The Deloitte Center for Health Solutions study, “Medicaid Long-Term Care: The Ticking Time Bomb,” runs through worst and best-case scenarios: the best being that Medicaid costs as a percentage of state budgets will nearly double by 2030, from the current 20 percent to 35 percent in some states. The worst? These costs will nearly triple, rising to 50 percent of the operating budget in one state — with long-term care accounting for 25 percent of that. “Obviously, this is not sustainable,” write the authors. Read more.