This document was released in September, 2015 by U.S. Department of Health and Human Services, Office of Inspector General (OIG). The OIG analyzed skilled nursing facility (SNF) billing trends for Medicare therapy services from 2005 through 2013. The OIG reviewed several data sources, including Medicare Part A SNF claims, Medicare cost reports, and beneficiary assessments. They used Medicare cost reports to compare Medicare payments to SNFs' costs for therapy over a 10-year period, and used claims to determine the extent to which SNF billing and beneficiary characteristics changed from fiscal years (FYs) 2011 to 2013. The OIG sought . . .

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Disability Support & Long Term Care Services

Disability and long-term care refers to institutional and community-based care that support individuals with activities of daily living and services related to age or disability. Over the past decade, there has been an increase in the changes and challenges affecting the disability support and long-term care market markets—the move to managed care and subsequently value-based care, the shift to home- and community-based care, the increase in the aging population, and new workforce challenges.


Approximately 44.68 million U.S. civilians of all ages living in the community reported one or more disabilities in 2023, representing 13.5% of the noninstitutionalized population. Among adults aged 18 and older, the rate rises to approximately 16%. The analysis is based on data from the U.S. Census Bureau’s 2023 American Community Survey (ACS), which reaches approximately 4.7 million people annually with a response rate of about 85%. The most commonly reported disability type was ambulatory… Read