Financing Long-Term Services and Supports for Individuals with Disabilities and Older Adults - Workshop Summary


Note: Proceedings contain the opinion of the presenters, but do NOT reflect the conclusions of the Health and Medicine Division or the National Academies. Learn more about the differences between Reports and Proceedings.

At least 11 million adults with disabilities, limitations, and functional impairments in the United States receive long-term services and supports – such as assistance with eating, bathing, and dressing – in order to live independently. The financing of long-term services and supports has become a major issue in the United States. While much of this care is provided by family and friends without compensation, in 2011, more than $210 billion was spent on long-term services and supports, accounting for about 9.3 percent of health care spending. With the projected aging of the U.S. population, the number of individuals needing long-term services and supports is expected to increase substantially.

Given the magnitude of the challenged posed by the financing of long-term services and supports, the IOM and National Research Council Forum on Aging, Disability, and Independence held a workshop on June 12, 2013 in an effort to foster dialogue and confront issues of mutual interest and concern. This document summarizes the workshop.