Overview of Nursing Facility Capacity, Financing, and Ownership in the United States in 2011

Kaiser Commission on Medicaid and the Uninsured. (2013, June). Overview of Nursing Facility Capacity, Financing, and Ownership in the United States in 2011. Washington, D.C.: Author.

Abstract

Nursing facilities are a major provider of long-term care services in the United States. These facilities provide medical, skilled nursing, and rehabilitative services on an inpatient basis to individuals who need assistance performing activities of daily living, such as bathing and dressing. Nursing facilities are one part of the long-term care delivery system that also includes home and community based services, but their relatively high cost has led them to be the focus of much attention from policymakers. Nationally, spending on nursing facilities across all payers totaled $143 billion in 2010. The majority of this spending was financed by Medicaid, as most families cannot afford the high cost out-of-pocket and Medicare benefits for these services are very limited.

This brief examines data from the Online Survey, Certification, and Reporting (OSCAR) system, a database that contains detailed information on Medicaid and Medicare certified nursing facilities. It builds on previous analysis of the OSCAR system,4 and looks at the most current year of data, 2011, as well as trends going back to 2006. The brief discusses how data on nursing facilities are collected and examines a variety of facility characteristics such as facility ownership and number of beds for all 50 states, DC, and the U.S. For additional information on the OSCAR system and methods underlying this analysis, see Appendix 1 (abstract from: http://kff.org/medicaid/fact-sheet/overview-of-nursing-facility-capacity-financing-and-ownership-in-the-united-states-in-2011/).

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