Most of the expenditures for long-term care services, both community-based and in institutions, is paid by

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Medicaid and other public sources are the primary payers for long-term care services, covering over 60% of all expenditures. Private long-term care insurance and employer-based health insurance cover only a small portion of long-term care costs. Medicare provides limited coverage for skilled nursing facility care and home health care but does not cover most other long-term care services.

Most of the Expenditures for Long-Term Care Services, Both Community-Based