“Of those who died with Alzheimer’s disease in 2014, the most recent year studied:
- 54.1% died in a nursing home or other long-term care facility, compared with 67.5% in 1999
- 24.9% died at home, compared with 13.9% in 1999
- 6.6% died in a hospital, compared with 14.7% in 1999
- 6.1% died in a hospice
These realities, wrote the authors of an article in the CDC’s Morbidity and Mortality Weekly Report, have implications for the government and the healthcare system, because some states and counties operate publicly funded long-term care facilities and because payments for more than two-thirds of the anticipated $259 billion in healthcare and long-term care costs for people with Alzheimer’s and other dementias in the United States in 2017 are expected to come from public sources such as Medicare and Medicaid.”
LTC Comment (from Stephen A. Moses, President, Center for Long-Term Care Reform):
The tragedy that America’s WW-II “greatest generation” ended up dying in welfare-financed nursing home was entirely an artifact of Medicaid’s interference in the LTC market. Without the welfare program’s institutional bias and effective crowd out of the home care market and private financing alternatives like home equity conversion and LTC insurance, nursing homes would have served a critical, but limited purpose providing sub-acute care and most custodial care would have been delivered in people’s homes.