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P I A M
860 Winter Street
Waltham, MA 02451-1414
toll free 800-522-7426
tel 781-434-7525
fax 781-434-6929
         

 

 

 Long Term Care Facts

Startling facts about long term care:

• One national study projects that two out of every five people over age 65 will spend time in a nursing home.
• Nationally, the average cost of nursing home care is more than $50,000 per year.
• Medicare only covers about 12% of nursing home costs, and only 11% of home health care costs.
• Medicaid pays for nursing home care only after you have spent down your savings and other assets to required levels.
• Neither Medicare nor Medicaid pay for assisted living facilities.
• Most long term care costs are not paid by Medicare or Medicaid, but from your own savings and income.

In Massachusetts:

• There are 535 nursing facilities, with an average of 103 beds per facility.
• There are 51,000 nursing facility residents and 55,000 employees providing their care.
• On average, nursing home residents receive 3.7 hours of nursing care per day.
• During the past four years, nursing facilities have lost more than $143 million.
• The losses cut across all types of nursing facilities, including proprietary, family-operated, not-for-profit, governmental, freestanding and hospital-based.
• 47 nursing facilities (over 3,300 beds) have closed in the past two years.
• Medicaid pays between $10 and $15 less per day than it costs to care for the average nursing home resident.
• Less than one in four nursing facilities receives Medicaid rates sufficient to cover the cost of caring for residents.

Sources
Health Care Financing Administration, 1998
Katherine R. Levit et al., "National Health Expenditures 1996," Health Care Financing Review
Health Care Financing Administration, 1998
Harley Gordon, How to Protect Your Life Savings from Catastrophic Illness, 4th ed., 1997
Health Care Financing Administration, Office of the Actuary, 1997
Massachusetts Extended Care Federation

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