Miami University

How has the nursing home payer mix changed over the last 10 years (1993-2003)?

In 1993, on average, Medicaid paid for 64.3% of all Ohio's nursing home residents; by 2003, Medicaid insured 66.1% of residents. Although the proportion of residents paid for by Medicaid has increased in the 10 years there has been a decrease in the number of residents with Medicaid as their payment source- with 54,062 and 50,798 residents paid for by Medicaid in 1993 and 2003 respectively.

In 1993, Medicare was the payer for 4.4% of Ohio's nursing home residents (3,701) and this proportion increased to 12% (9,200) in 2003. These numbers reflect a large increase in the number of nursing home residents who were admitted for short-term acute care services.

Residents and/or their families paid for 31.3% (26,354) of Ohio's nursing home care in 1993, this number declined to 21.9% (16,852) in 2003.

Figure 1- Average Daily Nursing Home Census 1993 - 2003

Source : Applebaum, R. & Mehdizadeh, S. (2005) Long-Term Care

Utilization in Ohio 1993-2003 Research Brief . Oxford, OH: Scripps

Gerontology Center

For more information on Ohio's nursing home payer mix click on Long-Term Care Utilization in Ohio 1993-2003 Research Brief by Robert Applebaum

& Shahla Mehdizadeh.