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MIDDLE CLASS SECURITY PROJECT

PPI Research examines the prospects for secure middle-class retirement.  

 

See also personal stories of struggling middle-class Americans.

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Data Center

PPI State Data Center

Data by state on Americans 50-plus: health, financial security, housing, caregiving and more.  Read

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Solutions Forum: Promising Ideas for Medicare

Approaches to lowering costs and improving care. Watch the webcast

Solutions Forum: Better Lifetime Income Options

What role for annuities? more

Solutions Forum: Ending the Foreclosure Crisis

What will help older Americans? more

Solutions Forum: Promoting Aging in Place

Policies and practices that work. more

Solutions Forum: The Challenges of Family Caregiving

What needs to be done? more

Solutions Forum: Delivering Long-Term Services and Supports

How can states do better? more

Solutions Forum: Advancing Rural Health

Maximizing nurses impact. more

Solutions Forum: Launching Health Insurance Exchanges

What are states doing to create exchanges? more

Solutions Forum: Improving Health Coverage for Americans 50-64

The impact of health reform now and in the future. more

Solutions Forum: Social Security and the Future of Retirement

What changes can ensure Social Security continues to play a major role in retirement security? more

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Learn about the policy development process at AARP, and read about AARP's positions on public issues in The Policy Book, AARP Public Policies
2011-2012. More

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Faces of Chronic Care, a video produced by AARP’s Public Policy Institute, explores the difficulties faced by many older Americans with chronic health conditions as they (and their caregivers) navigate the health delivery system. Watch

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PPI is home to the Center to Champion Nursing in America — a joint initiative of AARP, the AARP Foundation and the Robert Wood Johnson Foundation — committed to addressing the growing nursing shortage that threatens access to health care and quality of care across the nation.  More

AARP Home » AARP Research Center » Public Policy Institute »Long-Term Care

LONG-TERM CARE

The Public Policy Institute’s Long-Term Care Team conducts research and policy analysis and brings together thought leaders to develop and advance AARP’s public policy agenda on long-term care issues.

Click below for reports on major long-term care topics. Use the PPI search box on the right for a more precise search.

 

Assisted Living

Caregiving

Home and Community-Based Services

Long-Term Care Insurance

Nursing Homes

Medicaid

All PPI Long-Term Care Reports

Featured

Medicaid: A Program of Last Resort for People Who Need Long-Term Services and Supports

Medicaid is a safety net of last resort for those whose needs exceed what unpaid family and friends can provide, and who exhaust their resources paying out-of-pocket for care. read

State Studies Show Home and Community-Based Services are Cost-Effective

This report reviews 38 state evaluations of publicly funded HCBS programs. It shows states have been able to contain costs as they have expanded HCBS. read

Understanding the Impact of Family Caregiving on Work

The number of workers with eldercare responsibilities is on the rise. This fact sheet highlights research to better understand the impact of family caregiving on work, and how working caregivers can better manage their work and caregiving responsibilities. read

Private Pay Affordability of Long-Term Services and Supports (LTSS)

This paper presents data on the costs of private pay LTSS in every state and in more than 400 markets in the United States. read

Home Alone: Family Caregivers Providing Complex Chronic Care

The role of many family caregivers has dramatically expanded to include performing medical/nursing tasks once only provided in hospitals. read

Across the States 2012: Profiles of Long-Term Services and Supports

The ninth edition of PPI’s state LTSS reference report presents comparable state and national data for more than 140 indicators, drawn from a wide variety of sources. read

Meeting the Needs of Diverse Family Caregivers

Addressing the needs of racially and ethnically diverse family caregivers can help reduce unnecessary hospitalizations and nursing home care, and improve transitions between care settings. This report finds many needs not being met. read

Protecting Family Caregivers from Employment Discrimination

This paper calls for developing public and private solutions to ensure that workers with eldercare responsibilities receive equal employment opportunity and are protected from workplace discrimination. read

Improving State Oversight of Medicaid Managed Long-Term Services and Supports (LTSS)

Interviews with officials in eight states provide insight into the specific capacities Medicaid agencies need to monitor the performance of Medicaid managed LTSS. read

Removing Barriers to APRN Care: Home Health and Hospice Services

Allowing Advanced Practice Registered Nurses to certify home health and hospice services would benefit consumers, physicians, and the health care system. read

Assisted Living and Residential Care in the States

Discussion of assisted living and residential care and new data on state capacity. read

Measuring Respite Care

The latest available data on the main sources of publicly funded respite care. read

Assessing Family Caregiver Needs

Why it’s important to assess and respond to family caregiver needs—and what states are doing to address these needs. read

Long-Term Care Insurance: 2012 Update

Long-term care insurance (LTCI) plays an important role covering overall long-term care costs but high premiums keep most people from purchasing it. read

Moving Toward Person- and Family-Centered Care

The advantages of delivering health care and long-term services and supports in ways that address individual goals and preferences, and support family caregivers. read

A Call to Action: Meeting the Challenges of Family Caregiving

Ten prominent authors offer recommendations on policies and practices to improve support for family caregivers. read

On the Verge: The Transformation of Long-Term Services and Supports

Many states are turning to managed care for older Americans who need LTSS. This and other trends are revealed in a new report from PPI, NASUAD, and Health Management Associates. read

Health Reform Law Creates New Opportunities to Better Recognize and Support Family Caregivers

Health care reform offers new, meaningful supports to assist family and friends in their caregiving role. This fact sheet highlights selected provisions in the Affordable Care Act that address caregivers in health care and in long-term services and supports. read

Raising Expectations: A State Scorecard on Long-Term Services and Supports

This first-ever evaluation of state performance shows wide variation in care and support for older adults and persons with disabilities. read

Valuing the Invaluable: 2011 Update - The Growing Contributions and Costs of Family Caregiving

This report estimates the economic value of family caregiving at $450 billion in 2009, up from $375 billion in 2007. The report also details the costs of providing family care, and provides policy recommendations to better support caregiving. read

Valuing the Invaluable: 2011 Update - The Economic Value of Family Caregiving in 2009

This Fact Sheet shows state by state estimates of the economic value of family caregiving read

Home and Community-Based Long-Term Services and Supports for Older People

This AARP Public Policy Institute Fact Sheet by AARP’s Enid Kassner describes home and community-based long-term services and supports: what they are, who receives them, where they are delivered, and how people pay for them. read

How the Affordable Care Act Can Help Move States Toward a High-Performing System of Long-Term Services and Supports

This article, published in Health Affairs, defines long-term services and supports and outlines the key characteristics of a high-performing system. read

Adult Protective Services: Increased Demand and Decreased Funds

Adult Protective Services help older people who are victims of abuse or neglect. AARP’s Wendy Fox-Grage tells us calls to Adult Protective Services have increased since the recession began, but most states have either decreased, or at best, maintained their budgets for these services. read

How Recent Changes in Reverse Mortgages Impact Older Homeowners

Following the housing crisis, the costs and types of reverse mortgages have changed. AARP’s Don Redfoot discusses new laws that seek to protect homeowners who use these loans read

Weathering the Storm: The Impact of the Great Recession on Long-Term Services and Supports

States cut programs for older individuals and adults with physical disabilities as demand rose for publicly funded services. This new AARP 50-state study shows 31 states cut non-Medicaid programs in FY 2010, and 28 states expecting to cut these programs in FY 2011. read

Long Term Services and Supports State Scorecard

Evaluating each state’s performance in delivering LTSS and measuring progress over time. read

Access to Long-Term Services and Supports: A 50-State Survey of Medicaid Financial Eligibility Standards

The latest data on state selection of pathways for Medicaid eligibility. read

Trends in Disability, Community Living, and Caregiving: Analysis of Data from the National Long-Term Care Survey

New research reveals important trends in disability, institutional use, community living, family caregiving, and paid home care. read

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