Community Based Services Grow the fastest

In 2011, skilled nursing facilities accounted for the largest share of elder care services. However, home and community based services ( adult day care and home health) are projected to acheive the fastest growth. Advances will be driven by continued state and federal efforts to shift Medicaid payments awaay from skilled nursing to more cost effective community based services. Additonally, many older adults prefer to age in place, remaining in their homes as long as possible.