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August 2004
 Long Term Care Systems Toward Quality Community Living and Healthy Aging
Home and community-based services, such as personal care, home health, adult day care, adult foster homes and assisted living facilities, are a growing component of long term care services. Nationally, in 2002, Medicaid home and community-based services for persons of all ages constituted 30 percent of total Medicaid long term care expenditures, with 70 percent of expenditures going to institutional care. In 2011, baby-boomers will begin turning 65, and by 2030, one in five people will be age 65 or older. As the population ages and the number of persons aged 85 and older increases, demand for long term care services, and especially home and community based services, will grow substantially.
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