Description
As Kalorama publishes its second edition of this detailed report on the long term care industry and all of its segments, there is no decrease in demand or activity for everything from nursing homes, to home care, to hospices. The U.S. long care industry has experienced strong growth from 2002 through 2007 and this growth is expected to accelerate through the forecast period as the U.S. population continues to age and demand rises for long term care. Ongoing cost containment will continue to pressure both private and public managed care organizations, however, new premium-priced specialty services such as dementia care and upscale living options will create growth opportunities.
This Kalorama Information report The Long-Term Care Market: Nursing Homes, Home Care, Hospice Care, and Assisted Living by analyst Alison Sahoo provides an in-depth examination of the market for long-term care today. The following segments are broken out in detail:
- Nursing Homes
- Assisted Living
- Hospice
- Home Care
For each of these segments the report provides:
- Market Size and Forecast
- Number of Facilities/Providers and Growth Trends
- Patient Statistics
- Forms of Payment and Reimbursement Levels
- Trends Affecting the Marketplace
- Competitors and Competitive Analysis
What population and demographic trends are driving long term care? What are the major players in long term care? Which segments of long term care show the most promise? What are the main pitfalls for new entrants? What strategies are companies using to overcome these challenges? These questions and more are tackled in this exhaustive survey.
As with all Kalorama Information reports, this report is created from a primary research effort. While secondary sources were researched, it is interviews with industry experts, interpreted and analyzed by an expert in the field, that provide the true insights.
Table of Contents
TABLE OF CONTENTS
CHAPTER ONE: EXECUTIVE SUMMARY
- Overall Market Size
- Long Term Care
- Demographics
- Geographic Concentrations
- Activities of Daily Living
- Chronic Illness
- Income
- Quality of Care
- U.S. Health Expenditures
- Consumer Preferences and Lifestyle Issues
- Fees and payment
- Public Payments
- Long-Term Care Insurance
- Preparing for the Future
- Nursing Homes
- Number of Facilities
- Resident Population
- Market Size and Forecast
- Competitor Analysis
- Market Analysis
- Home Care
- Number of Facilities
- Resident Population
- Issues and Trends
- Market Size and Forecast
- Competitor Analysis
- Market Analysis
- Hospices
- Number of Facilities
- Resident Population
- Issues and Trends
- Market Size and Forecast
- Competitor Analysis
- Market Analysis
- Assisted Living
- Number of Facilities
- Resident Population
- Issues and Trends
- Market Size and Forecast
- Competitor Analysis
- Market Analysis
- Scope and Methodology
CHAPTER TWO: ISSUES, AND TRENDS
- Long Term Care
- Nursing Homes
- Home Care
- Hospices
- Assisted Living
- Demographics
- Aging of the Population
- Age and Race
- Marital and Living Arrangements
- Geographic Concentrations
- Activities of Daily Living
- Chronic Illness
- Income
- Quality of Care
- Consumer Preferences and Lifestyle Issues
- The Elderly
- Caregiver Issues
- Fees and Payment
- Medicare
- Medicaid
- Long Term Care Insurance
- Numbers of Insured
- Cost of Coverage and Affordability
- Preparting for For The Future
- Staffing and Human Resources
- Information and Education Initiatives
- Building of New Facilities
CHAPTER THREE: NURSING HOMES
- Services
- Number of Facilities
- Resident Population
- Demographic Data
- Functional Date
- Length of Stay
- Insurance Coverage
- Issues and Trends
- Quality of Care
- Investigation into Private Equity Owned Facilities
- Safety
- Budget Cuts
- Patient Dumping
- Resident-Oriented Care
- Market Size and Forecast
- Cost of Care
- Size of the Market
- Competitor Analysis
- Market Analysis
CHAPTER FOUR: HOME CARE
- Description of Facilities
- Services
- Number of Facilities
- Resident Population
- Demographic Data
- Functional Data
- Insurance Coverage
- Issues and Trends
- Medicare Reimbursement
- Medicaid Reimbursement
- Medicare and Medicaid Co-Payments
- Quality
- Disease Management
- Fraud
- Mergers and Acquisitions
- Technology and Telemedicine
- Market Size and Forecast
- Cost of Care
- Size of the Market
- Market Analysis
CHAPTER FIVE: HOSPICES
- Description of Facilities
- Services
- Number of Facilities
- Resident Population
- Demographic Data
- Functional Data
- Insurance Coverage
- Issues and Trends
- Fraud
- Quality Issues and Patient Abuse
- Telemedicine
- Profitability
- Extended Lifespans
- Rising Length of Stay
- Return of Reimbursements
- Budget Cuts
- Market Size and Forecast
- Cost of Care
- Size of the Market
- Competitor Analysis
- Market Analysis
CHAPTER SIX: ASSISTED LIVING
- Services
- Number of Facilities
- Resident Population
- Demographic Data
- Functional Data
- Length of Stay
- Insurance Coverage
- Issues and Trends
- Quality of Care
- Mergers and Acquisitions
- Market Size and Forecast
- Cost of Care
- Size of the Market
- Competitor Analysis
- Market Analysis
CHAPTER SEVEN: MARKET SUMMARY
- Overview
- Issues and Trends
- Continuum of Care
- Reimbursement and Regulatory Changes
- Specialty Care
- Market Size and Forecast
CHAPTER EIGHT: COMPANY PROFILES
- Apria Helathcare Group, Inc.
- Beverly Enterprises, Inc.
- Brookdale Senior Living
- Emeritus Corporation
- Extendicare, Inc.
- Manor Care, Inc.
- Sava Senior Care Inc.
- Sunrise Senior Living, Inc.
TABLE OF EXHIBITS
CHAPTER ONE: EXECUTIVE SUMMARY
- Table 1-1: The Overall U.S. Long Term Care Market, 2002-2012*
CHAPTER TWO: ISSUES, AND TRENDS
- Table 2-1: U.S. Resident Population, by Age, 2000, 2008*
- Table 2-2: Projected U.S. Resident Population, by Age, Selected Years, 2008 – 2030*
- Table 2-3: U.S. Life Expectancy in Years, 2002-2012*
- Table 2-4: U.S. Resident Population, by Sex and Age, 2008*
- Table 2-5: U.S. Resident Population, by Age, Hispanic Origin, and Race, Selected Years, 2000 – 2025*
- Table 2-6: U.S. Resident Population, by Age, Hispanic Origin, and Race, Selected Years, 2000 – 2025*
- Table 2-7: Proportion of U.S. Resident Population, by Age, Hispanic Origin, and Race, Selected Years, 2000 – 2025*
- Table 2-8: Characteristics of U.S. Household Population of Persons 65 and Older, 2008*
- Table 2-10: Marital Status of U.S. Residents Age 65 and Older, 2008*
- Table 2-11: Marital Status of U.S. Residents Age 65 and Older, 2008*
- Figure 2-1: U.S. Senior Population in Top 10 States, 2008*
- Table 2-12: U.S. Resident Population, by State and Age, 2008*
- Table 2-13: Number of Nursing Homes in Top 15 States, 2003*
- Table 2-14: Disability Prevalence by Age, 2000*
- Table 2-15: Frequencies of Selected Diseases Among Older U.S. Persons, 2008*
- Table 2-17: U.S. Median Income by Householder Age, 2006*
- Table 2-18: U.S. Median Net Worth for Seniors, 2006*
- Table 2-19: National Health Expenditures, 2002 – 2007**
- Table 2-20: Per Capita National Health Expenditures, 2002 – 2007**
- Table 2-21: National Health Expenditures by Type, 2002 – 2007*
- Table 2-22: Funding Sources for Personal Health Expenditures, 2002 – 2007**
- Figure 2-2: Projected U.S. Resident Population, by Age, Selected Years, 2008 – 2030*
- Figure 2-3: Duration of Caregiving for Seniors With and Without Dementia*
CHAPTER THREE: NURSING HOMES
- Table 3-1: Nursing Home Size Bed Capacity, 1973 – 2004*
- Table 3-2: Nursing Home Size and Occupancy by Region, 2004*
- Table 3-3: Leading Nursing Home Deficiencies*
- Table 3-4: Leading Nursing Home Deficiencies by State*
- Table 3-5: U.S. Nursing Home Deficiencies by State*
- Table 3-6: The U.S. Nursing Home Market 2002-2012*
- Figure 3-1: Nursing Home Care Expenditures, Distribution by Payment Source, 2002-2007**
- Table 3-7: Nursing Home Care Expenditures, Distribution by Payment Source, 2002-2007**
- Table 3-8: Leading Competitors in the U.S. Nursing Home Market, by Revenues and Market Shares, 2007*
CHAPTER FOUR: HOME CARE
- Table 4-1: Comparison of Hospital, Nursing and Home Health Care Medicare Charges, 2004 – 2006*
- Table 4-2: Number of Medicare-Certified Home Care Agencies, 1980 – 2007**
- Table 4-3: Spending on Home Health Care Services by Region, 2007*
- Table 4-4: Living Arrangements of Home Health Care Recipients, 2007*
- Table 4-5: Medicare Fee-for-Service Home Health Outlays, Visits, Clients, Payment/Client, and Visits/Client, Calendar Years 1997-2007**
- Table 4-6: The U.S. Home Health Care Market, 2002-2012
- Figure 4-1: Home Health Care Expenditures, Distribution by Payment Source, 2002-2007**
- Table 4-7: Home Health Care Expenditures, Distribution by Payment Source, 2002-2007**
- Table 4-5: Leading Competitors in the U.S. Home Health Care Market, by Revenues and Market Shares, 2007*
CHAPTER FIVE: HOSPICES
- Table 5-1: Type of Agency, FY 2005*
- Table 5-2: Usage of Hospice Services by Age, 2006 vs. 2005*
- Table 5-3: Usage of Hospice Services by Race, 2006 vs. 2005*
- Table 5-4: Usage of Hospice Services by Primary Diagnosis, 2006 vs. 2005*
- Table 5-5: Percentage of Patients Served by Payer, 2006 vs. 2005*
- Table 5-6: Average Medicare Reimbursements for Hospice Care, FY 2008*
- Table 5-7: Medicare Hospice Outlays, Clients, and Days per Client, FY 1994-FY 2007*
- Table 5-8: Average Length of Stay in Hospice by State, 2006*
- Table 5-9: The U.S. Market for Hospice Care, 2002-2012*
- Table 5-10: Leading Competitors in the U.S. Hospice Market, by Revenues and Market Shares, 2007*
CHAPTER SIX: ASSISTED LIVING
- Table 6-1: Percentage of Assisted Living Residents Requiring Assistance with Daily Living Activities (Independent, Need Some Help, Dependent)*
- Figure 6-1: Assisted Living Residents Requiring Assistance with Daily Living Activities*
- Table 6-2: The U.S. Market for Assisted Living, 2002-2012*
- Table 6-3: Leading Competitors in the U.S. Assisted Living Market, by Revenues and Market Shares, 2007
CHAPTER SEVEN: MARKET SUMMARY
- Figure 7-1: The U.S. Long Term Care Market by Segment, 2002*
- Table 7-1: The Overall U.S. Long Term Care Market , 2002-2012 ($millions)*
- Figure 7-2: The U.S. Long Term Care Market by Segment, 2007*
- Figure 7-3: The U.S. Long Term Care Market by Segment, 2012*
- Figure 7-4: Long Term Care Industry Revenues by Sector, 2002 – 2012*
- Figure 7-5: Long Term Care Industry Revenues (Nursing Home Care, Home Care, Hospice Care, Assisted Living) by Year*
CHAPTER EIGHT: COMPANY PROFILES
- Table 8-1: Financial Performance for Apria 2005 – 2007*
- Table 8-2: Financial Performance for Beverly Enterprises 2005 – 2007*
- Table 8-3: Financial Performance for Emeritus Corp. 2005 – 2007*
- Table 8-4: Financial Performance for Extendicare 2005 – 2007
- Table 8-5: Financial Performance for Manor Care 2005 – 2007
- Table 8-6: Financial Performance for Sun Healthcare Corp. 2005 – 2007
- Table 8-7: Financial Performance for Sunrise Senior Living 2004 – 2006*