KFF Issue Brief: 5 Key Facts About Nursing Facilities and Medicaid

2025 KFF Health 5 Key Facts About Nursing Facilities and Medicaid

KFF has published an issue brief, "5 Key Facts About Nursing Facilities and Medicaid," that provides detailed information on how Medicaid programs support nursing facilities and the people living in them.

The authors - Priya Chidambaram, Alice Burns, Tricia Neuman and Robin Rudowitz - discuss proposed Medicaid cuts and note that "the substantial Medicaid savings in the reconciliation bill that has been passed by the House could have major implications for nearly 15,000 federally certified nursing facilities and the 1.2 million people living in them."

The brief details repercussions of proposed legislation and lays out 5 key facts about Medicaid:

  1. Medicaid is the primary payer for over 6 in 10 residents in nursing facilities.
  2. Medicaid paid for 44% of the $147 billion that the US spent on institutional long-term care in 2023.
  3. Medicaid enrollees who use institutional long-term care are more likely to be 65+, White, and enrolled in Medicare when compared to those using home care.
  4. Medicaid financing for nursing facilities is complex.
  5. Substantial cuts to Medicaid could undermine efforts to increase nursing facility staffing levels.

Read the issue brief.
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