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Published by: Freedonia Group Inc
Published: Dec. 1, 2012 - 266 Pages
Table of Contents- INTRODUCTION
- I. EXECUTIVE SUMMARY
- II. MARKET ENVIRONMENT
- General
- Demographic Trends
- Macroeconomic Outlook
- Consumer Spending Trends
- Building Construction Trends
- Business Establishment Trends
- Service Sector Outlook
- Health Care Trends
- National Health Expenditures
- Medical Conditions
- Chronic Conditions
- Acute Conditions
- Regulatory Environment
- World Markets
- III. SERVICES
- General
- Skilled Nursing Care Facilities
- Overview
- Employees
- Regulations
- Providers
- Payment Sources
- Home Health Care Services
- Overview
- Employees
- Regulation
- Personal Emergency Response Services
- Providers
- Payment Sources
- Social Services
- Overview
- Adult Day Care
- Non-Medical Home Care
- Others
- Providers
- Payment Sources
- Continuing Care Retirement Communities
- Overview
- Providers
- Payment Sources
- Assisted Living Facilities
- Overview
- Employees
- Regulations
- Providers
- Payment Sources
- IV. SERVICE PROVIDERS
- General
- For-Profit
- Nonprofit
- V. PAYMENT SOURCES
- General
- Medicaid
- Overview
- Medicaid Payments for Elder Care Services
- Out-of-Pocket
- Medicare
- Overview
- Medicare Payments for Elder Care Services
- Private Insurance
- Overview
- Long Term Care Insurance
- Private Insurance Payments for Elder Care Services
- Other
- VI. REGIONAL MARKETS
- General
- Regional Population Aged 65 & Over
- Regional GDP
- Elder Care Services by Region
- Northeast
- Midwest
- South
- West
- VII. INDUSTRY STRUCTURE
- General
- Industry Composition
- Market Share
- Competitive Strategies
- Marketing
- Mergers & Acquisitions
- Cooperative Agreements
- Company Profiles
- Active Day, see Senior Care Centers of America
- ADT Corporation
- Adult Day Care Group
- Advocat Incorporated
- Advocate Hospice, see Gentiva Health Services
- Aegis Therapies, see GGNSC Holdings
- Altura Homecare & Rehab, see Skilled Healthcare Group
- Amedisys Incorporated
- American Senior Communities LLC
- AseraCare, see GGNSC Holdings
- Assisted Living Concepts Incorporated
- Atria Senior Living Group Incorporated
- Beacon Hospice, see Amedisys
- Benedictine Health System
- Brookdale Senior Living Incorporated
- Capital Senior Living Corporation
- Chemed Corporation
- CK Franchising, see Sodexo
- Comfort Keepers, see Sodexo
- Cornerstone Hospice, see Skilled Healthcare Group
- Countryside Hospice Care, see Sun Healthcare Group
- Covenant Care Incorporated
- Ecumen
- Emeritus Corporation
- Evangelical Lutheran Good Samaritan Society
- Extendicare Incorporated
- Family Comfort Hospice, see Chemed
- Five Star Quality Care Incorporated
- Genesis HealthCare Corporation
- Gentiva Health Services Incorporated
- GGNSC Holdings LLC
- Griswold Home Care Incorporated
- Harbinger Hospice, see Sun Healthcare Group
- HCP Incorporated
- Heart to Heart Hospice of Starkville, see Gentiva Health Services
- Home Instead Incorporated
- Horizon Bay Realty, see Brookdale Senior Living
- Hospice of Hackensack University Medical Center, see Amedisys
- Interim HealthCare Incorporated
- Kindred Healthcare Incorporated
- LCS LLC
- Life Alert Emergency Response Incorporated
- Life Care Centers of America
- LivHOME Incorporated
- Manor Care Incorporated
- Masonicare
- National HealthCare Corporation
- North Mississippi Hospice, see Gentiva Health Services
- Odyssey HealthCare, see Genesis HealthCare
- ParaMed Home Health Care, see Extendicare
- Philips Lifeline, see Royal Philips Electronics
- Professional HealthCare, see Kindred Healthcare
- Royal Philips Electronics NV
- SavaSeniorCare LLC
- Senior Care Centers of America Incorporated (formerly Active Day)
- Skilled Healthcare Group Incorporated
- Sodexo
- Sun Healthcare Group Incorporated
- Sunrise Senior Living Incorporated
- Tyco International Limited
- United Home Care Group, see Gentiva Health Services
- VITAS Healthcare, see Chemed
- Other Elder Care Companies
- LIST OF TABLES
- SECTION I -- EXECUTIVE SUMMARY
- Summary Table
- SECTION II -- MARKET ENVIRONMENT
- 1 Population & Households
- 2 Macroeconomic Indicators
- 3 Personal Consumption Expenditures
- 4 Building Construction Expenditures
- 5 Business Establishments
- 6 Services Income
- 7 National Health Expenditures by Category
- 8 Chronic Conditions by Type
- 9 Acute Conditions by Type
- SECTION III -- SERVICES
- 1 Elder Care Service Revenues by Service Type
- 2 Skilled Nursing Care Service Overview
- 3 Skilled Nursing Care Revenues by Provider Type
- 4 Skilled Nursing Revenues by Payment Source
- 5 Home Health Care Service Overview
- 6 Personal Emergency Response Service Overview
- 7 Home Health Care Revenues by Provider Type
- 8 Home Health Care Revenues by Payment Source
- 9 Social Services Overview
- 10 Social Service Revenues by Provider Type
- 11 Social Service Revenues by Payment Source
- 12 Continuing Care Communities Overview
- 13 Continuing Care Community Revenues by Provider Type
- 14 Continuing Care Community Revenues by Payment Source
- 15 Assisted Living Facilities Overview
- 16 Assisted Living Revenues by Provider Type
- 17 Assisted Living Revenues by Payment Source
- SECTION IV -- SERVICE PROVIDERS
- 1 Elder Care Service Revenues by Service Provider
- 2 For-Profit Elder Care Service Revenues by Service Type
- 3 Nonprofit Elder Care Service Revenues by Service Type
- SECTION V -- PAYMENT SOURCES
- 1 Elder Care Service Revenues by Payment Source
- 2 Selected Medicaid Statistics
- 3 Medicaid Payments for Elder Care Services
- 4 Out-of-Pocket Payments for Elder Care Services
- 5 Selected Medicare Statistics
- 6 Medicare Payments for Elder Care Services
- 7 Selected Private Insurance Statistics
- 8 Private Insurance Payments for Elder Care Services
- 9 Other Payments for Elder Care Services
- SECTION VI -- REGIONAL MARKETS
- 1 Resident Population 65 Years & Over by Region
- 2 Regional Gross Domestic Product
- 3 Elder Care Service Revenues by Region
- 4 Northeast Elder Care Service Revenues
- 5 Midwest Elder Care Service Revenues
- 6 South Elder Care Service Revenues
- 7 West Elder Care Service Revenues
- SECTION VII -- INDUSTRY STRUCTURE
- 1 Elder Care Service Revenues by Company, 2011
- 2 Selected Acquisitions & Divestitures
- 3 Selected Cooperative Agreements
- LIST OF CHARTS
- SECTION III -- SERVICES
- 1 Elder Care Service Revenues by Service Type, 2011
- SECTION IV -- SERVICE PROVIDERS
- 1 Elder Care Service Revenues by Service Provider, 2001-2021
- SECTION V -- PAYMENT SOURCES
- 1 Elder Care Service Revenues by Payment Source, 2011
- 2 Medicaid Payments for Elder Care Services, 2001-2021
- 3 Out-of-Pocket Payments for Elder Care Services, 2001-2021
- 4 Medicare Payments for Elder Care Services, 2001-2021
- 5 Private Insurance Payments for Elder Care Services, 2001-2021
- 6 Other Payments for Elder Care Services, 2001-2021
- SECTION VI -- REGIONAL MARKETS
- 1 Elder Care Service Revenues by Region, 2011
- SECTION VII -- INDUSTRY STRUCTURE
- 1 Elder Care Service Market Share by Provider, 2011
AbstractUS revenues to grow 5.2% annually through 2016
Revenues for the elder care services industry (i.e., skilled nursing, home health care, social services, continuing care, and assisted living) are expected to grow 5.2 percent per year through 2016 to $319.5 billion. Advances will be driven largely by demographic changes in light of increasing life expectancy, which is contributing to the rising number of individuals in the older population segments. Growth is further boosted by the large, post-World War II “baby boom” generation entering their retirement years.
The market will be restrained by continuing efforts at the state and federal levels to curb Medicaid and Medicare expenditures, often by limiting reimbursements or by directing patients to less expensive forms of care. For instance, the 2010 Patient Protection and Affordable Care Act expands support for home and community based services, including home health care and social services. Elder care service providers compete functionally with informal caregivers, typically family members; however, a growing number of older adults either do not have family members who are able to care for them, or simply prefer using professional care.
Home, community based services to grow the fastest
In 2011, skilled nursing facilities accounted for the largest share of elder care service revenue with 43 percent. However, home and community based services (e.g., home health care, social services, assisted living) are projected to achieve the fastest growth. Advances will be driven by continued state and federal efforts to shift Medicaid payments away from skilled nursing to more cost effective community based services. Additionally, many older adults prefer to age in place, remaining in their homes as long as possible.
Nonprofits to outpace for-profit entities
For-profit entities accounted for twothirds of elder care service revenues in 2011, benefiting from the growing use of the chain and franchise business model. However, nonprofits (e.g., charitable organizations and government-related agencies) are expected to slightly outpace for-profits through 2016.
Medicaid to remain leading payment source
Medicaid will continue to be the leading payment source for the elder care services industry despite efforts at the state and federal levels to curb expenditures. Medicare payments will experience the fastest annual growth, though future legislative changes and fluctuating reimbursement rates have the potential to affect that outlook. Out-of-pocket expenditures continue to be important in the continuing care and assisted living industries, as many of the costs of these services are not covered by Medicare or Medicaid. Private insurance coverage will rise as the aged population grows and individuals who doubt the government’s ability to provide future care purchase long term care insurance. Other payment sources include charitable donations, private grants, and other government resources such as the US Veterans’ Administration.
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