The independent source for health policy research, polling, and news.
KFF’s policy research provides facts and analysis on a wide range of policy issues and public programs.
KFF designs, conducts and analyzes original public opinion and survey research on Americans’ attitudes, knowledge, and experiences with the health care system to help amplify the public’s voice in major national debates.
KFF Health News is a national newsroom that produces in-depth journalism about health issues and is one of the organization’s core operating programs.
Millions of Americans Experience Cognitive, Ambulatory, Self-Care, andor Independent Living Difficulties, 2012 Download Source U.S. Census Bureau, 2012 American Community Survey 1-Year Estimates, available at: http://factfinder2.census.gov/faces/tableservices/jsf/pages/productview.
Medicaid Spending by Long-Term Services and Supports (LTSS) Users, FY 2010 Download Source KCMU and Urban Institute estimates based on FY 2010 Medicaid Statistical Information System (MSIS) and Centers for Medicare & Medicaid Services (CMS)-64 data.
Medicaid Long-Term Services and Supports (LTSS) Users Accounted for Nearly Half of Medicaid Spending, FY 2010 Download Source KCMU and Urban Institute estimates based on data from FY 2010 Medicaid Statistical Information System (MSIS) and Centers for Medicare & Medicaid Services (CMS)-64 reports.
Medicaid is the Primary Payer for Long-Term Services and Supports (LTSS), FY 2011 Download Source KCMU estimates based on FY 2011 Centers for Medicare & Medicaid Services (CMS) National Health Expenditure Accounts data.
Medicaid Acute and Long-Term Services and Supports Spending Per Enrollee, by Beneficiary Population, FY 2010 Download Source KCMU and Urban Institute estimates based on data from FY 2010 Medicaid Statistical Information System (MSIS) and Centers for Medicare & Medicaid Services (CMS)-64 reports.
Long-Term Care Costs Can Exceed Seniors’ Income Download Source MetLife Mature Market Institute. The 2012 MetLife Market Survey of Nursing Home, Assisted Living, Adult Day Services, and Home Care Costs, November 2012, available at: https://www.metlife.com/mmi/research/2012-market-survey-long-term-care-costs.html#keyfindings; U.S. Census Bureau, Current Population Survey, 2012 Annual Social and Economic Supplement, Table POV01.
Growth in Medicaid Long-Term Services and Supports Expenditures, FY 2002 – FY 2011 Download Source KCMU and Urban Institute analysis of Centers for Medicare & Medicaid Services (CMS)-64 data.
Distribution of Medicaid Home and Community-Based Services Expenditures as a Share of Total Medicaid Long-Term Services and Supports Spending, FY 2011 Download Source Urban Institute estimates based on FY 2011 Centers for Medicare & Medicaid Services (CMS)-64 data.
Distribution of Medicaid Beneficiaries Who Use Long-Term Services and Supports, by Dual Eligibility Status, FY 2010 Download Source KCMU and Urban Institute estimates based on FY 2010 Medicaid Statistical Information System (MSIS) and Centers for Medicare & Medicaid Services (CMS)-64 data.
This brief summarizes the key issues identified and discussed by participants in Kaiser Family Foundation’s Commission on Medicaid and the Uninsured's July 16, 2013 roundtable meeting on state adoption of the new and expanded Affordable Care Act home and community-based services (HCBS) options. While states have made overall progress in rebalancing their long-term care systems in favor of community-based care, state adoption of ACA HCBS options has been relatively slow to date, despite the growing demand for HCBS among beneficiaries and the enhanced federal funding associated with several of these options.
© 2026 KFF