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The Roger C. Lipitz Center for Integrated Health Care

Judith D. Kasper, PhD
Department of Health Policy and Management


Dr. Kasper's research and teaching interests include health policy in disability and long-term care; assessment of needs for care and service provision to physically and mentally disabled people; health care financing and access for vulnerable populations; and the development and application of data sources -- national surveys in particular -- for health policy analysis and health services research. Dr. Kasper is Principal Investigator of the National Health and Aging Trends Study

JHSPH Profile

Contact Information:

Phone: 410-614-4016

Journal Publications:

Freedman VA, Kasper JD, Spillman B, Agree EM, Mor V, Wallace RB, Wolf DA. 2014. Behavioral Adaptation and Late-Life Disability: A New Spectrum for Assessing Public Health Impacts. American J of Public Health 104 (2): e88-e94. doi: 10.2105/AJPH.2013.301687

Freedman VA, Agree E, Cornman J, Spillman B, Kasper JD. 2013. Reliability and Validity of Self-Care and Mobility Accommodations Measures in the National Health and Aging Trends Study.  The Gerontologist doi: 10.1093/geront/gnt104

Chan K, Kasper JD, Brandt J, Pezzin L. 2012. Measurement Equivalence in ADL and IADL Difficulty across International Surveys of Aging: Findings from the HRS, SHARE, and ELSA. J of Gerontol Soc Sci. J of Gerontol B Psychol Sci Soc Sci 67(1): 121-132. (PMC3268026)

Kasper JD, Edwards B, Freedman VA, Seplaki CL, Weiss C, Carlson M, Bruce T, Guralnik JM, Plassman BL, Wallace R, Varma V, and Niefeld M. Forthcoming. Advances in Survey Assessment of Disability in Older Adults: Measuring Physical and Cognitive Capacity in the National Health and Aging Trends Study (NHATS).  (2012) Proceedings of the 10th Conference on Health Survey Research Methods.

Lee HB, Richardson AK, Black BS, Shore A, Kasper JD, Rabins PV. 2012. Race and Cognitive Decline among Community-dwelling Elders with Mild Cognitive Impairment: Findings from the Memory and Medical Care Study. Aging and Mental Health 16(3):372-7. (PMC3302954).

Freedman VA, Kasper JD, Cornman J, Agree E, Bandeen-Roche K, Mor V, Spillman B, Wallace R, Wolf D. 2011. Validation of New Measures of Disability and Functioning in the National Health and Aging Trends Study. J of Gerontology: Medical Sciences 66A(9):1013-1021. (PMC 3156629)

Kasper JD, Pezzin LE and Rice JB. 2010. Stability and Changes in Living Arrangements: Relationship to Nursing Home Admission and Timing of Placement. J of Gerontol Soc Sci 65B(6): 783-789. (PMC2954324)

Lehmann SW, Black BS, Shore AD, Kasper JD and Rabins PV. 2010. Living Alone With Dementia: Lack of Awareness Adds to Functional and Cognitive Vulnerabilities. International Psychogeriatrics 22(5): 778-784. (NIHMSID 291090)

Juon HS, Green KM, Fothergil KE, Kasper JD, Thorpe RJ and Ensminger ME. 2010. Welfare Receipt Trajectories of African American Women Followed for 30 Years. J of Urban Health. 87(1): 76-94. (PMC2821602)

Kasper JD, Black BS, Shore AD and Rabins PV. 2009. Evaluation of the Validity and Reliability of the Alzheimer Disease-Related Quality of Life (ADRQL) Assessment Instrument. Alzheimer Disease & Associated Disorders 23(3):275-284. (PMC3086660)

Watts-O’Malley M, Lyons B and Kasper J. 2009. Challenges Facing Medicaid’s Role as a Provider of Long-Term Care. NAELA Journal (National Academy of Elder Law Attorneys) Vol V, Number II:105-122 (No NIH funding)

Lau DT, Kasper JD, Hauser JM, Berdes C, Chang CH, Berman RL, Masin-Peters J, Paice J and Emanuel L. 2009. Family Caregiver Skills in Medication Management for Hospice Patients: A Qualitative Study to Define a Construct. J of Gerontology B: Psych. Sci. Soc. Sci. 64(6):799-807. (PMC2763012)

Fothergill KF, Ensminger ME, Green KM, Thorpe RJ, Robertson J, Kasper JD and Juon HS. 2009. Living Arrangements during Childrearing Years and Later Health of African American Mothers. J. of Marriage and Family November (71):848-861. (PMC2836726)

Rice JB, Kasper JD and Pezzin LE. 2009. A Comparative Analysis of Medicaid Long-Term Care Policies and Their Effects on Elderly Dual Enrollees. Health Economics 18(3): 275-290. (Accepted for publication March 2008)

Quinn CC, Port CL, Zimmerman S, Gruber-Baldini AL, Kasper JD, Fleshner I, Yody B, Loome J, Magaziner J. 2008. Short-Stay Nursing Home Rehabilitation Patients: Transitional Care Problems Pose Research Challenges. J American Geriatrics Society 56(10): 1940-1945. (PMC2596274)

Kasper JD, Ensminger ME, Green KM, Fothergill KE, Juon HS, Robertson JA, and Thorpe RJ. 2008. Effects of Poverty and Family Stress Over Three Decades on Functional Status of Older African American Women.  J of Gerontology: Social Sciences 63(4): S201-210. (PMC2828295)

Thorpe RJ, Kasper JD, Szanton SL, Frick KD, Fried LP and Simonsick EM. 2008. The relationship of Race and Poverty to Lower Extremity Function and Decline: Findings from the Women's Health and Aging Study. Social Science & Medicine 66(4): 811-821. (PMC2602966)

Weiss CO, Seplaki CL, Wolff JL, Kasper JD and Agree EM. 2008. Self-selected Walking Speed was Consistent When Recorded While Using a Cane. J. of Clinical Epidemiology 61:622-627. (PMC2941391)

Wolff JL, Kasper JD and Shore AD. 2008. Long-term Care Preferences Among Older Adults: A Moving Target? J of Aging and Social Policy. 20(2) (April): 182-200.

Wolff JL, Dy SM, Frick KD and Kasper JD. 2007. End-of-Life Care: Findings from a National Survey of Informal Caregivers.  Arch Intern Med 167(1):40-46

Ng JH, Kasper JD, Forrest CB and Bierman AS. 2007. Predictors of Voluntary Disenrollment from Medicare Managed Care. Medical Care 45(6):513-520.

Chan DC, Kasper JD, Black BS and Rabins PV. 2007. Clinical Diagnosis of Dementia, Not Behavioral and Psychological Symptoms Is Associated with Psychotropics Use in Community Dwelling Elders Classified as Having Dementia. J. of Geriatric Psychiatry and Neurology 20(2): 100-106.

McNabney MK, Wolff JL, Semanick LM, Kasper JD, and Boult C. 2007. Care Needs of Higher-Functioning Nursing Home Residents. J Am Med Dir Assoc. 8(6): 409-412.

Wolff JL and Kasper JD. 2006. Caregivers of Frail Elders: Updating a National Profile. The Gerontologist 46(3):344-356.

Lee HB, Kasper JD, Shore AD, Yokley JL, Black BS and Rabins PV. 2006. Level of Cognitive Impairment Predicts Mortality in High-Risk Community Samples: The Memory and Medial Care Study. Neuropsychiatry Clin Neurosci Fall 18(4):543-6.

Wolff JL, Agree EM and Kasper JD. 2005. Wheelchairs, Walkers and Canes: What Does Medicare Pay for, and Who Benefits? Health Affairs 24(4): 1140-1149.

Komisar HL, Feder J and Kasper JD. 2005. Unmet Long-Term Care Needs: An Analysis of Medicare-Medicaid Dual Eligibles. Inquiry 42(2): 171-182.

Han BC, Phillips C, Ferrucci L, Bandeen-Roche K, Jylha M, Kasper J and Guralnik JM. 2005. Change In Self-Rated Health and Mortality Among Community-Dwelling Disabled Older Women. The Gerontologist 45(2): 216-221.

Niefeld MR and Kasper JD. 2005. Access to Ambulatory Medical and Long-Term Care Services Among Elderly Medicare and Medicaid Beneficiaries: Organizational, Financial and Geographic Barriers. Medical Care Research and Review 62: 300-319.

Lau DT, Kasper JD, Potter DEB, Lyles A and Bennett R. 2005. Hospitalization and Death Associated with Potentially Inappropriate Medication Prescriptions among Elderly Nursing Home Residents. Archives of Internal Medicine 164(1) 68-74.

Wolff JL and Kasper JD. 2004. Informal Caregiver Characteristics and Subsequent Hospitalization Outcomes among Recipients of Care. Aging Clinical and Experimental Research 16(4):307-313.

Lau DT, Kasper JD, Potter DE and Lyles A. 2004. Potentially Inappropriate Medication Prescriptions Among Elderly Nursing Home Residents: Its Scope and Associated Resident and Facility Characteristics. Health Services Research 39(5): 1257-1276

Frick KD, Scanlon DP, Bandeen-Roche K, Kasper JD, Simonsick EM and Sullivan EM. 2004. Influenza Vaccination by Race Among Disabled Community-Dwelling Older Women. J of Health Care for the Poor and Underserved 15(2): 220-236.

Fredman L, Tennstedt S, Smith KA, Kasper JD, Miller B, Fritsch T, Watson M and Harris EL. 2004. Pragmatic and Internal Validity Issues in Sampling in Caregiver Studies: A Comparison of Population-Based, Registry-Based and Ancillary Studies. J of Aging and Health 16(2): 175-203.

Hanson. KW, Neuman P, Dutwin D, and Kasper JD. 2003. Uncovering the Health Challenges Facing People with Disabilities: The Role of Health Insurance. Health Affairs Web Exclusive Jul-Dec; Suppl Web Exclusives: W3-552-65.

Witt WP, Kasper JD and Riley AW. 2003. Mental Health Services Use Among School-aged Children with Disabilities: the Role of Socio-demographics, Functional Limitations, Family Burdens and Care Coordination. Health Services Research 38(6): 1441–1466.

Chan D, Kasper JD, Black B and Rabins PV. 2003. Presence of Behavioral and Psychological Symptoms Predicts Nursing Home Placement in Community-Dwelling Elders with Cognitive Impairment in Univariate but not Multivariate Analysis. J of Gerontology: Medical Sciences June 58(6): M548-54.

Black BS, Kasper JD, Brandt J, Shore AD, German P, Burton L, Gallo JJ, Lyketsos C and Rabins PV. 2003. Identifying Dementia in High-Risk Community Samples: The Memory and Medical Care Study. Alzheimer Disease and Associated Disorders 17(1): 9-18.

Weiner M, Fan MY, Johnson BA, Kasper JD, Anderson GF and Fried LP. 2003. Predictors of Health Resource Use by Disabled Older Female Medicare Beneficiaries Living in the Community. J Am Geriatric Society Mar 51(3): 371-379.

Chan DC, Kasper JD, Black BS and Rabins PV. 2003. Prevalence and Correlates of Behavioral and Psychiatric Symptoms in Community-Dwelling Elders with Dementia or Mild Cognitive Impairment: The Memory and Medical Care Study. Intl. J of Geriatric Psychiatry 18(2): 174-182.

Pezzin LE and Kasper JD. 2002. Medicaid Enrollment Among Elderly Medicare Beneficiaries: Individual Determinants, Effects of State Policy, and Impact on Service Use. Health Services Research 37(4): 827-847.

Ostir GV, Simonsick E, Ferrucci L, Volpato S, Kasper JD and Guralnik JM. 2002. Satisfaction with Support Given and its Association with Subsequent Health Status. J Aging and Health 14(3): 355-369.

Burton L, Weiner JP, Stevens G and Kasper JD. 2002. Health Outcomes and Medicaid Costs for Frail Older Individuals: A Case Study of MCO vs. Fee-for – Service Care. J Am Geriatric Society 50(2): 382-388.

Ostir G, Simonsick E, Kasper JD and Guralnik JM. 200l. Summarizing Amount of Difficulty in ADLS: A Refined Characterization of Disability: Results from the Women’s Health and Aging Study. Aging Clinical and Experimental Research Dec 13(6) 465-472.

Simonsick E, Kasper JD, Guralnik JM, Bandeen-Roche K, Ferrucci L, Hirsch R, Leveille S, Rantanen T and Fried LP. 2001. Severity of Upper and Lower Extremity Functional Limitation: Scale Development and Validation with Self-Report and Performance-Base Measures of Physical Function. J Gerontology: Social Sciences 91(1): 68-75.

Penninx BWJH, Guralnik JM, Bandeen-Roche K, Fried LP, Kasper JD, Simonsick EM and Ferrucci L. 2000. Protective Effect of Emotional Vitality on Adverse Health Outcomes in Disabled Older Women. J Am Geriatric Society 48(11): 1359-1366.

Kasper JD, Giovannini T and Hoffman C. 2000. Gaining and Losing Health Insurance: Strengthening the Evidence for Effects on Access to Care and Health. Medical Care Research and Review 57(3): 298-318.

Kasper JD, Shore A and Penninx BWJH. 2000. Caregiving Arrangements of Elderly Disabled Women, Caregiving Preferences, and Views on Adequacy of Care. Aging Clinical and Experimental Research, Special Issue on Women and Aging 12(2): 141-153.

Kasper JD, Shapiro S, Guralnik JM, Bandeen-Roche K and Fried LP. 1999. Designing a Community Study of Moderately to Severely Disabled Older Women: The Women’s Health and Aging Study. Annals of Epidemiology 9(8): 498-507.

Guralnik JM, Ferrucci L, Penninx BWJH, Kasper JD, Leveille SG, Bandeen-Roche K and Fried LP. 1999. New and Worsening Conditions and Change in Physical and Cognitive Performance During Weekly Evaluations Over Six Months: The Women’s Health and Aging Study. J Gerontology: Medical Sciences 54A(8): M410-M422.

Lee Y and Kasper JD 1999. Age Differences in Ratings of Medical Care Among Older Adults in the Community. Aging Clinical and Experimental Research 11(1): 4-20.

Rabins PV, Kasper JD, Kleinman L, Black B and Patrick D. 1999. Concepts and Methods in the Development of the ADRQL: An Instrument for Assessing Health-related Quality of Life in Persons with Alzheimer Disease. J of Mental Health and Aging 5(1): 33-48.

Fried LP, Bandeen-Roche K, Kasper JD, and Guralnik JM for the WHAS Research Group. 1999. Association of Comorbidity with Disability in Older Women: the Women’s Health and Aging Study. J of Clinical Epidemiology 52(1): 27-37.

Hochberg MJ, Williamson J, Skinner EA, Guralnik JM, Kasper JD and Fried LP. 1998. The Prevalence and Impact of Self-reported Hip Fracture in Elderly Community-dwelling Women: the Women’s Health and Aging Study. Osteoporosis International 8(4): 385-389.

Kasper JD. 1998. Asking About Access: Challenges for Surveys in a Changing Health Care Environment. Health Services Research 33(3) Part II: 715-739.

Simonsick EM, Kasper JD, and Phillips CL. 1998. Physical Disability and Social Interaction: Factors Associated with Low Social Contact and Home Confinement in Disabled Older Women (The Women’s Health and Aging Study). J of Gerontology: Social Sciences 53B(4): S209-S217.

Penninx BWJH, Guralnik JM, Simonsick EM, Kasper JD, Ferrucci L and Fried LP. 1998. Emotional Vitality Among Disabled Older Women: The Women’s Health and Aging Study. J Am Geriatric Society 46(7): 807-815.

Ferrucci L, Guralnik JM, Cecchi F, Marchionni B, Salani B, Kasper J, Celli R, Giardini S, Heikkinen E, Jylha M and Baroni A. 1998. Constant Hierarchical Patterns of Physical Functioning Across Seven Populations in Five Countries. The Gerontologist 38(3): 286-294.

Rathouz P, Kasper JD, Zeger S, Ferrucci L, Bandeen-Roche K, Miglioretti D and Fried LP. 1998. Short-term Consistency in Self-reported Physical Functioning among Elderly Women: The Women’s Health and Aging Study. American J of Epidemiology 147(8): 764-773.

Leveille SG, Guralnik JM, Ferrucci L, Corti MC, Kasper JD and Fried LP. 1998. Black/White Differences in the Relationship of Disability to MMSE Scores: The Women’s Health and Aging Study. J of Gerontology: Psychological Sciences B53(3):P201-P208.

Lee Y and Kasper JD. 1998. Assessment of Medical Care by Elderly People: General Satisfaction and Physician Quality. Health Services Research 32(6): 741-758.

Lehman AF, Steinwachs DM, Buchanan R, Carpenter WT, Dixon LB, Fahey M, Fischer P, Goldman HH, Kasper J, Levine J, Lyles A, McGlynn E, Osher F, Postrado L, Rosenheck R, Scott JC, Skinner E, Thompson J and Zito J. 1998. Translating Research Into Practice: The Schizophrenia PORT Treatment Recommendations. Schizophrenia Bulletin 24(1): 1-10.

Lehman AF, Steinwachs DM, Dixon LB, Fahey M, Fischer P, Hoch J, Kasper J, Lyles A, Postrado L, Scott JC, Shore A and Skinner E. 1998. Patterns of Usual Care for Schizophrenia: Initial Results from the Schizophrenia PORT Client Survey. Schizophrenia Bulletin 24(1): 11-19.

Rabins PV and Kasper JD. 1997. Measuring Quality of Life in Dementia: Conceptual and Practical Issues. Alzheimer Disease and Associated Disorders 11(6): 100-104.

Kasper JD. 1997. Long-term Care Moves into the Mainstream. Review essay. The Gerontologist 37(2): 274-277.

Ferrucci L, Guralnik JM, Buchner D, Kasper JD, Lamb S, Simonsick EM, Corti C, Bandeen-Roche K and Fried LP. 1997. Departures from Linearity in the Relationship between Measures of Muscular Strength and Physical Performance of the Lower Extremities: The Women’s Health and Aging Study. J of Gerontology: Medical Sciences 52A(5): M275-M285.

Doty P, Kasper JD and Litvak S. 1996. Consumer Directed Models of Personal Care: Lessons From Medicaid. The Milbank Quarterly 74 (3): 377-409. 

Burton L, Kasper JD, Shore A, Cagney K, LaVeist T, Cubbin C and German P. 1995. The Structure of Informal Care: Are There Differences By Race? The Gerontologist 35(6): 744-752.

Kasper JD and Pearson J. 1995. Living Arrangements, Social Integration and Personal Control: Correlates of Life Satisfaction Among Elderly People. J of Mental Health and Aging Spring, 1(1): 21-34.

Doty P, Kasper JD, Litvak S and Taylor H. 1994. Consumer Choice and the Frontline Worker. Generations, Journal of the American Society on Aging 18(3): 65-70.

Kasper JD and Shore A. 1994. Cognitive Impairment and Problem Behaviors as Risk Factors for Institutionalization. J of Applied Gerontology 13(4): 371-385.

Kasper JD, Steinbach U and Andrews J. 1994. Caregiver Role Appraisal and Caregiver Tasks as Factors in Ending Caregiving. J of Aging and Health 6(3): 397-414.

Kasper JD, Steinwachs DM and Skinner EA. 1992. Family Perspectives on the Service Needs of People with Serious and Persistent Mental Illness: Part II: Needs for Assistance and Needs That Go Unmet. Innovations and Research 1(4): 21-33.

Skinner EA, Steinwachs and Kasper JD. 1992. Family Perspectives on the Service Needs of People with Serious and Persistent Mental Illness: Part I: Characteristics of Families and Consumers. Innovations and Research 1(3): 23-30.

Steinwachs DM, Kasper JD and Skinner EA. 1992. Patterns of Use and Costs Among Severely Mentally Ill People. Health Affairs Fall, 11(3): 178-185.

Levkoff SE, Wetle T, Coakley E and Kasper JD. 1992. Determinants of Expenditures and Use of Services Among Elderly HMO Enrollees. HMO Practice 6(3): 6-12.

Kasper JD and Riley GF. 1992. Satisfaction with Medical Care Among Elderly People in Fee-For-Service Care and an HMO. J of Aging and Health 4(2): 282-302.

Kasper JD. 1990. Cognitive Impairment Among Functionally Limited Elderly People in the Community: Future Considerations for Long-Term Care Policy. The Milbank Quarterly 68 (1): 81-109.

McCombs J, Kasper JD and Riley GF. 1990. Do HMOs Reduce Health Care Costs?: A Multivariate Analysis of Two Medicare HMO Demonstration Projects. Health Services Research October, 25(4): 593-613.

deLissovoy G, Kasper JD, Gabel J and DiCarlo S. 1990. Changes in Retiree Health Benefits: Results of a National Survey. Inquiry Vol. 27, Fall.

Bacon P, Kasper JD, deLissovoy G, DiCarlo S and Gabel J. 1990. The Employer Response to the Financial Accounting Standards Board Proposal for Accruing Postretirement Health Benefits. Benefits Quarterly Winter.

Riley GF, Rabey E and Kasper JD. 1989. Biased Selection and Regression Toward the Mean in 3 Medicare HMO Demonstrations: A Survival Analysis of Enrollees and Disenrollees. Medical Care April, 27(4): 337-351.

Kasper JD, Riley GF, Stevenson MA and McCombs JS. 1988. Beneficiary Selection, Use, and Charges in Two Medicare Capitation Demonstrations. Health Care Financing Review Fall, 10(1): 37-49.

Kasper JD and Berk M. 1988. National Health Care Use and Expenditure Surveys: Sociological Gains and Losses. The American Sociologist Fall, 19(3): 232-242.

Kasper JD. 1987. The Importance of Type of Usual Source of Care for Children’s Physician Access and Expenditures. Medical Care May, 25(5): 386-398.

Kasper JD. 1986. Health Status and Utilization: Differences by Medicaid Coverage and Income. Health Care Financing Review Summer, 7(4): 1-17.

Cafferata GL and Kasper JD. 1985. Family Structure and Children’s Use of ambulatory Physician Services. Medical Care April, 23(4): 350-360.

Cafferata GL, Kasper JD and Bernstein A. 1983. Family Roles, Structure, and Stressors and Sex Differences in Obtaining Psychotropic Drugs. J of Health and Social Behavior June, 24: 132-143. Reprinted in Tranquilizers: Social, Psychological and Clinical Perspectives. In J. Gabe and P. Williams (eds.), Tavistock Publications, 1986.

Kasper JD and Wilson R. 1983. Use of Prescribed Medicines: A Proxy Indicator of Access and Health Status. Intl. J of Health Services 3(3): 433-442.

Andersen R, Kasper JD and Frankel M. 1976. The Effect of Measurement Error on Differences in Hospital Expenditures. Medical Care 14(11): 932-949.

Andersen R, and Kasper JD. 1973. The Structural Influence of Family Size on Children’s Use of Physician Services. J of Comparative Family Studies Spring, 14(1): 116-130.