Rae MEDICAID’S ROLE IN NURSING HOME CARE JUNE 2017
‘Nursing homesare key providers of long-term care inthe US, supplying mecical skilled nursing, and rehabiltave services on an inpatient
basis to individuals who need help with self-care, such as bathing nd dressing. As of2015, there were 1.4 millon people, primarily seniors, served
in neatly 16000 nursing homes,
‘Medicald Is the primary payer for nursing home care, providing needed iong-term care seruces not offered by Medicare hat would otherwise
bbe unaffordable for seniors with low incomes and relieving the care burden from families.
Medicaid currently provides federal matching funds with no pre-set limit that help states cover nursing home care. Medicaid restructuring
{and cuts in federal funds as proposed in the American Health Care Act could limit states'ability o provide these services.
REPaouketc ee keen koe ke bee)
15% of the total US 1 in 3 people In 2015, 1.4 Million people were in nursing homes: $82,000
popubtionwas65+in 2015, turning ¢5 wil
and the total number of require nursing sonose Typical annual cost
Seniorsis expected to double home.areat some cofnursing home
by 2060. point during his or J cere ser nomen ‘arein 2016, which
herlfe is nearly xthe
@ ee iy4in are Wie annual incomeot
48 Million 8 Mition
25 2060
(9 Altimerssak
Over 3inShave sieeve needs
WII aede Oa oma hak een esac ete
Medicaid isthe primary Medicaid covers 6 in 10 nursing | 50% of seniors using Medicaid long-term care services in 2013 were
payer for long-term care, home residents. innursing homes, accounting for 70% of seniors’ Medicaid spending
including $55 billion in 2015 om long-term core.
for nussing homes. Medicare
only coverslimited post-acute Crs aa
care, and few people can afford Payer BH commniy
prvanecovesog Sam te)
ye hy
Medicaid Senior UICUsers Medicaid Senior LIC Spending
to Millon er2Bilion
Changes to Medicaid Financing Could Limit Access to Nursing Home Care for Seniors
44 states that extend Capping Medicaid fnancing couldlackin diferences inthe share
inantal akgibiiy upea ‘of long.term care spending devoted to nusing homes, hich Medicaid sa key payer for
varies significantly across states as of FY 2015. nursing home care.
300% SSI" for people who
need long-term care beyond
+ Reductions in federal Medicaid
financing as proposed by the
the federal minimum of ssi | ‘American Heath Care Act could
could be at riskif states scale || 305 (11 08) limi states’ ability to respond
back this optional coverage. \ Hiaowsemiiosie, | to theseneeds
+ Lower reimbursement rates can
incuting OC)
eadto reductionsin staffing,
1551 =173% ofthe Federal Poverty 025-496 (15 tates) s
Level 0) in 2087 : (582) hich can result inlower
> Bie sosesttes) nursing home care quality and
| poor caro outcomos,
Sources for this document are avalableat:htp/kttorg/infagraphic/medicads-ele-in-qutsing home-care.
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