OHCA 2018 Report

2018 Oregon Long Term Care State Report www.ohca.com 15 Skilled Nursing  Private Pay  Medicaid  Medicare  Other Skilled Nursing Facilities Medicaid is the largest payer source for skilled nursing facility services with 60% of patient care in Oregon being covered by this source. 27 Medicare is also a significant funder of skilled nursing facility care in Oregon with Medicare Fee-for-Service (FFS) accounting for 15% of skilled nursing facility funding. The growth of Medicare as a payer source is at least partially driven by an increased use of Medicare Advantage by Oregon Medicare beneficiaries in place of Medicare (FFS). While the use of Medicare Advantage has been steadily growing nationwide since 2003, Oregon now has the third highest Medicare Advantage take up rate of any state with 44% of all Medicare beneficiaries enrolled in a Medicare Advantage plan. 28 Medicare Advantage makes up at least 10% of all funding for Oregon’s nursing facilities. 12% Private Pay 60% Medicaid 25% Medicare 3% Other 25% Federal funding for Medicare is also a significant payer at 25% of all funding for Oregon nursing facilities. Source: Mendez-Luck, C., Luck, J., Larson, A. & Dyer, G. (2018). The State of Nursing Facilities in Oregon, 2017. Corvallis, OR: OSU College of Public Health and Human Sciences