OHCA 2020 Oregon Long Term Care State Report

www.ohca.com Oregon Health Care Association 16 Skilled Nursing Facilities Medicaid is the largest payer source for skilled nursing and rehabilitation services consisting of 62% of services in Oregon. 24 Medicare is the second largest source of reimbursement for skilled nursing and rehab care consisting of 24%. Traditional Medicare Fee- for-Service accounts for 13% and Medicare Advantage consists of 11% and is growing. Medicare Advantage has been steadily growing nationwide since 2003 with Oregon having the fourth highest Medicare Advantage take-up rate with approximately 42% of all Oregon Medicare beneficiaries enrolled in a Medicare Advantage plan. 25 Skilled Nursing 11% Private Pay 62% Medicaid 24% Medicare 3% Other Source: Mendez-Luck et al. (2020). Oregon State University. Private Pay vs Medicaid Rates PRIVATE PAY RATES MONTHLY MEDICAID SERVICE RATES MEDICAID DIFFERENTIAL ASSISTED LIVING Median Monthly Rate — $4,499 26 Level 1 — $1,370 Level 2 — $1,699 Level 3 — $2,132 52.6% Level 4 — $2,678 Level 5 — $3,221 MEMORY CARE $5,801 27 Monthly Average — $4,480 23% IN-HOME CARE $28/hourly Median Rate — $27.12 3.1% Source: Genworth Financial (2020); Carder et al. (2020); Oregon Department of Human Services (2020).