By 2040, the number of residents needing long-term care will double, and the added cost to the Medicaid program, which pays for many of those services with state and federal money, threatens to crush Ohio's budget.
Unless the system is altered, Medicaid could consume half the state budget by 2020, according to researchers at the Scripps Gerontology Center at Miami University in Oxford.
"The only way to serve more people is to increase the number in lower-cost services," said Robert Applebaum, a professor and director of the center's long-term care research project.
In testimony before the Senate Finance Committee yesterday, Applebaum said Ohio has made progress but has a long way to go to create an efficient and effective system of long-term care.