Home Health Care News September 10, 2025
The demand for long-term services and supports (LTSS), which include home-based care, is rising. The payment for these services is also changing, in part due to decreases in the proportion of Medicare and other public funding.
Instead, Medicaid increasingly pays for LTSS, according to a report from the Congressional Research Service. The share of Medicaid LTSS spending increased from 42.1% to 45.6% in the last decade.
Private payment sources have slightly increased their share of payments for LTSS. In 2023, private sources accounted for 30.5% of LTSS spending, a slight increase from 29.6% in 2022.
“Out-of-pocket spending remained the largest component (14.4%), followed by private insurance, which includes both health and long-term care insurance (8.7%), and other private...
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