Across the States 2012: Profiles of Long-Term Services and Supports

Source: Ari Houser, Wendy Fox-Grage, Kathleen Ujvari, AARP Public Policy Institute, ninth edition, 2012

From the press release:
AAHomecare reports that AARP has found demographic trends pointing to the growing importance of home-based care in its recently published annual state-by-state guide Across the States 2012: Profiles of Long-Term Services and Supports. Long-term services and supports (LTSS) encompass a range of care typically delivered in the home or community, such as personal care for help with daily activities and adult day services at a senior center. The report points to several trends that underscore the importance of home care and HME:

• The age 85 and older population–the group most likely to need LTSS–is quickly growing. The 85-plus population is likely to grow by 69 percent over the next two decades and more than triple between now and 2050.
• Many older Americans who have moderate or low incomes are likely to qualify for need-based LTSS and other publicly funded services.
• Family caregivers provide care that has a value of $450 billion (2009 figure), which is four times greater than Medicaid LTSS spending and more than six times what is paid in private care.
• Most spending for Medicaid LTSS goes to nursing facilities rather than home and community-based services.
• The number of older people and people living with physical disabilities who receive Medicaid-funded home and community-based services has increased, while the number of nursing facility residents has remained constant.
• Medicaid can support approximately three people through home and community-based services for every one person housed in an institution.

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