Title: State LTC Profiles Report,
Author(s)/Publisher/Date: Ladd, Richard, C.,
Kane, R. L., & Kane, R. A. (1999).
audiences: This report, an
extension of the “1992 State LTC Profiles Report,” (November, 1995)
updates previous data to 1996 and provides profiles showing state
rankings and data regarding the need for long-term care and
utilization patterns across States. The main focus of the analysis
is on how States are progressing in the provision of home and
community based services.
The data presented is useful to state administrators, policy
makers, agency administrators, and program planners.
Summary: Using quantitative data
available from published sources or specifically provided by each
state, this report is designed to provide a relative measure of how
each state is progressing toward a balanced LTC system as compared to
one another and the national average. The premise for states is to
spend less dollars on nursing facility care and more on HCBS
Results: Ten states (i.e.,
Oregon, California, Idaho, Nevada, Texas, Michigan, Virginia,
Kentucky, Washington, and Illinois) are highly committed to HCBS and
control over the growth of nursing homes as reflected in control of
nursing home utilization and expenditures and commitment to HCBS
utilization and expenditures.
In the 1992 report, only two states, Oregon and New York, met
these criteria. Twelve
additional states have made substantial progress in these areas
including Arizona, Florida, Arkansas, Missouri, Maine, South Carolina,
Alaska, North Carolina, West Virginia, New Mexico, Oklahoma, and
Utah. In the 1992 report,
eight states met similar criteria (i.e., California, Washington,
Texas, Delaware, Idaho, Arizona, Arkansas, and North Carolina).
These overall summary statistics, however, do
not reflect what happens after controlling for potential demand for
public long-term care.
Twelve states are ranked high or very high in both their
commitment to HCBS utilization and control of nursing home utilization
and include Idaho, Kentucky, Maine, Alaska, California, Michigan,
Nevada, New Mexico, New York, Oregon, Texas, and Washington. Of these, only 4 have a very
high/ high potential demand for public LTC including Kentucky, New
Mexico, New York, and Texas.
In terms of commitment to HCBS expenditures and control over
nursing home expenditures, 13 states ranked high/ very high including
Idaho, Kansas, Mississippi, Oklahoma, West Virginia, Wyoming,
California, Illinois, Michigan, Nevada, Oregon, Texas, and
Virginia. Of these, only
5 had high/ very high potential demand for LTC including Mississippi,
Missouri, Oklahoma, Texas, and West Virginia. A total of 15 states (i.e.,
Kentucky, New York, Texas, Arkansas, North Carolina, Alaska,
California, Idaho, Maine, Michigan, Nevada, Oregon, Washington,
Colorado, Illinois) were highly committed to HCBS utilization and HCBS
expenditures and of these only 3 are ranked high/ very high in demand
for public LTC (Kentucky, North Carolina, and
The data indicate that 22 states have made
outstanding or substantial progress in balancing LTC systems when
compared to the national averages. In 1992, only 10 states met
these criteria. Overall,
this report and the numbers generated suggest that more states are
making considerable progress in balancing their LTC systems in 1996 as
compared to 1992.