Clearing The LTSS Landscape

Total long-term services and supports (LTSS) spending was $563.7 billion, or 13.7% of the $4.1 trillion spent on personal health care in 2023—see Who Pays For Long-Term Services And Supports?. Public payers accounted for most of it at 69.4%—though that share has shrunk from 70.4% in 2022.

Medicaid was the single largest payer at 45.6% ($257 billion), up from 42.1% in 2014, with LTSS consuming 33.2% of Medicaid personal health spending. Total Medicare spending on LTSS included skilled nursing facilities (SNFs) at 8.5% ($48 billion) and home . . .