An unfortunate trend is taking place that speaks poorly of Kentucky nursing home care: the state's nursing home population is moving out of state, to Ohio.
Kentucky nursing homes suffer a shortage of beds, forcing elderly residents to move north of the Ohio River. The result has been that Ohio taxpayers end up shouldering the cost of Kentucky residents covered by Medicaid, which pays for only 60% of their care. That means that Ohio residents might pay up to $6 million each year. Statistics show that as many as 90% of elderly Kentucky Medicaid patients left the state in 2011, a number that is likely to increase.
Beds are limited in Kentucky nursing homes due to a state mandate that nursing homes undergo a "certificate of need" process, designed to keep Medicaid costs low and ensure that supply is on par with demand. However, the actual result of this practice has been that many Kentucky nursing homes have far fewer beds than people who need them. Three counties in northern Kentucky have only 1,500 beds certified for Medicaid patients, compared to four counties around Cincinnati, which have 12,000 beds for Medicaid patients. Ohio does not require a certification process.