title: The changing face of long-term care.
abstract: In this article, we present population estimates of individuals with disabilities and discuss the manner in which the composition of this population is changing. We then highlight aspects of service delivery systems that are evolving in response to the changing long-term care (LTC) population. Following a summary of financing issues, we discuss several cross-cutting issues related to the organization of service delivery, quality assurance (QA), and financing. Current and future Health Care Financing Administration (HCFA) research and demonstrations emerging from these issues are then described.
authors.affiliation: Health Care Financing Administration.
authors.forename: B C
authors.initials: BC
authors.lastname: Vladeck
authors.forename: N A
authors.initials: NA
authors.lastname: Miller
authors.forename: S B
authors.initials: SB
authors.lastname: Clauser
mesh_terms: D002908:Chronic Disease / Q000191:economics / Q000628:therapy; D003191:Comprehensive Health Care / Q000458:organization & administration; D003710:Demography; D006233:Persons with Disabilities / Q000706:statistics & numerical data*; D005380:Financing, Government; D005544:Forecasting; D005102:Health Expenditures / Q000639:trends; D006301:Health Services Needs and Demand / Q000639:trends*; D006302:Health Services Research / Q000458:organization & administration; D006801:Humans; D007353:Insurance, Long-Term Care; D008134:Long-Term Care / Q000191:economics / Q000592:standards / Q000639:trends*; D008484:Medicaid / Q000706:statistics & numerical data; D006278:Medicare / Q000706:statistics & numerical data; D010865:Pilot Projects; D014481:United States