list-item"> <span>Aging & Disability</span> </li> </ol> </nav> </div> </div> </div> <div class="region region--help"> <div data-drupal-messages-fallback class="hidden"></div> </div> <div class="grid-row grid-gap"> <aside class="usa-layout-docs__sidenav desktop:grid-col-3 layout-sidebar-first" role="complementary"> <ul class="usa-sidenav"> <li class="usa-sidenav__item first"> <a href="/topics/aging-disability/alzheimers-dementia" class="link" data-drupal-link-system-path="node/291741">Alzheimer's / Dementia</a> </li> <li class="usa-sidenav__item last"> <a href="/topics/long-term-services-supports-long-term-care" class="link" data-drupal-link-system-path="taxonomy/term/448">Long-Term Services & Supports, Long-Term Care</a> </li> </ul> </aside> <div class="usa-layout-docs__main desktop:grid-col-9"> <div id="block-aspe-uswds-content" class="block block-system block-system-main-block"> <div about="/topics/aging-disability" class="term-page term-from-topics"> <div class="field field--name-description description field--type-text-long field--label-hidden"> <p>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.</p> </div> <div class="field field--name-field-paragraphs field--type-entity-reference-revisions field--label-hidden"> <div class="paragraph paragraph--type--featured-content paragraph--view-mode--default featured-content--cards"> <h2 class="field field--name-field-title field--type-string field--label-hidden"> Noteworthy </h2> <div class="field field--name-field-bundle-reference field--type-entity-reference-revisions field--label-hidden grid-row grid-gap widescreen:flew-row"> <div class="tablet:grid-col-6 desktop:grid-col-4 widescreen:flex-3 margin-bottom-2 desktop:margin-bottom-4"> <a href="/reports/older-adult-behavioral-health-chartbook" class="paragraph paragraph--type--content-reference paragraph--view-mode--default"> <h3 class="field--name-field-title">Behavioral Health Prevalence, Utilization, and Spending Among Older Adult Medic…</h3> <div class="field field--name-field-date field-date field--type-datetime field--label-hidden"> <time datetime="2025-01-17T12:00:00Z">Jan 17, 2025</time> </div> </a> </div> <div class="tablet:grid-col-6 desktop:grid-col-4 widescreen:flex-3 margin-bottom-2 desktop:margin-bottom-4"> <a href="/reports/rebalancing-ltss-2016-2019" class="paragraph paragraph--type--content-reference paragraph--view-mode--default"> <h3 class="field--name-field-title"> Rebalancing of Medicaid-Funded Long-Term Services and Supports, 2016-2019</h3> <div class="field field--name-field-date field-date field--type-datetime field--label-hidden"> <time datetime="2025-01-17T12:00:00Z">Jan 17, 2025</time> </div> </a> </div> <div class="tablet:grid-col-6 desktop:grid-col-4 widescreen:flex-3 margin-bottom-2 desktop:margin-bottom-4"> <a href="/reports/impact-mippa-mh-service-utilization-spending-among-older-adults" class="paragraph paragraph--type--content-reference paragraph--view-mode--default"> <h3 class="field--name-field-title">Impact of MIPPA on Mental Health Service Utilization and Spending among Older A…</h3> <div class="field field--name-field-date field-date field--type-datetime field--label-hidden"> <time datetime="2025-01-16T12:00:00Z">Jan 16, 2025</time> </div> </a> </div> <div class="tablet:grid-col-6 desktop:grid-col-4 widescreen:flex-3 margin-bottom-2 desktop:margin-bottom-4"> <a href="/reports/characteristics-direct-support-professionals" class="paragraph paragraph--type--content-reference paragraph--view-mode--default"> <h3 class="field--name-field-title">Definitions and Occupational Characteristics of Direct Support Professionals</h3> <div class="field field--name-field-date field-date field--type-datetime field--label-hidden"> <time datetime="2025-01-15T12:00:00Z">Jan 15, 2025</time> </div> </a> </div> <div class="tablet:grid-col-6 desktop:grid-col-4 widescreen:flex-3 margin-bottom-2 desktop:margin-bottom-4"> <a href="/reports/using-social-network-analysis-explore-complex-ownership-structures-nhs" class="paragraph paragraph--type--content-reference paragraph--view-mode--default"> <h3 class="field--name-field-title"> Beyond Market Concentration: Using Social Network Analysis to Explore Complex …</h3> <div class="field field--name-field-date field-date field--type-datetime field--label-hidden"> <time datetime="2025-01-13T12:00:00Z">Jan 13, 2025</time> </div> </a> </div> <div class="tablet:grid-col-6 desktop:grid-col-4 widescreen:flex-3 margin-bottom-2 desktop:margin-bottom-4"> <a href="/reports/use-contract-staff-nhs-remains-high-after-covid-19-pandemic" class="paragraph paragraph--type--content-reference paragraph--view-mode--default"> <h3 class="field--name-field-title">Use of Contract Staff in Nursing Homes Remains High After the COVID-19 Pandemic</h3> <div class="field field--name-field-date field-date field--type-datetime field--label-hidden"> <time datetime="2025-01-10T12:00:00Z">Jan 10, 2025</time> </div> </a> </div> </div> </div> <div class="paragraph paragraph--type--callout-box paragraph--view-mode--default side-by-side--on"> <div class="heading"> <h2 class="field field--name-field-title field--type-string field--label-hidden"> NAPA </h2> </div> <div class="field field--name-field-abstract field-abstract field--type-text-long field--label-hidden"> <p>The <a href="/collaborations-committees-advisory-groups/napa" data-entity-type="taxonomy_term" data-entity-uuid="fab0de38-efdd-448a-96d1-ca76065cde3b" data-entity-substitution="canonical" title="NAPA - National Alzheimer's Project Act"><strong>National Alzheimer's Project Act (NAPA)</strong></a> creates an important opportunity to build upon and leverage HHS programs and other federal efforts to help change the trajectory of Alzheimer's disease and related dementias (AD/ADRD) with input from a public-private Advisory Council on Alzheimer's Research, Care, and Services.</p> </div> </div> <div class="paragraph paragraph--type--callout-box paragraph--view-mode--default side-by-side--off"> <div class="heading"> <h2 class="field field--name-field-title field--type-string field--label-hidden"> More Resources on Aging and Disability </h2> </div> <div class="field field--name-field-abstract field-abstract field--type-text-long field--label-hidden"> <p><a href="https://acl.gov/programs/aging-and-disability-networks">ACL's Aging and Disability Networks</a></p><p><a href="https://www.nia.nih.gov">National Institute on Aging</a></p><p><a href="https://eldercare.acl.gov/Public/Index.aspx">Eldercare</a></p><p><a href="https://www.ssa.gov/disability">Social Security Administration</a><br> </p> </div> </div> <div class="paragraph paragraph--type--linked-listing paragraph--view-mode--default"> <h2 class="field field--name-field-title field--type-string field--label-hidden"> Topic Areas </h2> <div class="field field--name-field-link field--type-link field--label-hidden grid-row tablet:flex-row tablet:flex-align-start tablet:flex-justify-start desktop:flex-no-wrap"> <h3 class="field__item grid-col-auto tablet:flex-auto"> <svg class="usa-icon" aria-hidden="true" role="img" xmlns="http://www.w3.org/2000/svg" height="24" viewBox="0 0 24 24" width="24"><path d="M0 0h24v24H0z" fill="none"/><path d="M19 3H5c-1.1 0-2 .9-2 2v14c0 1.1.9 2 2 2h14c1.1 0 2-.9 2-2V5c0-1.1-.9-2-2-2zm-5 14H7v-2h7v2zm3-4H7v-2h10v2zm0-4H7V7h10v2z"/></svg> <a href="/alzheimers-dementia">Alzheimer's & Dementia</a> </h3> </div> </div> </div> </div> </div> <div class="views-element-container settings-tray-editable block block-views block-views-blocktaxonomy-term-block-1" id="block-views-block-taxonomy-term-block-1" data-drupal-settingstray="editable"> <h2>Reports</h2> <div><div class="js-view-dom-id-bea67d32fcb977af01d916c8e67f356aca9516b7a93d8955da56e53933b9411b"> <header> <div class="grid-row"> <p class="results-summary">Displaying 1 - 10 of 744. 10 per page. 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This report and brief describe variation in LTSS rebalancing between 2016 and 2019 by enrollee age, health condition, and demographic factors.</div></div></div> <div class="views-row"> <div class="views-field views-field-field-resource-type field-kicker field"><div class="field-content">ASPE Issue Brief, Report</div></div><h3 class="views-field views-field-title field"><span class="field-content"><a href="/reports/long-term-services-supports-reform" hreflang="en">Long-Term Services and Supports Reform</a></span></h3><div class="views-field views-field-created field"><span class="field-content"><time datetime="2025-01-16T18:10:16-05:00">January 16, 2025</time> </span></div><div class="views-field views-field-body field"><div class="field-content">While the likelihood of needing any long-term services and supports (LTSS) is roughly a coin flip, the cost if one needs assistance for a long period of time can be catastrophic. For example, about one-in-five Americans turning age 65 today will have long-term care costs exceeding $200,000.</div></div></div> <div class="views-row"> <div class="views-field views-field-field-resource-type field-kicker field"><div class="field-content">ASPE Issue Brief</div></div><h3 class="views-field views-field-title field"><span class="field-content"><a href="/reports/impact-alternative-payment-models-medicare-spending-quality-2012-2022" hreflang="en">The Impact of Alternative Payment Models on Medicare Spending and Quality, 2012-2022</a></span></h3><div class="views-field views-field-created field"><span class="field-content"><time datetime="2025-01-15T17:45:53-05:00">January 15, 2025</time> </span></div><div class="views-field views-field-body field"><div class="field-content">We evaluated both the Center for Medicare and Medicaid Services Innovation Center (CMS Innovation Center) models and the Medicare Shared Savings Program (MSSP) and found that they have generated gross savings for all beneficiaries in the Traditional Medicare program while demonstrating positive impacts on selected quality measures.</div></div></div> <div class="views-row"> <div class="views-field views-field-field-resource-type field-kicker field"><div class="field-content">Report</div></div><h3 class="views-field views-field-title field"><span class="field-content"><a href="/reports/characteristics-direct-support-professionals" hreflang="en">Definitions and Occupational Characteristics of Direct Support Professionals</a></span></h3><div class="views-field views-field-created field"><span class="field-content"><time datetime="2025-01-15T11:45:53-05:00">January 15, 2025</time> </span></div><div class="views-field views-field-body field"><div class="field-content">This study explores duties and activities that distinguish the DSP occupation from other direct care workforce occupations to inform the consideration of a DSP SOC code and other workforce data collection efforts. This study also identifies information beyond what is needed to create a DSP SOC code that states need on the DSP workforce to address policy and workforce planning activities.</div></div></div> <div class="views-row"> <div class="views-field views-field-field-resource-type field-kicker field"><div class="field-content">ASPE Issue Brief</div></div><h3 class="views-field views-field-title field"><span class="field-content"><a href="/reports/hospice-agency-changes-ownership" hreflang="en">Hospice Agency Changes of Ownership: An Analysis of Publicly Available Ownership Issue Brief</a></span></h3><div class="views-field views-field-created field"><span class="field-content"><time datetime="2025-01-14T16:01:55-05:00">January 14, 2025</time> </span></div><div class="views-field views-field-body field"><div class="field-content">To improve Medicare provider and supplier enrollment data transparency, in 2023, the Centers for Medicare & Medicaid Services publicly released detailed ownership data, including data on change of ownership transactions, for Medicare-enrolled hospices. This brief presents a descriptive analysis of hospice agency changes of ownership nationally between 2018 and 2022.</div></div></div> <div class="views-row"> <div class="views-field views-field-field-resource-type field-kicker field"><div class="field-content">Fact Sheet, Report</div></div><h3 class="views-field views-field-title field"><span class="field-content"><a href="/reports/medicare-savings-programs" hreflang="en">Medicare Savings Programs: Eligibility and Enrollment Trends</a></span></h3><div class="views-field views-field-created field"><span class="field-content"><time datetime="2025-01-14T12:11:47-05:00">January 14, 2025</time> </span></div><div class="views-field views-field-body field"><div class="field-content">Between 1988 and 1998, Congress established the Medicare Savings Programs (MSPs). MSPs are Medicaid programs that subsidize the cost of Medicare premiums, deductibles, co-insurance, and other cost sharing for Medicare beneficiaries with low incomes.</div></div></div> <div class="views-row"> <div class="views-field views-field-field-resource-type field-kicker field"><div class="field-content">Report to Congress</div></div><h3 class="views-field views-field-title field"><span class="field-content"><a href="/reports/cicc-fy-2024-report-congress" hreflang="en">Children's Interagency Coordinating Council (CICC) FY 2024 Report to Congress</a></span></h3><div class="views-field views-field-created field"><span class="field-content"><time datetime="2025-01-13T17:15:46-05:00">January 13, 2025</time> </span></div><div class="views-field views-field-body field"><div class="field-content">Congress has directed HHS to operate the Children’s Interagency Coordinating Council (CICC). The CICC is charged with fostering greater coordination and transparency on child policy across federal agencies and examining a broad array of cross-cutting issues affecting child poverty and child well-being.</div></div></div> <div class="views-row"> <div class="views-field views-field-field-resource-type field-kicker field"><div class="field-content">Report</div></div><h3 class="views-field views-field-title field"><span class="field-content"><a href="/reports/barriers-adhd-diagnosis-adults" hreflang="en">Barriers to Attention-Deficit/Hyperactivity Disorder Diagnosis in Adults</a></span></h3><div class="views-field views-field-created field"><span class="field-content"><time datetime="2025-01-13T10:51:12-05:00">January 13, 2025</time> </span></div><div class="views-field views-field-body field"><div class="field-content">Attention-deficit/hyperactivity disorder (ADHD) diagnosis and treatment among adults in the United States have increased over the past few decades. However, there are sex, racial, and ethnic disparities in diagnosis and treatment, and underdiagnosis persists.</div></div></div> <div class="views-row"> <div class="views-field views-field-field-resource-type field-kicker field"><div class="field-content">ASPE Data Point</div></div><h3 class="views-field views-field-title field"><span class="field-content"><a href="/reports/using-social-network-analysis-explore-complex-ownership-structures-nhs" hreflang="en">Beyond Market Concentration: Using Social Network Analysis to Explore Complex Ownership Structures of Nursing Homes Data Point</a></span></h3><div class="views-field views-field-created field"><span class="field-content"><time datetime="2025-01-13T10:35:39-05:00">January 13, 2025</time> </span></div><div class="views-field views-field-body field"><div class="field-content">CMS has actively worked to enhance ownership transparency in the nursing home industry through a series of data releases. This brief utilizes data from these new CMS initiatives to explore ownership and market structures of nursing homes, providing insights into the complexity and dynamics of nursing home ownership.</div></div></div> <div class="views-row"> <div class="views-field views-field-field-resource-type field-kicker field"><div class="field-content">ASPE Issue Brief</div></div><h3 class="views-field views-field-title field"><span class="field-content"><a href="/reports/use-contract-staff-nhs-remains-high-after-covid-19-pandemic" hreflang="en">Use of Contract Staff in Nursing Homes Remains High After the COVID-19 Pandemic</a></span></h3><div class="views-field views-field-created field"><span class="field-content"><time datetime="2025-01-10T13:02:54-05:00">January 10, 2025</time> </span></div><div class="views-field views-field-body field"><div class="field-content">Over one million Americans rely on nursing homes for care, yet nursing homes face challenges in recruiting and retaining staff. Nursing homes rely on registered nurses (RNs), licensed practical nurses (LPNs), and nursing assistants (NAs) to provide care, but staff shortages that increased during the COVID-19 pandemic have persisted.</div></div></div> <nav aria-label="Pagination" class="usa-pagination"> <ul class="usa-pagination__list js-pager__items"> <li class="usa-pagination__item usa-pagination__page-no"> <a href="?page=0" aria-label="Page 1" aria-current="page" class="usa-current usa-pagination__button">1</a> </li> <li class="usa-pagination__item usa-pagination__page-no"> <a href="?page=1" aria-label="Page 2" class="usa-pagination__button">2</a> </li> <li class="usa-pagination__item usa-pagination__page-no"> <a href="?page=2" aria-label="Page 3" class="usa-pagination__button">3</a> </li> <li class="usa-pagination__item usa-pagination__page-no"> <a href="?page=3" aria-label="Page 4" class="usa-pagination__button">4</a> </li> <li class="usa-pagination__item usa-pagination__page-no"> <a href="?page=4" 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