In 2011, 11 million adults received LTC services. It might surprise you to know that while a majority were over 65 years of age, a substantial number were ages 18-64.
In 2011, $210.9 billion was spent on LTC services in the U.S. This represents 9.3% of the $2.3 trillion spent in total on health care. So who pays for these services? As you can see, the majority was paid through Medicaid while individuals and families made up the next highest percentage followed by private insurance (like LTCI).
Since Medicaid is the main source of LTC services it is of interest to look at the settings in which that care takes place. It is also interesting to see the changes in settings that occurred over the 13 year period from 1997 to 2010.
Institutional care would include nursing homes, while home and community services would include home health care, or personal/homemaker services.
Since Medicaid is the largest payer of LTC services it is helpful to look at the services provided as a percentage of the total amount spent. In 2010, that total spending was $117.3 billion with the majority of that going to nursing homes.
*HCBS:"Home & Community-Based Services" are provided in an effort to care for individuals outside of institutional settings and include: case management, homemaker, personal care.
**ICFs/ID:"Intermediate Care Facilities for people with developmental disabilities".
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