Long-Term Care: Who Gets It, Who Provides It, Who Pays, And How Much?
- 1 January 2010
- journal article
- research article
- Published by Health Affairs (Project Hope) in Health Affairs
- Vol. 29 (1), 11-21
- https://doi.org/10.1377/hlthaff.2009.0535
Abstract
Long-term care in the United States is needed by 10.9 million community residents, half of them nonelderly, and 1.8 million nursing home residents, predominantly elderly. Ninety-two percent of community residents receive unpaid help, while 13 percent receive paid help. Paid community-based long-term care services are primarily funded by Medicaid or Medicare, while nursing home stays are primarily paid for by Medicaid plus out-of-pocket copayments. Per person expenditures are five times as high, and national expenditures three times as high, for nursing home residents compared to community residents. This suggests that a redistribution of spending across care settings might produce substantial savings or permit service expansions.Keywords
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