The LeadingAge LTSS Center @UMass Boston Resource Library holds a variety of reports and briefs, case studies, journal articles, guides, and tools related to our research on affordable housing, aging and health, family caregiving, financing, home-based care, nursing homes, and workforce issues.
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Report
July 2025
Report
June 2025
Report
June 2025
This analysis compares individuals eligible for Medicaid through ACA expansion (100–138% of the Federal Poverty Line) with those under 100% FPL. Expansion enrollees face deep poverty, poor health, high out-of-pocket costs, and functional limitations. Many are not in the workforce due to serious health conditions, with profiles closely resembling traditional Medicaid recipients.
Research Brief
April 2025
This table estimates the number of adults ages 50 to 64 who could lose health insurance or SNAP benefits under the provisions of the One Big Beautiful Bill Act (OBBA), based on Congressional Budget Office (CBO) projections. It breaks down estimated coverage losses by major policy changes proposed in OBBA: the elimination of Marketplace cost-sharing subsidies, Medicaid work requirements, and stricter SNAP eligibility rules. The estimates apply CBO’s overall projections to the 50–64 age group using available demographic data and coverage loss rates.
Infographic
June2025
This longitudinal study (2012–2020) shows that adults aged 50–64 who gained Medicaid through ACA expansion saw major health improvements, lower rates of depression, fewer chronic conditions, and a 50% lower mortality rate. They also had reduced out-of-pocket costs and better access to primary care and medication.
Research Brief
April 2025
This analysis explores the effects of losing Medicaid at age 65 and the impact of work requirements on beneficiaries aged 50–64. Loss of coverage results in declining health, increased hospitalizations, and reduced access to care. Among older enrollees not working, the majority cite health issues, while others are unpaid caregivers.
Research Brief
April 2025
This brief profiles Medicaid enrollees ages 18–64, comparing working and non-working individuals and the small group considered to be “able-bodied.” Medicaid users are more often female, have lower education, higher rates of disability, and very low income. Most non-working beneficiaries face serious health or caregiving challenges that keep them out of the labor force.
Research Brief & Infographic
April 2025
This analysis examines how access to home and community-based services (HCBS) affects nursing home use. Without HCBS, individuals eligible for institutional care are more likely to enter nursing homes, raising system costs and reducing their time living in the community.
Research Brief
April 2025
This study reports on the perceived benefits of participating in The Right Care, Right Place, Right Time (R3) program, which sought to improve access to supportive services among individuals residing in subsidized housing.
Journal Article
February 2025
Researchers found that Medicaid payment rates for the average or median nursing home covered about 82 cents for every dollar of reported cost nursing homes incurred caring for Medicaid residents.
Journal Article
October 2024