Eileen J Tell

Learn More
Discussions about long-term care financing often get mired in the false dichotomy that long-term care should be primarily either a public or a private responsibility. Our starting premise is that public and private long-term care coverage can best serve complementary roles. Therefore, public policy should focus on supporting both mechanisms to achieve(More)
Current approaches to financing long-term care are inadequate; they are even less likely to meet future needs of increasing numbers of disabled and chronically ill elderly persons. While insurers, providers, and policy makers are developing models of risk-pooling that cover long-term care, the industry that first put these concepts into practice is moving(More)
In this paper we describe the Life Care at Home (LCAH) concept, a new long-term care insurance and service delivery model that combines the financial and health security of a continuing care retirement community (CCRC) with the freedom and independence of living at home. LCAH retains risk pooling for long-term care and provides other benefits and guarantees(More)
A model to forecast the need for dialysis beds, currently used by the Massachusetts Department of Public Health (DPH), is evaluated after ten years of availability and two years of formal use. The model was originally developed in 1972 to accommodate some informal planning needs of dialysis providers in Massachusetts. In 1978 the model was formally adopted(More)
We estimated the relative importance of various client characteristics related to nursing home entry for a national probability sample of Medicare recipients and developed predictive models of nursing home entry that account for the interactive effects among variables. In contrast with previous research, we focused on the characteristics of nursing home(More)
We identified client characteristics related to nursing home entry for 3,316 residents of six continuing care retirement communities with a longitudinal dataset that follows an initially healthy entry cohort for up to 15 years. The Cox Proportional Hazards Model was used for the analysis of survival data that includes censored data. We calculated hazard(More)