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U.S. Population Long Term Care Morbidity Improvement Study

The Society of Actuaries LTCI Section is pleased to make available a research report examining trends in HIPAA ADL disability and cognitive impairment between 1984 and 2004 using the National Long Term Care Survey.  The material was authored by P.J. Eric Stallard and Anatoliy I. Yashin of Duke University.

In addition to the full report, a brief summary has been written for readers who may be less familiar with this area.


An Introduction to the SOA LTCI Section and ILTCI Conference Board-sponsored Long Term Care Morbidity Improvement Study
Long Term Care Morbidity Improvement Study


If you have comments or questions, please contact Steve Siegel, Research Actuary at

Thank You

The SOA would like to thank the following members of the project oversight group for their review and support of the project:

Mark Costello, Chair
David Benz
Jason Bushey
Allen Schmitz
Ali Zaker-Shahrak
Steve Siegel, SOA Research Actuary
Barbara Scott, SOA Research Administrator