In this report released in January 2015, the federal Office of the Inspector General (OIG) for the Department of Health and Human Services analyzed all Medicare hospice claims from 2007 through 2012. The goal was to identify changes in utilization by service setting. Care may be provided in various settings, including a private home or other places of residence, such as an assisted living facility (ALF). The OIG found that Medicare payments for hospice care in ALFs more than doubled in five years, totaling $2.1 billion in 2012. Hospices provided care much longer and received much higher Medicare payments . . .

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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