The statistical overview of LTC
LeadingAge, formerly AAHSA, has updated its annual compilation of facts, “Statistical Overview of Long-Term Services and Supports,” which offers a current and thorough summary of research on the entire field as of February 2011. Let me begin by noting the report states that 43% of Americans, upon turning age 65, can expect not to spend any money for long-term care, while more than $100,000 can be the expected cost for 16% of this demographic. Here are some other highlights:
· By 2030, it is estimated that more than 3 million people will live in nursing homes and nearly half of American adults will expire there. (Huskamp H, Meier D, Lim B, Carlson M. Raising the standard: Palliative care in the nursing home. Health Affairs 2010;1(29):137)
· Only 1.6% of nursing home residents were entirely ADL independent. On the other hand, 51% were assisted in all five ADLs (bathing, dressing, toileting, transferring, and eating.). (CDC National Nursing Home Survey: 2004 Overview, pg. 4)
· Only Alaska and Wyoming do not have CCRCs. (Ziegler National CCRC Listing and Profile 2009. Ziegler Capital Markets, pps. 79, 101)
· The major categories of nonprofits CCRCS (based on common goals or missions) fit into one of the following categories: faith-based, military, fraternal, ethnic, community, or none. (Ziegler National CCRC Listing and Profile 2009. Ziegler Capital Markets, p. 84)
· A recent study estimated that there are approximately 38,000 AL facilities compared with nursing homes’ 16,100 facilities. (Stevenson D, Grabowski D. Sizing up the market for assisted living. Health Affairs 2010;29:36)
· In areas with the most AL facilities, the median home value is 40% higher than those counties with no AL facilities. (Stevenson D, Grabowski D. Sizing up the market for assisted living. Health Affairs 2010;1(29):41)
· The average monthly cost of AL residency is $3,131 per month ($37,572 annually). (The 2009 MetLife Market Survey of Nursing Home, Assisted Living, Adult Day Services, and Home Care Costs, p. 4)
Home- and Community-Based Services (HCBS) Trends
· In 2007, an increase of 95%, or $41.8 billion on HCBS spending was noted over 1999 levels. (Ng T, Harrington C, Kitchener, M. Health Affairs 2010;1(29):24)
· It was found that although most Medicaid LTC dollars continue to go for institutional long-term care, the national percentage of Medicaid HCBS spending has more than doubled (19% in 1995; 42% in 2008). (Medicaid Home- and Community-Based Service Programs: Data Update. The Henry J. Kaiser Family Foundations, February 2011, p. 2)
I hope these facts are of interest to you. HCBS seems to be growing in favorability as an alternative to LTC institutional care. Is your organization interested in adding HCBS to its roster of services?
Sandra Hoban was on I Advance Senior Care / Long-Term Living’s editorial staff for 17 years. She is one of the country’s longest-serving senior care journalists. Before joining Long-Term Living, she was a member of the promotions department at Advanstar Communications. In addition to her editorial experience, Sandi has served past roles in print and broadcast advertising as a traffic and talent coordinator.