Long-Term Care:

Current Issues and Future Directions

HEHS-95-109: Published: Apr 13, 1995. Publicly Released: May 11, 1995.

Additional Materials:


Office of Public Affairs
(202) 512-4800

Pursuant to a congressional request, GAO provided information on long-term care, focusing on: (1) the conditions that give rise to long-term care; (2) which groups require long-term care; (3) long-term care costs and strategies to contain them; and (4) its future demand.

GAO found that: (1) long-term care is designed to help people with chronic conditions compensate for limitations in their ability to function independently; (2) the need for long-term care is not determined on the basis of a diagnosis or illness alone; (3) of the over 12 million Americans requiring long-term care, 60 percent were elderly; (4) people in need of long-term care primarily require nonmedical assistance with daily living activities; (5) 70 percent of the $108 billion that was spent on long-term care in 1993 paid for institutional care; (6) Medicaid and Medicare are the two largest government payers of long-term care; (7) families pay over one-third of long-term care costs and can purchase private long-term care insurance to help with the financial burden, but they also suffer nonmonetary burdens in caring for relatives; (8) states and other countries have been working on new ways to control long-term care costs, including service delivery models that emphasize home and community-based care, capping budget and provider fees, consolidating program administration, and using case management more often; and (9) the number of people needing long-term care is expected to increase, although the extent of future long-term care needs is uncertain.

Jun 26, 2020

Jun 25, 2020

Jun 18, 2020

Jun 12, 2020

Jun 5, 2020

Jun 4, 2020

Jun 2, 2020

Jun 1, 2020

May 21, 2020

May 20, 2020

Looking for more? Browse all our products here