Which are the largest government programs paying for long-term care services in the US?

Asked by: Dr. Jordi Gleason  |  Last update: January 26, 2026
Score: 4.1/5 (40 votes)

The most common source of assistance is Medicaid, which offers several state-based programs to people who are eligible based on income or disability. These programs include home- and community-based services, adult foster care, and Medicaid personal care services. Contact your state Medicaid agency to learn more.

What program is the largest payer of long-term care benefits in the US?

Medicaid is the primary payer across the nation for long-term care services. Medicaid allows for the coverage of these services through several vehicles and over a continuum of settings, ranging from institutional care to community-based long-term services and supports (LTSS).

Who pays the largest share of LTC expenses in the US?

Public sources paid for the majority of LTSS spending (71.4%). Medicaid and Medicare are, respectively, the first- and second-largest public payers, accounting for a combined 64.1% of all LTSS spending nationwide in 2021.

What is the largest source of payment for long-term care?

Medicaid: Does pay for the largest share of long-term care services, but to qualify, your income must be below a certain level and you must meet minimum state eligibility requirements.

Which government program pays the highest percentage of long-term care expenses in the US?

Medicaid pays for more than half of all long-term care in the U.S.9 Coverage and eligibility vary by state, however. To qualify for Medicaid coverage in some states, adults with long-term care needs must have monthly incomes below a specified threshold.

Long-term health care: Is there a better way to pay for it?

26 related questions found

Which level of US government pays for the most healthcare?

The largest shares of total health spending were sponsored by the federal government (32 percent) and the households (27 percent).

What program provides the largest source of funds for healthcare for America's poorest people?

Medicaid: The Medicaid program provides health care coverage to more than 70 million people, or one in five Americans, and is the nation's largest single source of health coverage.

Which of the following government programs pays the highest percentage of long-term care expenses?

Medicaid, the largest public payer of long-term care services, not only covers ongoing and emergent medical care, like doctor visits or hospital costs but also provides coverage for: Long-term care services in nursing homes, including custodial care, for all eligible people age 21 and older.

What is the largest source of payment for healthcare services?

When viewed individually, private insurance programs were the largest single source of funding for healthcare expenditures in 2022, followed by Medicare (22 percent) and Medicaid (19 percent). The amounts paid for particular services vary across insurance programs and have changed over time.

Which of the following is the main source of financing for long-term care paying 40%?

Medicaid is the main payer for post-acute institutional and community-based long-term care in the U.S., financing 40% of total spending in this area.

Who bears the largest cost for long-term care services?

In terms of long-term care, the major public player is Medicaid – a joint federal-state program – which covers about 20 percent of the nation's total care hours provided and pays a considerable portion of the nation's nursing home bills.

Are older Americans getting the long term services and supports they need?

KEY FINDINGS AND CONCLUSIONS: Two-thirds of older adults living in the community use some degree of LTSS. Reliance on assistive devices and environmental modifications is high; however many adults, particularly dual-eligible beneficiaries, experience adverse consequences of not receiving care.

Does Medicare pay for long-term care?

Long-term care

Long-term supports and services can be provided at home, in the community, in assisted living, or in nursing homes. Individuals may need long-term supports and services at any age. Medicare and most health insurance plans don't pay for long-term care.

What are the two largest funders of long-term care?

Medicaid and Medicare are, respectively, the first- and second-largest public payers, accounting for a combined 64.1% of all LTSS spending nationwide in 2021.

What is the largest government healthcare program?

Medicare is the single largest payer for health care services in the United States.

Who is the largest payer for hospice services?

Most hospice patients are eligible for the Medicare Hospice Benefit, which covers up to 100% of hospice services. There is no reason to defer hospice care due to financial concerns.

Who makes the most money in the healthcare system?

1. Physicians and Surgeons
  • Job Title. Annual Median Salary.
  • Cardiologists. $353,970.
  • Anesthesiologists. $331,190.
  • Emergency Medicine Physicians. $310,640.
  • Orthopedic Surgeons, Except Pediatric. $306,220.
  • Dermatologists. $302,740.
  • Radiologists. $301,720.
  • Surgeons, All Other. $297,800.

Which three health care services are funded by the government?

The six major government health care programs—Medicare, Medicaid, the State Children's Health Insurance Program (SCHIP), the Department of Defense TRICARE and TRICARE for Life programs (DOD TRICARE), the Veterans Health Administration (VHA) program, and the Indian Health Service (IHS) program—provide health care ...

Who is the largest payer for long-term care?

Medicaid is by far the largest payer in the long-term care space, covering approximately 60% of long-term care services across the United States. This government-funded program provides essential financing for low-income individuals who need care but cannot afford it out of pocket.

What programs pay for most long-term care services?

The most common source of assistance is Medicaid, which offers several state-based programs to people who are eligible based on income or disability. These programs include home- and community-based services, adult foster care, and Medicaid personal care services.

Who pays the most for long-term care?

While Medicaid will pay up to 100% of the cost (indefinitely as long as there is a need), a nursing home resident must contribute nearly all of their income towards nursing home care as a Patient Liability. Note: Medicaid coverage is only provided for persons with limited financial means.

What are the two most widely used programs of government financed health care in the United States?

The US healthcare system does not provide universal coverage and can be defined as a mixed system, where publicly financed government Medicare and Medicaid (discussed here) health coverage coexists with privately financed (private health insurance plans) market coverage.

What are the main sources of payment for long-term care services in the United States?

Medicaid. Medicaid, the primary funder for LTSS, is a joint federal and state program that helps with medical costs for some people who have limited resources. It also covers things that are not usually covered by Medicare, like personal care services.

Is Medicaid the largest insurer in the US?

More than 72 million people are enrolled in Medicaid, making it the single largest insurer in the United States. It is the principal source of health insurance for Americans with low incomes and covers a wide range of services, from preventive care to hospital stays and prescription drugs.