## I mplementation Status of Long-Term Care Insurance System

Detailed Data 1	Changes in Number of Primary Insured persons (person)
2000	2001	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012
21,654,769	22,473,297	23,223,722	23,981,379	24,528,385	25,160,699	25,935,454	26,822,941	27,566,882	28,384,166	28,945,267	29,069,219	29,855,066

Source: “Status Report on the Long-term Care Insurance”, Health and Welfare Bureau for the Elderly, MHLW

Changes in Number of Persons Requiring Long-Term Care/Needed Support

As of the end of April of each year

2000	2001	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012
Support needs 1	290,923	319,595	398,322	504,835	601,258	673,542	58,678	527,027	551,720	574,997	603,560	662,247	692,126
Support needs 2	-	-	-	-	-	-	45,414	521,549	629,071	661,881	653,899	668,629	712,425
Transient long-term care needs	-	-	-	-	-	-	654,952	39,557	1,460	0	-	-	-
Long-term care needs 1	551,134	709,493	890,772	1,070,191	1,252,269	1,332,078	1,386,738	876,240	769,388	788,133	852,325	909,673	970,468
Long-term care needs 2	393,691	489,560	571,012	640,574	594,806	614,040	651,370	755,749	806,110	822,691	854,158	900,892	952,408
Long-term care needs 3	316,515	357,797	393,646	430,709	492,195	527,329	560,602	652,255	711,337	737,951	712,847	699,763	724,287
Long-term care needs 4	338,901	365,352	393,783	423,846	478,585	496,616	524,989	547,175	578,873	589,512	629,757	641,178	669,754
Long-term care needs 5	290,457	340,662	381,472	414,169	455,021	464,550	465,350	488,753	500,255	514,758	563,671	593,228	608,928
Total	2,181,621	2,582,459	3,029,007	3,484,324	3,874,134	4,108,155	4,348,093	4,408,305	4,548,214	4,689,923	4,870,217	5,075,610	5,330,396

Source: “Status Report on the Long-term Care Insurance”, Health and Welfare Bureau for the Elderly, MHLW

(Note) Those who are certified for support need at the time of revision of the Long-Term Care Insurance Act (enforced on April 1, 2006) are in the category of “Transient long-term care needs” until the end of the certified period.

Changes in Number of Long-Term Care Service Users

Services provided in April of each year

2000	2001	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012
In-home services (including preventive long-term care services)	971,461	1,419,344	1,723,523	2,014,841	2,314,883	2,505,636	2,546,666	2,573,797	2,685,115	2,782,828	2,941,266	3,101,253	3,284,065
Community-based services (including preventive long-term care services)	-	-	-	-	-	-	141,625	173,878	205,078	226,574	253,769	282,297	310,906
Facility services	518,227	650,590	688,842	721,394	757,593	780,818	788,637	814,575	825,155	825,835	838,279	847,946	861,950
Total	1,489,688	2,069,934	2,412,365	2,736,235	3,072,476	3,286,454	3,476,928	3,562,250	3,715,348	3,835,237	4,033,314	4,231,496	4,456,921

Source: “Status Report on the Long-term Care Insurance”, Health and Welfare Bureau for the Elderly, MHLW

Detailed Data 4 Changes in Amount of Long-Term Care Benefits Expenses ( $ ¥1 $ million/service type/month)

2000	2001	2002	2003	2004	2005	2006	2007	2008	2009	2010	2011	2012
In-home services (including preventive long-term care services)	57,001	118,500	153,214	182,507	216,783	236,804	214,366	229,147	246,922	265,488	287,004	304,065	324,049
Community-based services (including preventive long-term care services)	-	-	-	-	-	-	28,287	34,383	40,065	44,455	49,568	55,181	62,465
Facility services	144,874	200,177	212,586	214,033	227,927	234,326	198,493	205,154	207,915	214,115	218,512	219,492	224,185
Total	201,875	318,677	365,800	396,540	444,709	471,130	441,146	468,684	494,903	524,058	555,084	578,739	610,700

Source: “Status Report on the Long-term Care Insurance”, Health and Welfare Bureau for the Elderly, MHLW