The AARP Public Policy Institute published a report on August 27, 2018 entitled Across the States 2018: Profiles of Long-Term Services and Supports, which is the 10th edition of the AARP Public Policy Institute’s report on state long-term services and supports (“LTSS”). The purpose of the Report is to provide comparable state data, rankings, and national averages on:
• Age demographics and projections;
• Living arrangements, income, and poverty;
• Disability rates;
• Costs of care;
• Private long-term care insurance;
• Medicaid long-term services and supports (LTSS);
• Family caregivers;
• Home- and community-based services (HCBS); and
• Nursing facilities
Some of the findings contained in the Report are:
About 1.3 million Americans lived in nursing facilities on a typical day in 2016, occupying 81 percent of a total of 1.7 million beds. The number of nursing facility residents declined 4 percent from 2011 to 2016. States with the most significant reductions were Wisconsin (–15 percent), Tennessee (–14 percent), Georgia (–13 percent), Minnesota (–12 percent), and Connecticut (–10 percent).
A quarter of residents (25 percent) pay for nursing facility care out of their own pockets or through private long term care insurance. Only 14 percent of current residents have Medicare as their primary payer, which covers only post-acute care for a limited duration after a hospitalization.
Nursing facility residents received about 4 hours of nursing care per day in 2016. The bulk of this time (2.42 hours per day) was from certified nursing assistants, 0.79 hour was from registered nurses, and 0.82 hour was from licensed practical nurses. At the state level, measures of nursing facility quality correlated with registered nurse hours per resident day (correlation coefficient R = 0.40 to 0.61) but were only slightly correlated with total direct care hours per resident day (R = 0.19 to 0.32). Higher staffing levels were associated with better quality outcomes.
In 2017, the median annual cost of a nursing facility was $97,455 for a private room and $87,600 for a shared room. The base price for assisted living was $45,000. The median cost for a home health aide to provide care at home was $22 per hour for 30 hours a week, for an annual price of $33,540. Adult day services cost $70 per day; for an individual utilizing adult day services 5 days a week, the annual cost was $18,200.
The cost of Medicaid long-term services and supports (“LTSS”) is not within reach of most families across all the states. The annual median cost for nursing facilities is more than double the median income of older households, $42,113. This high cost of care can all too often cause people to exhaust their savings and rely on Medicaid, the largest public payer for LTSS.
Although the cost of care varies greatly across the states, LTSS — especially nursing facility care — is unaffordable for most middle-income families. For the cost of one year of nursing facility care, a person could pay for three years of home care or five years of adult day services.
Although Medicaid is the largest public payer for LTSS, unpaid family caregivers are the largest source of this care. In 2013, about 40 million family caregivers provided 37 billion hours of care at an average value of $12.51 per hour. This estimated economic value of family caregivers’ unpaid care exceeded Medicaid spending on this care in every state.
A four-page, user-friendly, print-ready document that provides each state’s data and rankings and can be found by clicking here.
If you or a loved one suffered injuries (or worse) while a resident of a nursing home in the United States due to nursing home neglect, nursing home negligence, nursing home abuse, a nursing home fall, or the nursing home failing to properly care for a vulnerable adult, you should promptly find a nursing home claim lawyer in your state who may investigate your nursing home claim for you and file a nursing home case on your behalf or behalf of your loved one, if appropriate.
Click here to visit our website to be connected with medical malpractice attorneys (nursing home claim attorneys) in your U.S. state who may assist you with your nursing home claim, or call us toll-free in the United States at 800-295-3959.
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