The Future of Medicaid Long-Term Care Services in Pennsylvania: A Wake-up Call

摘要

This policy paper establishes the urgent need to reshape how Pennsylvania provides long-term care for older residents through Medicaid. It explains how demographics, demand, cost shifting to the public sector, and management issues are combining to place rapidly growing financial strains on Medicaid’s ability to fund long-term care. After providing general background on the Medicaid program, the paper discusses in detail each of the major factors contributing to this impending fiscal crisis.