Elder Care Services

As Quoted In SaveSmart Finance

Home healthcare services will provide rapid growth since a greater number of the elderly wish to remain at home and regulatory changes will improve access to home-based care.

Revenues to rise 6.3% annually through 2018

The elder care service industry is comprised of skilled nursing facilities, home healthcare agencies, social services agencies, continuing care facilities, and assisted living facilities. Revenues for these elder care service providers are expected to grow 6.3 percent per year, to near $400 billion in 2018. Gains will be driven by demographic changes, in-cluding higher numbers of the “baby boom” generation entering their re-tirement years and longer life expectancies. Growth will be further fueled by modified federal regulations, par-ticularly regarding Medicare and Medicaid payments, which will allow for more flexibility in payment options and more service choices for patients.

As the prices of services are forecast to continue rising through the forecast period, revenue gains will benefit from increased payments per patient. However, growth will be restrained by a reduced pool of con-sumers able to afford the services if they are not covered by Medicare, Medicaid, or some other insurance platform. Efforts at the state and federal level aim to curb Medicare and Medicaid expenditures through reductions in reimbursements and other cost control measures. Still, the 2010 Patient Protection and Affordable Care Act has aided elder care services in that, among other things, it allows states to extend Medicaid eligibility and expand Medi-caid support for home and community-based elder care services.

Home healthcare services to provide fastest growth

In 2013, skilled nursing facilities accounted for the largest share of elder care service revenues with 42 percent of the total. However, home healthcare agencies are projected to see the fastest growth, accounting for 35 percent of total additional elder care revenues through 2018. Gains will be driven by the shift in preference among the older population to age at home, as well as by regulatory changes that improve access to home-based care. Social services will also see rapidly increasing demand with the growing availability of home- and community-based Medicaid waivers to pay for them.

Medicare, Medicaid to remain top sources of coverage, reimbursements

Government programs remain the leading payment source for the elder care service industry. Medicaid and Medicare combined to account for 58 percent of payments for elder care services in 2013. This dominance makes the elder care services indus-try highly reliant on and reactive to changes in coverage, reimbursement rates, or eligibility. Out-of-pocket expenditures continue to be essential for continuing care communities, assisted living facilities, and most social services, since many non-medical care costs are not covered by Medicare or Medicaid.

Study coverage

This Freedonia industry study, Elder Care Services, presents historical demand data (2003, 2008 and 2013) and forecasts (2018 and 2023) by product (e.g., skilled nursing care facilities, home healthcare services, social services, continuing care retirement communities, assisted living facilities), provider (for-profit, nonprofit), payment source (e.g., Medicaid, Medicare, out-of-pocket, private insurance) and US region. The study also considers market environment factors, details industry structure, evaluates company market share, and profiles 39 industry players, including Manor Care, Brookdale Senior Living, and Kindred Healthcare.

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  1. Elder Care Services

    $5,200.00

  2. INTRODUCTION: ELDER CARE SERVICES TO 2018

    $0.00

  3. Methodology & Sources of Information

    $0.00

  4. EXECUTIVE SUMMARY: ELDER CARE SERVICES TO 2018

    $95.00

  5. Overview

    $35.00

  6. ELDER CARE SERVICE REVENUES (billion dollars) 2008 - 2023

    $60.00

  7. MARKET ENVIRONMENT: ELDER CARE SERVICES TO 2018

    $1,485.00

  8. General

    $35.00

  9. Demographic Trends (1 of 3)

    $35.00

  10. Demographic Trends (2 of 3)

    $35.00

  11. Demographic Trends (3 of 3)

    $35.00

  12. POPULATION & HOUSEHOLDS (million persons) 2003 - 2023

    $60.00

  13. Macroeconomic Outlook (1 of 3)

    $35.00

  14. Macroeconomic Outlook (2 of 3)

    $35.00

  15. Macroeconomic Outlook (3 of 3)

    $35.00

  16. MACROECONOMIC INDICATORS (billion 2009 dollars) 2003 - 2023

    $60.00

  17. Consumer Spending Trends (1 of 2)

    $35.00

  18. Consumer Spending Trends (2 of 2)

    $35.00

  19. PERSONAL CONSUMPTION EXPENDITURES (billion 2009 dollars) 2003 - 2023

    $60.00

  20. Building Construction Trends (1 of 2)

    $35.00

  21. Building Construction Trends (2 of 2)

    $35.00

  22. BUILDING CONSTRUCTION EXPENDITURES (billion dollars) 2003 - 2023

    $60.00

  23. Business Establishment Trends (1 of 2)

    $35.00

  24. Business Establishment Trends (2 of 2)

    $35.00

  25. BUSINESS ESTABLISHMENTS (000 units) 2003 - 2023

    $60.00

  26. Service Sector Outlook (1 of 2)

    $35.00

  27. Service Sector Outlook (2 of 2)

    $35.00

  28. SERVICES INCOME (billion dollars) 2003 - 2023

    $60.00

  29. National Health Expenditures (1 of 3)

    $35.00

  30. National Health Expenditures (2 of 3)

    $35.00

  31. National Health Expenditures (3 of 3)

    $35.00

  32. NATIONAL HEALTH EXPENDITURES BY CATEGORY (billion dollars) 2003 - 2023

    $60.00

  33. Medical Conditions - Chronic (1 of 2)

    $35.00

  34. Medical Conditions - Chronic (2 of 2)

    $35.00

  35. CHRONIC CONDITIONS BY TYPE (million conditions) 2003 - 2023

    $60.00

  36. Medical Conditions - Acute

    $35.00

  37. ACUTE CONDITIONS BY TYPE (million conditions) 2003 - 2023

    $60.00

  38. Elder Care Services - Regulatory Environment (1 of 3)

    $35.00

  39. Elder Care Services - Regulatory Environment (2 of 3)

    $35.00

  40. Elder Care Services - Regulatory Environment (3 of 3)

    $35.00

  41. Elder Care Services - World Markets (1 of 3)

    $35.00

  42. Elder Care Services - World Markets (2 of 3)

    $35.00

  43. Elder Care Services - World Markets (3 of 3)

    $35.00

  44. SERVICES: ELDER CARE SERVICES TO 2018

    $2,910.00

  45. Overview (1 of 2)

    $35.00

  46. Overview (2 of 2)

    $35.00

  47. ELDER CARE SERVICE REVENUES BY SERVICE TYPE (billion dollars) 2003 - 2023

    $60.00

  48. Skilled Nursing Care Facilities for the Elderly - Overview (1 of 4)

    $35.00

  49. Skilled Nursing Care Facilities for the Elderly - Overview (2 of 4)

    $35.00

  50. Skilled Nursing Care Facilities for the Elderly - Overview (3 of 4)

    $35.00

  51. Skilled Nursing Care Facilities for the Elderly - Overview (4 of 4)

    $35.00

  52. SKILLED NURSING OVERVIEW 2003 - 2023

    $60.00

  53. Skilled Nursing Care Facilities for the Elderly - Employees (1 of 2)

    $35.00

  54. Skilled Nursing Care Facilities for the Elderly - Employees (2 of 2)

    $35.00

  55. Skilled Nursing Care Facilities for the Elderly - Regulations (1 of 2)

    $35.00

  56. Skilled Nursing Care Facilities for the Elderly - Regulations (2 of 2)

    $35.00

  57. Skilled Nursing Care Facilities for the Elderly - Providers (1 of 2)

    $35.00

  58. Skilled Nursing Care Facilities for the Elderly - Providers (2 of 2)

    $35.00

  59. SKILLED NURSING CARE REVENUES BY PROVIDER TYPE (million dollars) 2003 - 2023

    $60.00

  60. Skilled Nursing Care Facilities for the Elderly - Payment Sources (1 of 2)

    $35.00

  61. Skilled Nursing Care Facilities for the Elderly - Payment Sources (2 of 2)

    $35.00

  62. SKILLED NURSING REVENUES BY PAYMENT SOURCE (million dollars) 2003 - 2023

    $60.00

  63. Home Healthcare Services for the Elderly - Overview (1 of 3)

    $35.00

  64. Home Healthcare Services for the Elderly - Overview (2 of 3)

    $35.00

  65. Home Healthcare Services for the Elderly - Overview (3 of 3)

    $35.00

  66. HOME HEALTHCARE SERVICE OVERVIEW 2003 - 2023

    $60.00

  67. Home Healthcare Services for the Elderly - Employees (1 of 3)

    $35.00

  68. Home Healthcare Services for the Elderly - Employees (2 of 3)

    $35.00

  69. Home Healthcare Services for the Elderly - Employees (3 of 3)

    $35.00

  70. Home Healthcare Services for the Elderly - Regulation

    $35.00

  71. Personal Emergency Response Services (1 of 3)

    $35.00

  72. Personal Emergency Response Services (2 of 3)

    $35.00

  73. Personal Emergency Response Services (3 of 3)

    $35.00

  74. PERSONAL EMERGENCY RESPONSE SERVICE OVERVIEW 2003 - 2023

    $60.00

  75. Home Healthcare Services for the Elderly - Providers

    $35.00

  76. HOME HEALTHCARE REVENUES BY PROVIDER TYPE (million dollars) 2003 - 2023

    $60.00

  77. Home Healthcare Services for the Elderly - Payment Sources

    $35.00

  78. HOME HEALTHCARE REVENUES BY PAYMENT SOURCE (million dollars) 2003 - 2023

    $60.00

  79. Social Services for the Elderly - Overview (1 of 3)

    $35.00

  80. Social Services for the Elderly - Overview (2 of 3)

    $35.00

  81. Social Services for the Elderly - Overview (3 of 3)

    $35.00

  82. SOCIAL SERVICES OVERVIEW 2003 - 2023

    $60.00

  83. Adult Day Care (1 of 3)

    $35.00

  84. Adult Day Care (2 of 3)

    $35.00

  85. Adult Day Care (3 of 3)

    $35.00

  86. Non-Medical Home Care for the Elderly (1 of 3)

    $35.00

  87. Non-Medical Home Care for the Elderly (2 of 3)

    $35.00

  88. Non-Medical Home Care for the Elderly (3 of 3)

    $35.00

  89. Other Social Services for the Elderly

    $35.00

  90. Social Services for the Elderly - Employees

    $35.00

  91. Social Services for the Elderly - Providers

    $35.00

  92. SOCIAL SERVICE REVENUES BY PROVIDER TYPE (million dollars) 2003 - 2023

    $60.00

  93. Social Services for the Elderly - Payment Sources

    $35.00

  94. SOCIAL SERVICE REVENUES BY PAYMENT SOURCE (million dollars) 2003 - 2023

    $60.00

  95. Continuing Care Retirement Communities - Overview (1 of 4)

    $35.00

  96. Continuing Care Retirement Communities - Overview (2 of 4)

    $35.00

  97. Continuing Care Retirement Communities - Overview (3 of 4)

    $35.00

  98. Continuing Care Retirement Communities - Overview (4 of 4)

    $35.00

  99. CONTINUING CARE COMMUNITIES OVERVIEW 2003 - 2023

    $60.00

  100. Continuing Care Retirement Communities - Providers (1 of 2)

    $35.00

  101. Continuing Care Retirement Communities - Providers (2 of 2)

    $35.00

  102. CONTINUING CARE COMMUNITY REVENUES BY PROVIDER TYPE (million dollars) 2003 - 2023

    $60.00

  103. Continuing Care Retirement Communities - Payment Sources (1 of 2)

    $35.00

  104. Continuing Care Retirement Communities - Payment Sources (2 of 2)

    $35.00

  105. CONTINUING CARE COMMUNITY REVENUES BY PAYMENT SOURCE (million dollars) 2003 - 2023

    $60.00

  106. Assisted Living Facilities - Overview (1 of 3)

    $35.00

  107. Assisted Living Facilities - Overview (2 of 3)

    $35.00

  108. Assisted Living Facilities - Overview (3 of 3)

    $35.00

  109. ASSISTED LIVING FACILITIES OVERVIEW 2003 - 2023

    $60.00

  110. Assisted Living Facilities - Employees

    $35.00

  111. Assisted Living Facilities - Regulations

    $35.00

  112. Assisted Living Facilities - Providers

    $35.00

  113. ASSISTED LIVING FACILITY REVENUES BY PROVIDER TYPE (million dollars) 2003 - 2023

    $60.00

  114. Assisted Living Facilities - Payment Sources

    $35.00

  115. ASSISTED LIVING FACILITY REVENUES BY PAYMENT SOURCE (million dollars) 2003 - 2023

    $60.00

  116. SERVICE PROVIDERS: ELDER CARE SERVICES TO 2018

    $425.00

  117. Overview

    $35.00

  118. ELDER CARE SERVICE REVENUES BY SERVICE PROVIDER (billion dollars) 2003 - 2023

    $60.00

  119. Elder Care Services - For-Profit Providers (1 of 3)

    $35.00

  120. Elder Care Services - For-Profit Providers (2 of 3)

    $35.00

  121. Elder Care Services - For-Profit Providers (3 of 3)

    $35.00

  122. FOR-PROFIT ELDER CARE SERVICE REVENUES BY SERVICE TYPE (million dollars) 2003 - 2023

    $60.00

  123. Elder Care Services - Nonprofit Providers (1 of 3)

    $35.00

  124. Elder Care Services - Nonprofit Providers (2 of 3)

    $35.00

  125. Elder Care Services - Nonprofit Providers (3 of 3)

    $35.00

  126. NONPROFIT ELDER CARE SERVICE REVENUES BY SERVICE TYPE (million dollars) 2003 - 2023

    $60.00

  127. PAYMENT SOURCES: ELDER CARE SERVICES TO 2018

    $1,275.00

  128. Overview (1 of 2)

    $35.00

  129. Overview (2 of 2)

    $35.00

  130. ELDER CARE SERVICE REVENUES BY PAYMENT SOURCE (million dollars) 2003 - 2023

    $60.00

  131. Medicaid - Overview (1 of 2)

    $35.00

  132. Medicaid - Overview (2 of 2)

    $35.00

  133. SELECTED MEDICAID STATISTICS, 2003 - 2013

    $60.00

  134. Medicaid Payments for Elder Care Services

    $35.00

  135. MEDICAID PAYMENTS FOR ELDER CARE SERVICES (million dollars) 2003 - 2023

    $60.00

  136. Medicare - Overview (1 of 4)

    $35.00

  137. Medicare - Overview (2 of 4)

    $35.00

  138. Medicare - Overview (3 of 4)

    $35.00

  139. Medicare - Overview (4 of 4)

    $35.00

  140. SELECTED MEDICARE STATISTICS, 2003 - 2013

    $60.00

  141. Medicare Payments for Elder Care Services (1 of 2)

    $35.00

  142. Medicare Payments for Elder Care Services (2 of 2))

    $35.00

  143. MEDICARE PAYMENTS FOR ELDER CARE SERVICES (million dollars) 2003 - 2023

    $60.00

  144. Out-of-Pocket Payments for Elder Care Services (1 of 3)

    $35.00

  145. Out-of-Pocket Payments for Elder Care Services (2 of 3)

    $35.00

  146. Out-of-Pocket Payments for Elder Care Services (3 of 3)

    $35.00

  147. OUT-OF-POCKET PAYMENTS FOR ELDER CARE SERVICES (million dollars) 2003 - 2023

    $60.00

  148. Private Insurance - Overview (1 of 3)

    $35.00

  149. Private Insurance - Overview (2 of 3)

    $35.00

  150. Private Insurance - Overview (3 of 3)

    $35.00

  151. SELECTED PRIVATE INSURANCE STATISTICS, 2003 - 2013

    $60.00

  152. Long-Term Care Insurance (1 of 2)

    $35.00

  153. Long-Term Care Insurance (2 of 2)

    $35.00

  154. Private Insurance Payments for Elder Care Services

    $35.00

  155. PRIVATE INSURANCE PAYMENTS FOR ELDER CARE SERVICES (million dollars) 2003 - 2023

    $60.00

  156. Other Payment Sources for Elder Care Services

    $35.00

  157. OTHER PAYMENT SOURCES FOR ELDER CARE SERVICES (million dollars) 2003 - 2023

    $60.00

  158. REGIONAL MARKETS: ELDER CARE SERVICES TO 2018

    $1,765.00

  159. Regional Population Aged 65 & Over (1 of 2)

    $35.00

  160. Regional Population Aged 65 & Over (2 of 2)

    $35.00

  161. RESIDENT POPULATION 65 YEARS & OVER BY REGION (million persons) 2003 - 2023

    $60.00

  162. Regional GDP (1 of 2)

    $35.00

  163. Regional GDP (2 of 2)

    $35.00

  164. REGIONAL GROSS DOMESTIC PRODUCT (billion 2009 dollars) 2003 - 2023

    $60.00

  165. Elder Care Services by Region

    $35.00

  166. ELDER CARE SERVICE REVENUES BY REGION (billion dollars) 2003 - 2023

    $60.00

  167. Northeast Region - Elder Care Services

    $35.00

  168. NORTHEAST: ELDER CARE SERVICE REVENUES BY SOURCE & SUBREGION (million dollars) 2003 - 2023

    $60.00

  169. New England States - Elder Care Services (1 of 2)

    $35.00

  170. New England States - Elder Care Services (2 of 2)

    $35.00

  171. NEW ENGLAND: ELDER CARE SERVICE REVENUES BY STATE (million dollars) 2003 - 2023

    $60.00

  172. Middle Atlantic States - Elder Care Services

    $35.00

  173. MIDDLE ATLANTIC: ELDER CARE SERVICE REVENUES BY STATE (million dollars) 2003 - 2023

    $60.00

  174. Midwest Region - Elder Care Services (1 of 2)

    $35.00

  175. Midwest Region - Elder Care Services (2 of 2)

    $35.00

  176. MIDWEST: ELDER CARE SERVICE REVENUES BY SOURCE & SUBREGION (million dollars) 2003 - 2023

    $60.00

  177. East North Central States - Elder Care Services

    $35.00

  178. EAST NORTH CENTRAL: ELDER CARE SERVICE REVENUES BY STATE (million dollars) 2003 - 2023

    $60.00

  179. West North Central States - Elder Care Services

    $35.00

  180. WEST NORTH CENTRAL: ELDER CARE SERVICE REVENUES BY STATE (million dollars) 2003 - 2023

    $60.00

  181. South Region - Elder Care Services (1 of 2)

    $35.00

  182. South Region - Elder Care Services (2 of 2)

    $35.00

  183. SOUTH: ELDER CARE SERVICE REVENUES BY SOURCE & SUBREGION (million dollars) 2003 - 2023

    $60.00

  184. South Atlantic States - Elder Care Services (1 of 2)

    $35.00

  185. South Atlantic States - Elder Care Services (2 of 2)

    $35.00

  186. SOUTH ATLANTIC: ELDER CARE SERVICE REVENUES BY STATE (million dollars) 2003 - 2023

    $60.00

  187. East South Central States - Elder Care Services

    $35.00

  188. EAST SOUTH CENTRAL: ELDER CARE SERVICE REVENUES BY STATE (million dollars) 2003 - 2023

    $60.00

  189. West South Central States - Elder Care Services (1 of 2)

    $35.00

  190. West South Central States - Elder Care Services (2 of 2)

    $35.00

  191. WEST SOUTH CENTRAL: ELDER CARE SERVICE REVENUES BY STATE (million dollars) 2003 - 2023

    $60.00

  192. West Region - Elder Care Services

    $35.00

  193. WEST: ELDER CARE SERVICE REVENUES BY SOURCE & SUBREGION (million dollars) 2003 - 2023

    $60.00

  194. Mountain States - Elder Care Services

    $35.00

  195. MOUNTAIN: ELDER CARE SERVICE REVENUES BY STATE (million dollars) 2003 - 2023

    $60.00

  196. Pacific States - Elder Care Services

    $35.00

  197. PACIFIC: ELDER CARE SERVICE REVENUES BY STATE (million dollars) 2003 - 2023

    $60.00

  198. INDUSTRY STRUCTURE: ELDER CARE SERVICES TO 2018

    $870.00

  199. General

    $35.00

  200. Industry Composition (1 of 2)

    $35.00

  201. Industry Composition (2 of 2)

    $35.00

  202. ELDER CARE SERVICE REVENUES BY COMPANY, 2013 (million dollars)

    $60.00

  203. Market Share (1 of 6)

    $35.00

  204. Market Share (2 of 6)

    $35.00

  205. Market Share (3 of 6)

    $35.00

  206. Market Share (4 of 6)

    $35.00

  207. Market Share (5 of 6)

    $35.00

  208. Market Share (6 of 6)

    $35.00

  209. ELDER CARE SERVICE MARKET SHARE BY LEADING COMPANIES, 2013 (percent)

    $60.00

  210. Competitive Strategies (1 of 3)

    $35.00

  211. Competitive Strategies (2 of 3)

    $35.00

  212. Competitive Strategies (3 of 3)

    $35.00

  213. Marketing (1 of 2)

    $35.00

  214. Marketing (2 of 2)

    $35.00

  215. Mergers & Acquisitions (1 of 3)

    $35.00

  216. Mergers & Acquisitions (2 of 3)

    $35.00

  217. Mergers & Acquisitions (3 of 3)

    $35.00

  218. SELECTED ACQUISITIONS & DIVESTITURES

    $60.00

  219. Cooperative Agreements

    $35.00

  220. SELECTED COOPERATIVE AGREEMENTS

    $60.00

  221. COMPANY PROFILES: ELDER CARE SERVICES TO 2018

    $1,645.00

  222. Company Profiles Methodology

    $35.00

  223. ADT Corporation

    $35.00

  224. Adult Day Care Group

    $35.00

  225. Amedisys Incorporated

    $35.00

  226. Atria Senior Living Group

    $35.00

  227. Bayada Home Healthcare

    $35.00

  228. Brookdale Senior Living (Emeritus) (Nurse On Call) (1 of 3)

    $35.00

  229. Brookdale Senior Living (Emeritus) (Nurse On Call) (2 of 3)

    $35.00

  230. Brookdale Senior Living (Emeritus) (Nurse On Call) (3 of 3)

    $35.00

  231. Capital Senior Living

    $35.00

  232. CareSouth Health System

    $35.00

  233. Catholic Health Initiatives (1 of 2)

    $35.00

  234. Catholic Health Initiatives (2 of 2)

    $35.00

  235. Chemed Corporation (VITAS) (Solari Hospice)

    $35.00

  236. Compassionate Care Hospice

    $35.00

  237. Covenant Care

    $35.00

  238. Diversicare Healthcare Services (Advocat)

    $35.00

  239. Encompass Home Health

    $35.00

  240. Enlivant (Assisted Living Concepts)

    $35.00

  241. Evangelical Lutheran Good Samaritan Society

    $35.00

  242. Extendicare Incorporated

    $35.00

  243. Five Star Quality Care

    $35.00

  244. Genesis HealthCare (1 of 2)

    $35.00

  245. Genesis HealthCare (2 of 2)

    $35.00

  246. Gentiva Health Services

    $35.00

  247. GGNSC Holdings (Aegis) (AseraCare)

    $35.00

  248. Griswold Home Care

    $35.00

  249. HCP Incorporated

    $35.00

  250. Home Instead

    $35.00

  251. Interim HealthCare

    $35.00

  252. Intrepid USA Healthcare Services

    $35.00

  253. Kindred Healthcare (Professional HealthCare) (1 of 3)

    $35.00

  254. Kindred Healthcare (Professional HealthCare) (2 of 3)

    $35.00

  255. Kindred Healthcare (Professional HealthCare) (3 of 3)

    $35.00

  256. LCS LLC (Encore)

    $35.00

  257. Life Alert Emergency Response

    $35.00

  258. Life Care Centers of America

    $35.00

  259. LivHOME Incorporated

    $35.00

  260. Manor Care

    $35.00

  261. National HealthCare

    $35.00

  262. Royal Philips

    $35.00

  263. SavaSeniorCare LLC

    $35.00

  264. Senior Care Centers of America

    $35.00

  265. Skilled Healthcare Group

    $35.00

  266. Sodexo (CK) (Comfort Keepers)

    $35.00

  267. Sunrise Senior Living

    $35.00

  268. Other Elder Care Companies

    $35.00

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