Description
The advancing age of the population makes long-term care an important consideration for health marketers. This report, The Long-Term Care Market: Nursing Homes, Home Care, Hospice Care, and Assisted Living covers the most important segments of the long term care industry, each of which provide medical care and/or assistance with the activities of daily living (ADLs) on an ongoing basis:
- Nursing care;
- Home care;
- Hospice care;
- Assisted living.
Kalorama Information publishes its fourth edition of this detailed report on the long term care industry at a time of growth but also increasing concern, particularly about payments, for the long term care industry. The elderly must contribute a far greater amount towards care out of pocket than was once the case. The economy has challenged the business strategies of key players, while the recent healthcare legislation introduces changes that may affect revenues. These twin challenges are addressed in The Long-Term Care Market: Nursing Homes, Home Care, Hospice Care, and Assisted Living The report provides an in-depth examination of the market for long-term care today.
Although a small segment of long term care users are younger individuals with various mental and physical disabilities, most persons using long term care services are senior citizens. This population will also drive industry growth over the forecast period. Therefore, this report will focus on the elderly as the primary customers of long term care services. For each of the segments of long term care 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
Sales estimates for each market segment represent U.S. revenues and are
expressed in current dollars. Estimates are provided for the historic
2005 to 2009 period and forecasts are provided through 2015. As part of the report’s analysis of the state of the industry, the report covers the following issues and trends discussed in the report include:
- Medicare & Health Care Reform
- Patient Dumping
- Quality of Care
- Federal Quality Improvement Initiatives
- State Quality Improvement Initiatives
- Legal Actions
- Safety
- Aging of the Population
- Marital and Living Arrangements
- Geographic Concentrations
- Certification and Accreditation
- Fees and Payment
- Long Term Care Insurance
- Cost of Coverage and Affordability
- Staffing and Human Resources
- Building of New Facilities
Historical information for this report was gathered from a wide variety
of published sources including company reports and filings, government
documents, legal filings, trade journals, newspapers and business press,
analysts’ reports and other sources. Interviews with company
representatives were conducted to capture the perspectives from industry
participants’ point of view and assess trends, and form the basis of
the forecasting and competitive analysis.
As part of its coverage of the industry, the following long term care companies were profiled in this report:
- Amedisys
- Apria Healthcare Group Inc./ Blackstone Group
- Brookdale Senior Living
- Emeritus Corporation
- Extendicare, Inc.
- Genesis Healthcare
- Gentiva
- Golden Living
- Lincare
- Lifecare Centers of America
- Kindred Healthcare
- Manor Care, Inc.
- Sun Healthcare Group Inc.
- Sunrise Senior Living Inc.
Excluded are markets that address temporary care needs such as physical or mental rehabilitation as well as residential living programs and facilities that do not generally provide care such as retirement communities and/or continuing care retirement communities (CCRCs). Also excluded are equipment and supplies used in home care such as wheelchairs, beds, diabetic supplies, etc., as well as medications.
Sales estimates for each market segment represent U.S. revenues and are expressed in current dollars. Estimates are provided for the historic 2006 to 2011 period and forecasts are provided through 2016. Historical information for this report was gathered from a wide variety of published sources including company reports and filings, government documents, legal filings, trade journals, newspapers and business press, analysts’ reports and other sources. Interviews with company representatives were conducted to capture the perspectives from industry participants’ point of view and assess trends, and form the basis of the forecasting and competitive analysis.
Table of Contents
CHAPTER ONE: Executive Summary
Scope And Methodology
Overall Market Size
Demographics
Activities of Daily Living
Chronic Illness
Income
Quality Of Care
U.S. Health Expenditures
Consumer Preferences And Lifestyle Issues
Fees And Payment
Long Term Care Insurance
- Preparing For the Future
- Nursing Homes
- Number of Facilities
- Resident Population
- Issues and Trends
- 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
CHAPTER TWO: Introduction, Issues and Trends
The U.S. Health Care Industry
Long Term Care
- Nursing Homes
- Home Care
- Hospices
- Assisted Living
- Demographics
- U.S. Population
- Aging of the Population
- Racial Trends
- Age and Race
- Obesity
- Marital and Living Arrangements
- Geographic Concentrations
- Activities of Daily Living
- Chronic Illness
- Addiction
- Mental Illness
- Income
Health Care Reform
Quality Of Care
Certification and Accreditation
U.S. Health Expenditures
Consumer Preferences And Lifestyle Issues
The Elderly
Caregiver Issues
Fees And Payment
Long Term Care Insurance
Cost of Coverage and Affordability
Effect of the Economy
The Managed Care Environment
Preparing For The Future
Staffing and Human Resources
Information and Education Initiatives
Medicaid Reform
Building of New Facilities
CHAPTER THREE: Nursing Homes
Description Of Facilities
Services
Number of Facilities
Resident Population
- Demographic Data
- Functional Data
- Length of Stay
- Insurance Coverage
- Issues And Trends
Medicare Reforms
Health Care Reforms
Medicaid Cuts
Patient Dumping
Quality of Care
Staffing Issues
State Quality Improvement Initiatives
Legal Action
Safety
Market Size And Forecasts
Cost of Cares
Size of the Markets
Competitor Analsysis
Market Analysis
CHAPTER FOUR: Home Care
Description Of Facilitiess
Services
Number of Facilitiess
RESIDENT POPULATIONs
Demographic Data
Functional Data
Insurance Coverages
Issues And Trends
Medicare Reimbursements
Medicaid Reimbursements
Medicare and Medicaid Co-payments
Health Care Reforms
State Service Reductions
Improper Payments
Quality of Cares
Disease Managements
Technology and Telemedicine
Market Size And Forecasts
Cost of Cares
Size of the Markets
Competitor Analysis
Market Analysis
CHAPTER FIVE: HOSPICES
Description Of Facilities
Services
Number of Facilities
Resident Population
- Demographic Data
- Functional Data
- Insurance Coverages
- Issues And Trends
Fraud and Abuses
Health Care Reforms
Proprietary Technologies
Profitability
Market Size and Forecasts
- Cost of Care
- Size of the Market
- Competitor Analysis
- Market Analysis
CHAPTER SIX: ASSISTED LIVING
Description Of Facilities
Services
Number of Facilities
Resident Populations
- Demographic Data
- Functional Data
- Length of Stays
Insurance Coverages
Health Care Reforms
Quality of Cares
Mergers and Acquisitions
Consumer Knowledge and Information
Market Size And Forecasts
- Cost of Cares
- Size of the Markets
- Competitor Analysis
- Market Analysis
CHAPTER SEVEN: Market Summaries
Overviews
Issues And Trends
Continuum of Cares
Reimbursement and Regulatory Changes
Specialty Cares
Competitive Bidding
Competitor Analysis
CHAPTER EIGHT: COMPANY PROFILES
Amedisys
History and Lines of Business
Long-Term Care Business
Financial Information
Mergers and Acquisitions
Corporate Strategies
Apria Healthcare Group Inc./ Blackstone Group
History and Lines of Business
Long-Term Care Business
Financial Information
Mergers and Acquisitions
Corporate Strategies
Atria Senior Living
History and Lines of Business
Long-Term Care Business
Financial Information
Mergers and Acquisitions
Corporate Strategies
American Homepatient
History and Lines of Business
Long-Term Care Business
Financial Information
Mergers and Acquisitions
Corporate Strategiess
Brookdale Senior Living
History and Lines of Business
Long-Term Care Business
Financial Information
Mergers and Acquisitions
Corporate Strategies
Emeritus Corporation
History and Lines of Business
Long-Term Care Business
Financial Information
Mergers and Acquisitions
Corporate Strategies
Extendicare, Inc.
History and Lines of Business
Long-Term Care Business
Financial Information
Mergers and Acquisitions
Corporate Strategiess
Genesis Healthcare
History and Lines of Business
Long-Term Care Business
Financial Information
Mergers and Acquisitions
Corporate Strategies
Gentiva Health Services
History and Lines of Business
Long-Term Care Business
Financial Information
Mergers and Acquisitions
Corporate Strategies
Golden Living
History and Lines of Business
Long-Term Care Business
Financial Information
Mergers and Acquisitions
Corporate Strategies
Kindred Healthcare, Inc.
History and Lines of Business
Long-Term Care Business
Financial Information
Mergers and Acquisitions
Corporate Strategies
HCR MANOR CARE INC.
History and Lines of Business
Long-Term Care Business
Financial Information
Mergers and Acquisitions
Corporate Strategies
LIFE CARE CENTERS OF AMERICA
History and Lines of Business
Long-Term Care Business
Financial Information
Mergers and Acquisitions
Corporate Strategies
LINCARE
History and Lines of Business
Long-Term Care Business
Financial Information
Mergers and Acquisitions
Corporate Strategies
SUN HEALTHCARE GROUP
History and Lines of Business
Long-Term Care Business
Financial Information
Mergers and Acquisitions
Corporate Strategies
Sunrise Senior Living
History and Lines of Business
Long-Term Care Business
Financial Information
Mergers and Acquisitions
Corporate Strategies
T A B L E O F E X H I B I T S
CHAPTER ONE: EXECUTIVE SUMMARY
Figure 1-1: The Overall U.S. Long Term Care Market
2006–2016 (Nursing Homes, Hospices, Home Care, Assisted Living)
CHAPTER TWO: INTRODUCTION, ISSUES AND TRENDS
Table 2-1: Projected U.S. Resident Population, by Age, Selected
Years, 2010 – 2030
Table 2-2: U.S. Expectation of Life at Birth, by Sex and Race, 2007
Table 2-3: U.S. Life Expectancy in Years, 2006–2016
Table 2-4: U.S. Resident Population, by Gender and Age, 2011
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, 2011
Table 2-9: Marital Status of U.S. Residents Age 65 and Older, 2011.
Table 2-10: Marital Status of U.S. Residents Age 65 and Older, 2011
Figure 2-1: U.S. Senior Population in Top 10 States, 2011
Table 2-11: U.S. Resident Population, by State and Age, 2011
Table 2-12: Estimated Number of Nursing Home Residents by State, 2011
Table 2-13: Disability Prevalence by Age, 2011
Table 2-14: Frequencies of Selected Diseases Among Older U.S. Persons, 2011
Table 2-15: Frequencies of Selected Diseases Among Older U.S. Persons, 2011
Table 2-16: U.S. Median Income by Householder Age, 2009
Table 2-17: National Health Expenditures, 2007 – 2016*.
Table 2-18: Funding Sources for Home Health Care Spending, 2006 – 2016*.
Table 2-19 :Funding Sources for Nursing Home Spending, 2006 – 2016*.
Table 2-20: Selected State Budget Shortfalls in 2012 and 2013.
CHAPTER THREE: NURSING HOME
Table 3-1: Nursing Home Patients and Charges, by State, 2010
Figure 3-2: Medicaid Nursing Home Payment Freezes and Cuts,
by State, 2010 – 2012
Table 3-3: U.S. Nursing Home Deficiencies by State, 2010
Table 3-4: The U.S. Nursing Home Market, 2006–2016
Table 3-5: Leading Competitors in the U.S. Nursing Home Market, by Revenues
and Market Shares, 2011
CHAPTER FOUR: HOME CARE
Table 4-1: Medicare Home Care Patients and Visits, by State, 2010
Table 4-2: Sources of Payment for Certified Home Health Care Services, 2011
Table 4-3: Medicare Fee-for-Service Home Health Outlays, Visits, Clients, Payment/Client, and Visits/Client, Calendar Years 1996-2010
CHAPTER FIVE: HOSPICE
Figure 5-1: Services Offered to Hospice Patients’ Family and Friends
Table 5-1: Number of Medicare-certified Hospices and Program
Payments, by State, 2010.
Table 5-2: Mean Length of Hospice Stay, According to Disease Category
Figure 5-2: Drugs Prescribed to U.S. Hospice Patients in the Last Week of Life
Table 5-3: Average Medicare Reimbursements for Hospice Care, FY 2012
Table 5-4: Medicare Hospice Outlays, Clients, and Days per Client,
FY1996-FY 2011
Table 5-5: The U.S. Market for Hospice Care, 2006-2016
CHAPTER SIX: ASSISTED LIVING
Table 6-1: The U.S. Market for Assisted Living, 2006-2016
Table 6-2: Leading Competitors in the U.S. Assisted Living Market, by
Revenues and Market Shares, 2011
CHAPTER SEVEN: MARKET SUMMARY
Table 7-1: The Overall U.S. Long Term Care Market, 2006–2016
Table 7-2: Long Term Care Industry Revenues by Sector
Selected Years 2006 – 2016
Figure 7-1: Long Term Care Industry Revenues by Sector, Selected
Years 2006 – 2016
Figure 7-2: Long Term Care Industry Revenues by Year.
Table 7-3: Long Term Care Industry Revenues by Major Player, 2011
