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The statistical overview of LTC

February 25, 2011
by Sandra Hoban, Executive Editor
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This blog was updated on February 28 at 8:20 EST with citations.

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:

Nursing Homes

 

· 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)

CCRCs

 

· 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)

 

Assisted Living

 

· 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)

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Sandra Hoban

Managing Editor

Sandra Hoban

@SandiHoban

www.ltlmagazine.com

Sandra Hoban has been on Long-Term Living’s editorial staff for 17 years. She is one of...