Addressing the Gap: Exploring Disparities in Long-Term Services and Supports

Addressing Racial and Ethnic Disparities in Nursing Homes

February 1, 2024

All older adults deserve access to, choice of, and means to quality long-term services and supports (LTSS) tailored to their individual needs and preferences in their setting of choice. However, evidence shows stark racial and ethnic differences in outcomes in care and experiences in LTSS. These disparities are rooted in long-standing issues and inequities that the COVID-19 pandemic has exacerbated. 

This LTSS Choices Spotlight Series aims to illuminate existing research on racial and ethnic disparities in LTSS and elevate actionable opportunities to address these inequities. Experts will explore the history behind racial and ethnic disparities, including the systemic and structural forces that allow for many of these inequities to persist today. As demonstrated in the spotlight series, addressing these disparities will require multipronged policies and initiatives at the federal, state, and local levels. Experts will provide opportunities to advance equity in LTSS and, as a result, improve older adults’ quality of care and quality of life as they age.  

About the Spotlight Series 

Addressing Racial and Ethnic Disparities in Nursing Homes

  • This Spotlight explores the history of racial and ethnic inequities in nursing homes, discusses trends in nursing home admissions by race and ethnicity, and proposes recommendations for change. The recommendations in this report focus on system-level changes aimed at eliminating inequities faced by Black, Hispanic, American Indian and Alaska Native (AI/AN) residents, as well as other residents of color who are Medicaid beneficiaries. 
Suggested Citation

Tetyana P. Shippee, Maricruz Rivera-Hernandez, Rita Choula, and Edem Hado. Addressing Racial and Ethnic Disparities in Nursing Homes. Washington, DC: AARP Public Policy Institute, February 1, 2024.


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