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The Long Term Care Market, Forecasts to 2018: Nursing Homes, Home Care, Hospice Care, and Assisted Living

The Long Term Care Market, Forecasts to 2018

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
For each of these critical markets, Kalorama provides a market size and forecast estimate.

Kalorama Information publishes its fifth 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. 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:

  • Long Term Care Insurance
  • Technology Needs
  • ACA
  • State Quality Improvement Initiatives
  • Legal Actions
  • Safety
  • Aging of the Population
  • Marital and Living Arrangements
  • Geographic Concentrations
  • Certification and Accreditation
  • Fees and Payment
  • 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
  • Atria
  • 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.
Sales estimates for each market segment represent U.S. revenues and are expressed in current dollars. Estimates are provided for the historic 2008 to 2013 period and forecasts are provided through 2018.

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.


  • Executive Summary
    • U.S. LONGTERM CARE INDUSTRY
    • SCOPEAND METHODOLOGY
    • OVERALLMARKETSIZE
      • Table The Overall U.S. Long Term Care Market 2008 - 2018 (In $millions)
    • LONGTERM CARE LONGTERM CARE
    • DEMOGRAPHICS
      • Geographic Concentrations
      • Activities of Daily Living
      • Chronic Illness
      • Income
    • QUALITYOFCARE
    • U.S. HEALTH EXPENDITURES
    • CONSUMER PREFERENCESAND LIFESTYLE ISSUES
    • FEESAND PAYMENT
      • Public Payments
      • Long Term Care Insurance
    • PREPARINGFOR THE FUTURE
    • NURSINGHOMES
      • Number of Facilities
      • Resident Population
      • Issues and Trends
      • Market Size and Forecast
      • Competitor Analysis
      • Market Analysis
    • HOMECARE
      • 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 Market Analysis
  • Long Term Care Industry, Issues and Trends
    • THE U.S. HEALTH CARE INDUSTRY
    • LONGTERM CARE
      • Nursing Homes
      • Home Care
      • Hospices
      • Assisted Living
    • DEMOGRAPHICS
      • U.S. Population
        • Table Projected U.S. Resident Population, by Age, Selected Years, 2010 - 2030 (in thousands)
    • AGING OF THE POPULATION
      • Table U.S. Expectation of Life at Birth, by Sex and Race, 2013
      • Table U.S. Life Expectancy in Years, 2008 - 2018
      • Table U.S. Resident Population, by Gender and Age, 2013 (In thousands)
      • Racial Trends
      • Obesity
        • Table U.S. Resident Population, by Age, Hispanic Origin, and Race, Selected Years 2005 - 2025 (In thousands)
        • Table U.S. Resident Population, by Age, Hispanic Origin, and Race, Selected Years 2005 - 2025
        • Table Proportion of U.S. Resident Population, by Age, Hispanic Origin, and Race, Selected Years 2005 - 2025
      • Marital and Living Arrangements
        • Table Characteristics of U.S. Household Population of Persons 65 and Older, 2013
        • Table Marital Status of U.S. Residents Age 65 and Older, 2013 (In thousands)
        • Table Marital Status of U.S. Residents Age 65 and Older, 2013
      • Geographic Concentrations
        • Table U.S. Resident Population, by State and Age, 2013
      • Activities of Daily Living
        • Table Estimated Number of Nursing Home Residents by State, 2013
        • Table Disability Prevalence by Age, 2013
      • Chronic Illness
        • Table Frequencies of Selected Diseases Among Older U.S. Persons, 2013 (In thousands)
        • Table Frequencies of Selected Diseases Among Older U.S. Persons, 2013
      • Addiction
      • Mental Illness
      • Income
        • Table U.S. Median Income by Householder Age, 2013
      • HEALTH CARE REFORM
      • QUALITY OF CARE
      • Certification and Accreditation
    • U.S. HEALTH EXPENDITURES
      • Table Funding Sources for National Health Expenditures, 2008 - 2018*
      • Table Funding Sources for Home Health Care Spending, 2008 - 2018*
      • Table Funding Sources for Nursing Home Spending, 2008 - 2018*
    • CONSUMER PREFERENCESAND LIFESTYLE ISSUES
      • The Elderly
      • Caregiver Issues
    • FEESAND PAYMENT
      • Medicare
      • Medicaid
      • Long Term Care Insurance
      • Numbers of Insured
      • Effect of the Economy
        • Table Selected State Budget Shortfalls in Fiscal 2013
    • THEMANAGED CARE ENVIRONMENT
    • PREPARINGFOR THE FUTURE
      • Staffing and Human Resources
      • Information and Education Initiatives
      • Medicaid Reform
      • Building of New Facilities
      • Information Technology
  • Nursing Homes
    • DESCRIPTION OF FACILITIES
      • Services
      • Number of Facilities
    • RESIDENT POPULATION
      • Demographic Data
      • Functional Data
      • Length of Stay
      • Insurance Coverage
        • Table Primary Payment Sources for Nursing Home Residents, by State, 2013
    • ISSUESAND TRENDS
      • Reimbursement Cuts
      • Health Care Reform
      • Patient Dumping
      • Quality of Care
        • Table U.S. Nursing Home Deficiencies by State, 2012
      • Safety
    • MARKETSIZEAND FORECAST
      • Cost of Care
      • Size of the Market
        • Table The U.S. Nursing Home Market, 2008 - 2018
    • COMPETITORANALYSIS
      • Table Leading Competitors in the U.S. Nursing Home Market, by Revenues and Market Shares, 2013
    • MARKETANALYSIS
  • Home Care
    • DESCRIPTION OF FACILITIES
      • services
      • Number of Facilities
    • RESIDENT POPULATION
      • Demographic Data
      • Functional Data
        • Table Medicare Home Care Patients and Visits, by State, 2011
      • Insurance Coverage
    • ISSUESAND TRENDS
      • Medicare Reimbursement
        • Table Medicare Fee-for-Service Home Health Outlays, Visits, Clients, Payment/Client, and Visits/Client, Calendar Years 1996-2011
      • 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
    • MARKETSIZEAND FORECAST
      • Cost of Care
      • Size of the Market
        • Table The U.S. Home Health Care Market 2008-2018
    • COMPETITORANALYSIS
      • Table Leading Competitors in the U.S. Home Health Care Market, by Revenues and Market Shares, 2013
    • MARKETANALYSIS
  • Hospices
    • DESCRIPTION OF FACILITIES
      • Services
      • Number of Facilities
    • RESIDENT POPULATION
      • Demographic Data
        • Table Number of Medicare-certified Hospices and Program Payments, by State, 2010
      • Functional Data
        • Table Mean Length of Hospice Stay, According to Disease Category
      • Insurance Coverage and Hospice Profitability
        • Table Average Medicare Reimbursements for Hospice Care, FY 2014
    • ISSUESAND TRENDS
      • Fraud and Abuse
      • Health Care Reform
      • Proprietary Technologies
      • Profitability
    • MARKETSIZEAND FORECAST
      • Cost of Care
      • Size of the Market
        • Table The U.S. Market for Hospice Care, 2008-2018
    • COMPETITORANALYSIS
      • Table Leading Competitors in the U.S. Hospice Market, by Revenues and Market Shares, 2013
    • MARKETANALYSIS
  • Assisted Living
    • DESCRIPTION OF FACILITIES
      • Services
      • Number of Facilities
    • RESIDENT POPULATION
      • Demographic Data
      • Functional Data
      • Length of Stay
      • Insurance Coverage
    • ISSUESAND TRENDS
      • Health Care Reform
      • Quality of Care
      • Mergers and Acquisitions
      • Consumer Knowledge and Information
    • MARKETSIZEAND FORECAST
      • Cost of Care
      • Size of the Market
    • COMPETITORANALYSIS
      • Table The U.S. Market for Assisted Living, 2008 - 2018
      • Table Leading Competitors in the U.S. Assisted Living Market, by Revenues and Market Shares, 2013
    • MARKETANALYSIS
  • Market Summary
    • OVERVIEW
    • ISSUESAND TRENDS
      • Continuum of Care
      • Reimbursement and Regulatory Changes
      • Specialty Care
      • Competitive Bidding
      • Mergers, Acquisitions and Divestitures
    • MARKETSIZEAND FORECAST
      • Table The Overall U.S. Long Term Care Market 2008 - 2018 (In $millions)
      • Table Long Term Care Industry Revenues by Sector, Selected Years 2008 - 2018
    • COMPETITORANALYSIS
      • Table Long Term Care Industry Revenues by Major Player, 2013 (In $millions)
  • Profiles

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