United States Government Publishing Office publisher pbl distributor dst United States Government Accountability Office Health, Education, and Human Services Division author aut Government Organization text government publication eng GAOREPORTS Legislative Agency Publications gao legislative 2010-08-12 U.S. Government Printing Office 1995-04-13 monographic deposited born digital 39 p. GA 1.13:HEHS-95-109 https://www.govinfo.gov/app/details/GAOREPORTS-HEHS-95-109 P0b002ee180371971 f:he95109 DGPO 2010-08-12 2011-03-24 GAOREPORTS-HEHS-95-109 machine generated eng fdlp REPORT GAOREPORTS-HEHS-95-109 HEHS-95-109 Long-term care Elderly persons Handicapped persons Health insurance Home health care services Health care cost control Nursing homes Community health services Medicaid Program Medicare Program Social Services Block Grant United Kingdom Canada Sweden Germany Letter Report HEHS 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.<p/>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. https://www.govinfo.gov/content/pkg/GAOREPORTS-HEHS-95-109/html/GAOREPORTS-HEHS-95-109.htm https://www.govinfo.gov/content/pkg/GAOREPORTS-HEHS-95-109/pdf/GAOREPORTS-HEHS-95-109.pdf GAO/HEHS-95-109 https://www.govinfo.gov/app/details/GAOREPORTS-HEHS-95-109 Letter Report GAO/HEHS-95-109; Long-term Care: Current Issues and Future Directions; Long-term care Elderly persons Handicapped persons Health insurance Home health care services Health care cost control Nursing homes Community health services Medicaid Program Medicare Program Social Services Block Grant United Kingdom Canada Sweden Germany Public Law 97-35