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

February 2013 | | ID: L8EF4A92736EN
Venture Planning Group

Abstracts

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

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
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

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
Age and Race
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
Medicare
Medicaid
Long Term Care Insurance
Numbers of Insured
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 Reform
Medicaid Cuts
Patient Dumping
Quality of Care
Staffing Issues
State Quality Improvement Initiatives
Legal Actions
Safety
Market Size And Forecast
Cost of Care
Size of the Market
Competitor Analsysis
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
Health Care Reform
State Service Reductions
Improper Payments
Quality of Care
Disease Management
Technology and Telemedicine
Market Size And Forecast
Cost of Care
Size of the Market
Competitor Analysis
Market Analysis

CHAPTER FIVE: HOSPICE

Description Of Facilities
Services
Number of Facilities
RESIDENT POPULATION
Demographic Data
Functional Data
Insurance Coverage
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

CHAPTER SIX: ASSISTED LIVING

Description Of Facilities
Services
Number of Facilities
Resident Population
Demographic Data
Functional Data
Length of Stay
Insurance Coverage
Health Care Reform
Quality of Care
Mergers and Acquisitions
Consumer Knowledge and Information
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
Competitive Bidding
MARKET SIZE AND FORECAST
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 Strategies
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 Strategies
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 INC.
  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

Tables & Figures

TABLES AND FIGURES

CHAPTER ONE: EXECUTIVE SUMMARY
Figure 1-1: The Overall U.S. Long Term Care Market
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 HOMES
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