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Webinar Replay: The State of the States: Key Data on State Medicaid Long-Term Services and Supports Programs

This webinar was held on March 22, 2018.

As the primary payer for long-term services and supports (LTSS) in the U.S., Medicaid accounts for more than 50 percent of all public and private spending on LTSS. For states, paying for LTSS represents a steep financial commitment. Medicaid-funded LTSS accounts for more than 30 percent of state Medicaid program spending, which pays for more than 5 million people who receive home and community-based and institutional services. Adults and seniors represent about 85 percent of Medicaid-funded LTSS beneficiaries. Most are also covered under the Medicare program for their non-LTSS needs. It’s no wonder state Medicaid programs see LTSS as one of their greatest challenges, especially given rising demand for LTSS from the “age wave” and advances that help people with disabilities to live longer.

During this webinar, HMA experts covered an important set of data points to help participants assess the current and future state of the states concerning their LTSS trends and needs. Key data points about states included demographic shifts, social determinants of health, LTSS spending, state economic environment, relationships with Medicare, and system readiness.

Learning Objectives

  1. Enhance your understanding of LTSS challenges facing states given an aging population and continued increases in life expectancy for individuals with disabilities.
  2. Understand how LTSS challenges and opportunities vary by state and how these differences will impact state planning, readiness, and budgetary constraints.
  3. Find out how states are responding to emerging LTSS trends and challenges, including case studies of forward-looking state initiatives concerning LTSS planning and implementation.


Sarah Barth, Principal, HMA (New York, NY)
Ellen Breslin, Principal, HMA (Boston, MA)
Barbara Edwards, Principal, HMA (Columbus, OH)
Dennis Heaphy, Healthcare Advocate, Disability Policy Consortium
Anissa Lambertino, Senior Consultant, HMA (Chicago, IL)