Join us and U.S. Surgeon General Vivek H. Murthy, M.D. at 1 p.m. Thursday for a live coronavirus town hall. Find out more.
AARP Public Policy Institute
by Jean Accius, Brendan Flinn, April 27, 2016
Full Report (PDF)
Approximately 17.4 million children and adults with disabilities and older adults rely on Medicaid for health care and assistance with long-term services and supports (LTSS). Of these 17.4 million Medicaid enrollees, approximately 5 million receive LTSS through Medicaid.
LTSS include assistance with daily tasks such as eating, bathing, dressing, transportation, and managing medications and finances. LTSS can be delivered in institutional settings (such as nursing facilities) or through home and community-based services (HCBS). However, an overwhelming majority of people would prefer to live in tBheir homes and communities for as long as possible. Related to those preferences, they want to maintain their independence and have control over their own decisions.
The Medicaid program is the largest payer for LTSS, covering 51 percent of national LTSS expenses in 2013. Over the past 30 years, Medicaid LTSS dollars have increasingly gone toward HCBS, allowing more people to stay in their homes and integrated within their communities. However, the pace has not been fast enough, particularly in light of the increase in the aging population. Importantly, HCBS are not only the preference of most people, they are cost-effective. HCBS are typically less expensive than nursing facility care, so increasing investments in and access to HCBS could allow the Medicaid program to serve more people without increasing costs.
Find the public policy institute content you are looking for by entering in search terms below.
Sign up for alerts on the latest research, events and videos on policy issues.
A State Scorecard on Long-Term Services and Supports for Older Adults, People with Physical Disabilities, and Family Caregivers
By 2030, one out of every five people in the United State will be 65-plus. Will your community be ready?
You are leaving AARP.org and going to the website of our trusted provider. The provider’s terms, conditions and policies apply. Please return to AARP.org to learn more about other benefits.
Your email address is now confirmed.
You'll start receiving the latest news, benefits, events, and programs related to AARP's mission to empower people to choose how they live as they age.
You can also manage your communication preferences by updating your account at anytime. You will be asked to register or log in.
In the next 24 hours, you will receive an email to confirm your subscription to receive emails
related to AARP volunteering. Once you confirm that subscription, you will regularly
receive communications related to AARP volunteering. In the meantime, please feel free
to search for ways to make a difference in your community at