As the study notes, for those who lack sufficient personal resources to pay out of pocket, Medicaid is the primary payer for LTSS
costs, while Medicaid is expected to cover about 34% of average lifetime LTSS
costs of people turning 65 today.
Medicaid Expenditures for Long-Term Services and Supports (LTSS
) in FY 2014: Managed LTSS
Reached 15 Percent of LTSS
A recently expanded health-related quality of life (HRQoL) conceptual model for LTSS
addresses the quality gap by providing a framework to measure multiple dimensions of quality that capture outcomes that are important to older adults (Zubritsky et al.
using Medicaid as the vehicle for funding LTSS
, places unreasonable
Both states have a highly competitive market for LTSS
with the number of certified beds in California totaling 113,527 across 1,189 NHs and Florida having 80,503 certified beds in 671 NHs (Harrington et al.
The number of elderly Americans aged 80 and over is expected to more than double in the next 40 years, so the number of people using LTSS
will grow considerably in the coming decades, reaching 27 million in 2050.
LeadingAge's Pathways project outlines seven potential ways to pay for LTSS
Some of these indicators may include demographic characteristics, number of comorbid conditions, levels of disability, informal caregiver characteristics, and utilization of LTSS
The commission did not agree on a financing solution, but did offer two ways to restructure LTSS
53) However, providing LTSS
through Medicaid managed care is becoming an increasingly popular model.
Members of the council's subgroup on long-term services and supports (LTSS
) recommended that new guidelines for diagnosis be used whenever someone is admitted for LTSS
or assessed for eligibility The process of diagnosis also should include engaging the patient and family in advance care planning.
Members of the LTSS
subgroup noted that the importance of caregivers and family to Alzheimer's patients warrants the inclusion of services to maintain their health and vitality.