Governing Magazine/February 2004

THE GOVERNMENT PERFORMANCE PROJECT
A Case of Neglect

THE SHIFT TOWARD HOME

Percentage of total medicaid spending on long-term care by type of
service, 1990 vs. 2002

1990                      2002
       INSTITUTIONAL
60.9%  Nursing homes      56.6%
25.8%  ICFs-MR*           13.2%
       NON-INSTITUTIONAL
6.3%   Personal care       6.8%
4.2%   HCBS waiver        20.0%
2.8%   Home health         3.4%

* Intermediate care facilities for mentally retarded

Source: MEDSTAT Group Inc. from Centers for Medicare and Medicaid
Services data

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