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The Long Term Care Market: Nursing Homes, Home Care, Hospice Care, and Assisted Living

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SKU: KLI5901207 Categories: Healthcare Facilities & Settings, Healthcare Market Research Pages: 236
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Description

The Long Term Care Market

The Long Term Care Market: Nursing Homes, Home Care, Hospice Care, and Assisted Living examines the most important segments of the long term care business, each of which provide medical care and/or assistance with the activities of daily living (ADLs) on an ongoing basis. Kalorama’s 6th edition of this detailed report provides a size and projection for each market segment, including the following: overall U.S. long term care industry 2011–2020 (nursing home care, home care, hospice care, assisted living, total); U.S. nursing home industry, by sales, 2011–2020; leading companies in the U.S. nursing home industry, by sales and market shares, 2015; U.S. home health care industry, by sales, 2011-2020; leading companies in the U.S. home health care industry, by sales and market shares, 2015; U.S. opportunity for hospice care, by sales, 2011-2020; leading companies in the U.S. hospice market, by sales and market shares, 2015; U.S. opportunity for assisted living, by sales, 2011-2020; leading companies in the U.S. assisted living opportunity, by sales and market shares, 2015; long term care market sales by year, 2011, 2015, 2020; and long term care market revenues by major company, 2015 (nursing home care, home care, hospice care, assisted living, total).

For each of the sector of long term care market, this report provides: number of facilities/providers and growth trends, patient statistics, forms of payment and reimbursement levels, and issues and trends affecting the market. HCR Manor Care, Kindred Healthcare, Genesis Healthcare, Life Care Centers of America, Brookdale Senior Living, and other leading long term care concerns are included in the report’s competitive analysis.

Table of Contents

ONE: EXECUTIVE SUMMARY

U.S. LONG TERM CARE INDUSTRY

SCOPE AND METHODOLOGY

OVERALL MARKET SIZE

LONG TERM CARE

DEMOGRAPHICS

Geographic Concentrations

Activities of Daily Living

Chronic Illness

Income

QUALITY OF CARE

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

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

TWO: LONG TERM CARE INDUSTRY, 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

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

Medicare

Medicaid

Long Term Care Insurance

Numbers of Insured

Cost of Coverage and Affordability

Hybrid Plans

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

Information Technology

THREE: NURSING HOMES

DESCRIPTION OF FACILITIES

Services

Number of Facilities

RESIDENT POPULATION

Demographic Data

Functional Data

Length of Stay

Insurance Coverage

ISSUES AND TRENDS

Reimbursement Cuts

Health Care Reform

Reform of Requirements for Long-term Care Facilities

Patient Dumping

Quality of Care

Staffing Issues

Federal Quality Improvement Initiatives

State Quality Improvement Initiatives

Legal Actions

Safety

MARKET SIZE AND FORECAST

Cost of Care

Size of the Market

COMPETITOR ANALYSIS

MARKET ANALYSIS

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

Home and Community Based Services

State Service Reductions

Improper Payments

Quality of Care

Disease Management

Caregiver Burnout

Technology and Telemedicine

MARKET SIZE AND FORECAST

Cost of Care

Size of the Market

COMPETITOR ANALYSIS

MARKET ANALYSIS

FIVE: HOSPICES

DESCRIPTION OF FACILITIES

Services

Number of Facilities

RESIDENT POPULATION

Demographic Data

Functional Data

Insurance Coverage and Hospice Profitability

ISSUES AND TRENDS

Fraud and Abuse

Health Care Reform

Proprietary Technologies

Profitability

MARKET SIZE AND FORECAST

Cost of Care

Size of the Market

COMPETITOR ANALYSIS

MARKET ANALYSIS

SIX: ASSISTED LIVING

DESCRIPTION OF FACILITIES

Services

Number of Facilities

RESIDENT POPULATION

Demographic Data

Functional Data

Length of Stay

Insurance Coverage

ISSUES AND TRENDS

Health Care Reform

Quality of Care

Federal Quality Improvement Initiatives

State Quality Improvement Initiatives

Safety

Mergers and Acquisitions

Consumer Knowledge and Information

MARKET SIZE AND FORECAST

Cost of Care

Size of the Market

COMPETITOR ANALYSIS

MARKET ANALYSIS

SEVEN: MARKET SUMMARY

OVERVIEW

ISSUES AND TRENDS

Continuum of Care

Reimbursement and Regulatory Changes

Specialty Care

Competitive Bidding

Mergers, Acquisitions and Divestitures

MARKET SIZE AND FORECAST

COMPETITOR ANALYSIS

EIGHT: PROFILES

AMEDISYS, INC.

History and Lines of Business

Long-Term Care Business

Financial Information

Mergers and Acquisitions

Corporate Strategies

AMERICAN HOME PATIENT

History and Lines of 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

BROOKDALE SENIOR LIVING

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 Strategies

GENESIS HEALTHCARE

History and Lines of Business

Long-Term Care Business

Financial Information

Mergers and Acquisitions

Corporate Strategies

GENTIVA HEALTH SERVICES (now part of KINDRED AT HOME)

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

HCR MANOR CARE, INC.

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

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

SUNRISE SENIOR LIVING INC.

History and Lines of Business

Long-Term Care Business

Financial Information

Mergers and Acquisitions

Corporate Strategies

VITAS HEALTHCARE

History and Lines of Business

Long-Term Care Business

Financial Information

Mergers and Acquisitions

Corporate Strategies

LIST OF EXHIBITS

ONE: EXECUTIVE SUMMARY

Table 1-1 The Overall U.S. Long Term Care Market 2011 – 2020 (Nursing Home Care, Home Care, Hospice Care, Assisted Living, Total)

TWO: LONG TERM CARE INDUSTRY, ISSUES AND TRENDS

Table 2-1 Projected U.S. Resident Population, by Age, Selected Years, 2015-2050 (Under 18 years, 18-64 years, 65-84 years, 85-99 years, 100 and over, Total Population)

Table 2-2 U.S. Expectation of Life at Birth, by Sex and Race, 2015 (White women, Black women, White men, Black men)

Table 2-3 U.S. Life Expectancy Projections in Years, 2015 – 2060 (Men, Women, Average)

Table 2-4 U.S. Resident Population, by Gender and Age, 2013 (Male Population, Female Population; 65 to 69 years, 70 to 74 years, 75 to 79 years, 80 to 84 years, 85 to 89 years, 90 years and over, Total 65 and older)

Table 2-5 U.S. Resident Elderly Population, by Age, Hispanic Origin, and Race, Selected Years, 2012, 2030, 2050 (Hispanic origin: 65 and over, 65 to 84 years, 85 and over; Non- Hispanic White: 65 and over, 65-84 years, 85 and over; Non-Hispanic Black: 65 and over, 65-84, 85 and over; Non-Hispanic American Indian, Eskimo, Aleut: 65 and over, 65-84, 85 and over; Non-Hispanic Asian, Pacific Islander: 65 and over, 65-84, 85 and over)

Table 2-6 U.S. Resident Elderly Population, by Age, Hispanic Origin, and Race, Selected Years, Percent (%), 2012, 2030, 2050 (Hispanic origin: 65 and over, 65-84 years, 85 and over; Non-Hispanic white: 65 and over, 65- 84 years, 85 and over; Non-Hispanic black: 65 and over, 65- 84 years, 85 and over; Non-Hispanic American Indian, Eskimo, Aleut: 65 and over, 65-84 years, 85 and over; Non-Hispanic Asian, Pacific Islander: 65 and over, 65-84 years, 85 and over)

Table 2-7 Characteristics of U.S. Household Population of Persons 65 and Older, 2013

Table 2-8 Marital Status of U.S. Residents Age 65 and Older, 2013 (Male: 65 to 74 years, 75 to 84 years, 85 years and over, Total; Female: 65 to 74 years, 75 to 84 years; 85 years and over, Total)

Table 2-9 Marital Status of U.S. Residents Age 65 and Older, by Percent, 2013 (Male: 65 to 74 years, 75 to 84 years, 85 years and over, Total; Female: 65 to 74 years, 75 to 84 years; 85 years and over, Total)

Figure 2-1 U.S. Senior Population in Top 10 States, 2013 (California, Florida, Illinois, Michigan, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Texas)

Table 2-10 U.S. Resident Population, by State and Age, 2013

Table 2-11 Estimated Number of Nursing Home Residents by State, 2013

Table 2-12 Disability Prevalence by Age, 2013 (Under 15 years, 15 to 24 years, 25 to 44 years, 45 to 54 years, 55 to 64 years, 65 to 69 years, 70 to 74 years, 75 to 79 years, 80 years and over)

Table 2-13 Frequencies of Selected Diseases among Older U.S. Persons, 2013 (Diabetes, Ulcers, Kidney disease, Liver disease, Arthritis, Chronic joint symptoms; Under 65 years, 65 to 74 years, 75 years and over)

Table 2-14 Frequencies of Selected Diseases among Older U.S. Persons, by Percent, 2013 (Diabetes, Ulcers, Kidney disease, Liver disease, Arthritis, Chronic joint symptoms; Under 65 years, 65 to 74 years, 75 years and over)

Table 2-15 U.S. Median Income by Householder Age, 2014 (15–24, 25–34, 35–44, 45–54, 55–64, 65 and over)

Table 2-16 Funding Sources for National Health Expenditures, 2011 – 2020 (Total, Out-of-Pocket Payments, Private Health Insurance, Medicare, Medicaid, Other Health Insurance Programs, Total Insurance Paid, Other Third Party Payers)

Table 2-17 Funding Sources for Home Health Care Spending, 2011 – 2020 (Total, Out-of-Pocket Payments, Private Health Insurance, Medicare, Medicaid, Other Health Insurance Programs, Total Insurance Paid, Other Third Party Payers)

Table 2-18 Funding Sources for Nursing Home Spending, 2011 – 2020 (Total, Out-of-Pocket Payments, Private Health Insurance, Medicare, Medicaid, Other Health Insurance Programs, Total Insurance Paid, Other Third Party Payers)

Table 2-19 Selected State Budget Shortfalls in Fiscal 2015 (Alabama, Alaska, Arizona, Connecticut, Illinois, Indiana, Kansas, Louisiana, Maryland, Massachusetts, Michigan, Nebraska, New Hampshire, New Jersey, North Carolina, Pennsylvania, Rhode Island, Vermont, Virginia, Washington, West Virginia, Wisconsin)

THREE: NURSING HOMES

Table 3-1 Primary Payment Sources for Nursing Home Residents, by State, 2013 (Medicaid, Medicare, Private/Other, Total)

Figure 3-1 Medicaid Nursing Home Payment Freezes and Cuts, by State, 2010 – 2012 (Payments Delayed (for SFY 12), Undecided (for SFY 12), Instituted rate freeze, Instituted rate cut, Neither cut nor froze rate)

Table 3-2 U.S. Nursing Home Deficiencies by State, 2012 (Number of Facilities, Average Number of Deficiencies, % of Facilities with Deficiencies, % of Facilities with Serious Deficiencies)

Figure 3-2 Nursing Home Customer Satisfaction for Long Term Residents (Family, Resident; Highest satisfaction: Respectfulness of staff, RN/LVN/LPN care, Safety of facility; Lowest satisfaction: Adequate staff to meet needs, Quality of meals, Security of personal belongings)

Table 3-3 The U.S. Nursing Home Market, by Revenues, 2011 – 2020

Table 3-4 Leading Competitors in the U.S. Nursing Home Market, by Revenues and Market Shares, 2015

FOUR: HOME CARE

Table 4-1 Medicare Home Care Patients and Visits, by State, 2011 (Total Persons Served in Thousands, Persons Per 1,000 Medicare Enrollees, Visits in Thousands, Visits Per Person Served, Visits per 1,000 Medicare Enrollees, Total Charges in $ Thousands)

Table 4-2 Medicare Fee-for-Service Home Health Outlays, Visits, Clients, Payment/Client, and Visits/Client, Calendar Years 1996-2011

Table 4-3 The U.S. Home Health Care Market, by Revenues, 2011-2020 Exhibits

Table 4-4 Leading Competitors in the U.S. Home Health Care Market, by Revenues and Market Shares, 2015

FIVE: HOSPICES

Figure 5-1 Services Offered to Hospice Patients’ Family and Friends (Bereavement, Spiritual, Medication Management or administration, Patient activities of daily living, Safety training, Equipment use, Caregiver health or wellness, Dietary, Referral or resource information, Dealing with difficult behaviors)

Table 5-1 Number of Medicare-certified Hospices and Program Payments, by State, 2010 (# of Hospices, # of Hospice Patients, # of Covered Hospice Days, Covered Hospice Days per Hospice Patient)

Figure 5-2 Proportion of Hospice Patients by Length of Service, 2012 (<7 days, 8-29 days, 30-89 days, 90-179 days, 180+ days)

Table 5-2 Mean Length of Hospice Stay, According to Disease Category (Alzheimer’s disease, Nervous system diseases except Alzheimer’s, Dementia, Organic psychosis, Chronic airway obstruction, Nonspecific symptoms or signs, Debility, Heart failure, Circulatory disease except heart failure, Other cancer, Lung cancer, Other disease, Respiratory disease, Digestive disease, Genitourinary disease, All)

Figure 5-3 Drugs Prescribed to U.S. Hospice Patients in the Last Week of Life (Narcotic analgesic, Antiemetic, Laxative, Antipsychotic, Diuretic, Proton pump inhibitor, Bronchodilator, Antidepressant, Antacid, Antiarrythmic, Corticosteroid, Antidiabetic, Antianginal, Antihyperlipidemia, Nonsteroidal anti-inflammatory drug, Baby aspirin or Plavix)

Table 5-3 Average Medicare Reimbursements for Hospice Care, FY 2015 (Routine home care (per day), Continuous home care (per day), Inpatient respite (per day), General inpatient care (per day))

Table 5-4 The U.S. Market for Hospice Care, by Revenues, 2011-2020

Table 5-5 Leading Competitors in the U.S. Hospice Market, by Revenues and Market Shares, 2015

SIX: ASSISTED LIVING

Table 6-1 The U.S. Market for Assisted Living, by Revenues, 2011-2020 Exhibits

Table 6-2 Leading Competitors in the U.S. Assisted Living Market, by Revenues and Market Shares, 2015 SEVEN: MARKET SUMMARY

Table 7-1 The Overall U.S. Long Term Care Market, 2011 – 2020 (Nursing Home Care, Home Care, Hospice Care, Assisted Living, Total)

Table 7-2 Long Term Care Industry Revenues by Sector, Selected Years, 2011 – 2020 (Nursing Home Care Share, Home Care Share, Hospice Care Share, Assisted Living Share, Total)

Figure 7-1 Long Term Care Industry Revenues by Sector, Selected Years, 2011, 2015, 2020 (Nursing Home, Home Care, Hospice, Assisted Living)

Figure 7-2 Long Term Care Industry Revenues by Year, 2011, 2015, 2020

Table 7-3 Long Term Care Industry Revenues by Major Player, 2015 (Nursing Home Care, Home Care, Hospice Care, Assisted Living, Total)

 

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