Long-Term Care - Research and Data from KFF

More than 10,000 People in Long-Term Care Facilities Have Died Due to COVID-19

Apr 23, 2020

News Release

More than 10,000 residents and staff in long-term care facilities across the U.S. have died from COVID-19 infections, according to a KFF analysis of state data. That number is an undercount since not all states are currently reporting such data. Among those reporting data, the largest death tolls as of April 23 were in several Northeastern states, including New York (3,505 deaths), New Jersey (2,050), Massachusetts (1,205) and Pennsylvania (845). The data also show that…

Limits and Opportunities of Federal Reporting on COVID-19 in Nursing Facilities

Jun 15, 2020

Issue Brief

In response to the widespread concerns about the high numbers of coronavirus cases and deaths in long-term care (LTC) facilities, CMS recently implemented new COVID-19 data reporting requirements for all federally certified nursing facilities. The newly-released federal data builds on state-reported data that has been included in many, but not all, states’ regular coronavirus reporting for several weeks. However, preliminary analysis indicates that the federal data will not reveal the full extent of the crisis…

Long-Term Care Facility Costs Are the Largest Share of Annual Out-of-Pocket Spending by Medicare Beneficiaries

Jan 17, 2020

Feature

Long term care facility costs are the largest share of annual out of pocket spending by Medicare beneficiaries — representing 32% of their spending on services annually.

Streamlining Medicaid Home and Community-Based Services: Key Policy Questions

Mar 11, 2016

Issue Brief

This issue brief draws on features of the various existing Medicaid home and community-based services (HCBS) programs to identify key policy questions raised by initiatives to streamline Medicaid HCBS, ameliorate institutional bias, and improve administrative simplification.

Key Issues in Long-Term Services and Supports Quality

Oct 27, 2017

Issue Brief

This issue brief discusses four key issues related to long-term services and supports (LTSS) including institutional and home and community-based services (HCBS) quality, highlighting major legislative and policy changes over the last 30 years since the passage of the Nursing Home Reform Act.

Medicaid Retroactive Coverage Waivers: Implications for Beneficiaries, Providers, and States

Nov 10, 2017

Issue Brief

This issue brief answers key questions about Medicaid retroactive coverage, describes Iowa’s recent Section 1115 waiver amendment, considers the policy implications of retroactive coverage waivers, and identifies issues to watch.

Waiting for Care: Three-Fourths of States Have Waiting Lists for Some Medicaid Home Care Programs

Nov 29, 2023

News Release

In a new analysis of survey data from state Medicaid home care programs, KFF found that in most years since 2016, there have been nearly 700,000 people on waiting or interest lists for expanded home and community-based services (HCBS), with a total of 692,000 across 38 states in 2023 and waiting lists averaging three years. People with intellectual or developmental disabilities make up almost three-quarters of waiting lists, with seniors and adults with physical disabilities…

Medicaid: What to Watch in 2024

Jan 30, 2024

Issue Brief

As the start of 2024, many issues are at play that will affect Medicaid coverage, financing, and access. This issue brief provides context for these Medicaid issues and highlights key issues to watch in the year ahead.

The Vast Majority of Nursing Facilities Will Need to Hire More Staff to Comply with the Final Federal Rule When Fully Implemented, Unless They Qualify for an Exemption

Apr 22, 2024

News Release

Based on a new KFF analysis, fewer than 1 in 5 (19%) nursing facilities currently meet the minimum staffing standards set out in the final requirements of the federal rule released today by the Centers for Medicare and Medicaid Services (CMS). CMS adopted staffing standards that are similar to the staffing requirements in the rule proposed last year, which included minimum staff levels of 0.55 registered nurses and 2.45 nurse aide hours per resident day.…

Despite Efforts to Slow the Spread of the Virus in Long-Term Care Facilities, KFF Analysis Finds Many States Experienced the Worst COVID-19 Outbreaks and Highest Number of Deaths in December

Jan 14, 2021

News Release

For some regions of the country, recent months have brought the worst COVID-19 outbreaks in long-term care facilities since the start of the pandemic, a new KFF analysis of state-reported cases and death shows, underscoring the importance of current efforts to vaccinate this high priority group. The novel coronavirus has had a disproportionate impact on older adults in general and nursing home and other long-term care facility residents and staff in particular. Six percent of…

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