The LTSS Shift – Finding The Opportunities

Last week, we reported on spending on long-term services and supports (LTSS) – $282.9 billion or about 9.3% of the $2.4 trillion in national health expenditures in 2013. Some big numbers – with Medicaid footing 58% of the bill (see Who Is Responsible For Paying For LTSS?). What that total number doesn’t tell us is where the LTSS dollars are spent. Those spending patterns are in the midst of a big shift – one that has definite “winners” and “losers” in terms of services.

First, what are the LTSS services? LTSS is a broad category of medical and . . .