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…

Overlooked and Undercounted: The Growing Impact of COVID-19 on Assisted Living Facilities

Sep 1, 2020

Issue Brief

This analysis examines the impact of COVID-19 on assisted living facilities, including changes in cases and deaths between June and August 2020, using state-reported data on COVID-19. The analysis finds a significant increase in COVID-19 cases and deaths among residents and staff in assisted living facilities over this two-month period. Due to the incomplete nature of state reporting, these numbers are an undercount.

Payment Rates for Medicaid Home- and Community-Based Services: States’ Responses to Workforce Challenges

Oct 24, 2023

Issue Brief

In response to long-standing workforce challenges in home- and community-based services, states have reported increasing Medicaid payment rates, providing more education and training or leveraging other strategies to recruit and retain workers.

In 45 States, Fewer Than Half of Nursing Facilities Have Enough Staff to Meet New Federal Requirements

May 21, 2024

News Release

In 45 states, fewer than half of nursing facilities currently meet all three staffing minimums required in the final federal rule that the Centers for Medicare and Medicaid Services (CMS) released in April, and in 28 states, less than a quarter do, according to a new KFF analysis. The share of facilities that meet these requirements ranges from 5% or lower in four states (AR, TN, TX and LA) to 50% or higher in five…

Medicaid Eligibility Levels for Older Adults and People with Disabilities (Non-MAGI) in 2025

Apr 7, 2025

Issue Brief

KFF’s Survey of Medicaid Financial Eligibility for Older Adults & People with Disabilities, conducted in March 2025 by KFF and Watts Health Policy Consulting, provides a baseline of Medicaid eligibility as states return to normal operations after the end of the COVID-19 pandemic and ahead of potential changes to the Medicaid program.

Medicaid and Upcoming State Budget Debates

Jan 23, 2026

Issue Brief

This brief describes current state fiscal conditions as states begin fiscal year 2027 budget debates and highlights key areas to watch for Medicaid policy changes as states respond to fiscal challenges and the 2025 reconciliation law.

State Medicaid Programs Respond to Meet COVID-19 Challenges: Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2020 and 2021

Oct 14, 2020

Report

This report provides an in-depth examination of the changes taking place in Medicaid programs across the country. The findings are drawn from the 20th annual budget survey of Medicaid officials in all 50 states and the District of Columbia conducted by KFF and Health Management Associates (HMA), in collaboration with the National Association of Medicaid Directors (NAMD). This report focuses on Medicaid policy changes planned for FY 2021, particularly those related to the COVID-19 pandemic.

Medicaid Benefits: Services in Institutions for Mental Disease, Age 65 and Older

Jan 18, 2019

State Health Facts Indicator

Rebalancing in Capitated Medicaid Managed Long-Term Services and Supports Programs: Key Issues from a Roundtable Discussion on Measuring Performance

Feb 2, 2015

Issue Brief

This issue brief summarizes the key issues related to measuring performance in LTSS rebalancing identified and discussed by participants in an expert roundtable meeting on November 13, 2014.

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.

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