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Medicaid Monitor
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Managed Care·June 29, 2026

CHCS Report Examines Long-Term Care Financing and Family Cost Burden

The Center for Health Care Strategies published a report analyzing long-term care financing in the United States, examining payment sources and financial strain on older adults and families. The report addresses who pays for long-term care services and why the current system creates significant cost burdens. Medicaid is the largest payer of long-term care services nationally, covering approximately 60% of nursing home residents and funding home and community-based services for individuals who meet financial and functional eligibility requirements. The analysis is relevant for managed care organizations operating long-term services and supports (LTSS) programs under Medicaid managed care contracts.

Why it matters for managed care

Medicaid MCOs with LTSS contracts bear financial risk for long-term care utilization and must understand financing dynamics to manage member transitions, cost trends, and coordination between paid services and family caregiving.

LTSS · Long-Term Care · Managed Care

Read the full article at chcs.org

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