OHCA 2020 Oregon Long Term Care State Report

2020 Oregon Long Term Care State Report www.ohca.com 15 Long Term Care Financing Payer Sources Public funds, primarily Medicare and Medicaid, are the main sources of long term care financing in the United States, including in Oregon. However, the level of public investment varies by program and care setting. For instance, nursing facilities see higher rates of Medicare and Medicaid funding than community-based care facilities, where private pay remains the largest payer source statewide. However, Medicaid is becoming a growing payer source in community-based care communities with more lower income Oregonians requiring services. The growing differential between private pay rates and Medicaid rates is putting tremendous financial stress on providers who primarily serve Medicaid clients. This differential must be addressed with continued investments for access to be maintained for those needing care across the state. Assisted Living & Residential Care 22 60% Private Pay 40% Medicaid Memory Care 23 57% Private Pay 43% Medicaid Source: Carder et al. (2020). Portland State University.