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

March 2012 | 185 pages | ID: L2BFAD4231AEN
Kalorama Information

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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
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 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


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