Elder Care Services

As Quoted In Home Health Care News

Advances will be driven largely by demographic changes in light of increasing life expectancy, as well the the large, post-World War II “baby boom” generation entering its retirement years.

US revenues to grow 5.2% annually through 2016

Revenues for the elder care services industry (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 will be further boosted by the large, post-World War II “baby boom” generation entering its retirement years. Gains will also be spurred by a recovery in the economy and the housing market, enabling older adults to more easily finance their care. Further growth will be restrained by continuing efforts at the state and federal levels to curb Medicaid and Medicare expenditures, often by either limiting reimbursements or by directing patients to less expensive forms of care. 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.

Medicare to be fastest growing payment source

Medicaid was the largest payment source for elder care services in 2011, accounting for 33 percent of revenues. Medicaid payments will grow the slowest of any payment source through 2016, restrained by expanded use of home and community based waivers for Medicaid care for less expensive home care. Medicare accounted for another 25 percent of overall payments, and is projected to be the fastest growing payment source through 2016. Out-of-pocket expenditures continue to be important in the continuing care and assisted living industries, as these services may not be 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 Department of Veterans Affairs.

Home, community-based services to grow fastest

In 2011, skilled nursing facilities accounted for the largest share of elder care service revenues with 43 percent. However, home and community based services (e.g., home health care, social services, assisted living) are projected to achieve faster growth. Advances for home and community based services 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.

Study Scope

This study analyzes the $249 billion US elder care service industry. It presents historical demand data for the years 2001, 2006 and 2011, and forecasts for 2016 and 2021 by type (e.g., skilled nursing care facilities, home health care services, social services, continuing care retirement communities, assisted living facilities), provider (for-profit, non-profit), payment source (e.g., Medicaid, out-of-pocket, Medicare, private insurance) and US region.

The study also considers market environment factors, details industry structure, evaluates company market share and profiles 40 industry players such as Manor Care, Kindred Healthcare, and Golden Living.

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  1. Elder Care Services

    $4,900.00

    1. 1 INTRODUCTION

      $106.00

    2. 2 EXECUTIVE SUMMARY

      $154.00

      1. Table | ELDER CARE SERVICE REVENUES (billion dollars)

    3. 3 MARKET ENVIRONMENT

      $1,687.00

      1. 3.1 General

        $82.00

      2. 3.2 Demographic Trends

        $232.00

        1. Table | POPULATION & HOUSEHOLDS (million persons)

      3. 3.3 Macroeconomic Outlook

        $174.00

        1. Table | MACROECONOMIC INDICATORS (billion 2005 dollars)

      4. 3.4 Consumer Spending Trends

        $131.00

        1. Table | PERSONAL CONSUMPTION EXPENDITURES (billion dollars)

      5. 3.5 Building Construction Trends

        $123.00

        1. Table | BUILDING CONSTRUCTION EXPENDITURES (billion dollars)

      6. 3.6 Business Establishment Trends

        $140.00

        1. Table | BUSINESS ESTABLISHMENTS (thousands)

      7. 3.7 Service Sector Outlook

        $169.00

        1. Table | SERVICES INCOME (billion dollars)

      8. 3.8 Health Care Trends

        $355.00

        1. 3.8.1 National Health Expenditures

          $119.00

          1. Table | NATIONAL HEALTH EXPENDITURES BY CATEGORY (billion dollars)

        2. 3.8.2 Medical Conditions

          $216.00

          1. Table | CHRONIC CONDITIONS BY TYPE (million conditions)

          2. Table | ACUTE CONDITIONS BY TYPE (million conditions)

      9. 3.9 Regulatory Environment

        $152.00

      10. 3.10 World Markets

        $183.00

    4. 4 SERVICES

      $2,964.00

      1. 4.1 General

        $152.00

        1. Table | ELDER CARE SERVICE REVENUES BY SERVICE TYPE (billion dollars)

      2. 4.2 Skilled Nursing Care Facilities

        $690.00

        1. 4.2.1 Overview

          $403.00

          1. Table | SKILLED NURSING CARE SERVICE OVERVIEW

        2. 4.2.2 Providers

          $110.00

          1. Table | SKILLED NURSING CARE REVENUES BY PROVIDER TYPE (million dollars)

        3. 4.2.3 Payment Sources

          $146.00

          1. Table | SKILLED NURSING REVENUES BY PAYMENT SOURCE (million dollars)

      3. 4.3 Home Health Care Services

        $692.00

        1. 4.3.1 Overview

          $530.00

          1. Table | HOME HEALTH CARE SERVICE OVERVIEW

          2. Table | PERSONAL EMERGENCY RESPONSE SERVICE OVERVIEW

        2. 4.3.2 Providers

          $82.00

          1. Table | HOME HEALTH CARE REVENUES BY PROVIDER TYPE (million dollars)

        3. 4.3.3 Payment Sources

          $82.00

          1. Table | HOME HEALTH CARE REVENUES BY PAYMENT SOURCE (million dollars)

      4. 4.4 Social Services

        $572.00

        1. 4.4.1 Overview

          $411.00

          1. Table | SOCIAL SERVICES OVERVIEW

        2. 4.4.2 Providers

          $82.00

          1. Table | SOCIAL SERVICE REVENUES BY PROVIDER TYPE (million dollars)

        3. 4.4.3 Payment Sources

          $82.00

          1. Table | SOCIAL SERVICE REVENUES BY PAYMENT SOURCE (million dollars)

      5. 4.5 Continuing Care Retirement Communities

        $454.00

        1. 4.5.1 Overview

          $191.00

          1. Table | CONTINUING CARE COMMUNITIES OVERVIEW

        2. 4.5.2 Providers

          $121.00

          1. Table | CONTINUING CARE COMMUNITY REVENUES BY PROVIDER TYPE (million dollars)

        3. 4.5.3 Payment Sources

          $115.00

          1. Table | CONTINUING CARE COMMUNITY REVENUES BY PAYMENT SOURCE (million dollars)

      6. 4.6 Assisted Living Facilities

        $404.00

        1. 4.6.1 Overview

          $244.00

          1. Table | ASSISTED LIVING FACILITIES OVERVIEW

        2. 4.6.2 Providers

          $82.00

          1. Table | ASSISTED LIVING REVENUES BY PROVIDER TYPE (million dollars)

        3. 4.6.3 Payment Sources

          $82.00

          1. Table | ASSISTED LIVING REVENUES BY PAYMENT SOURCE (million dollars)

    5. 5 SERVICE PROVIDERS

      $482.00

      1. 5.1 General

        $82.00

        1. Table | ELDER CARE SERVICE REVENUES BY SERVICE PROVIDER (million dollars)

      2. 5.2 For-Profit

        $196.00

        1. Table | FOR-PROFIT ELDER CARE SERVICE REVENUES BY SERVICE TYPE (million dollars)

      3. 5.3 Nonprofit

        $213.00

        1. Table | NONPROFIT ELDER CARE SERVICE REVENUES BY SERVICE TYPE (million dollars)

    6. 6 PAYMENT SOURCES

      $1,376.00

      1. 6.1 General

        $112.00

        1. Table | ELDER CARE SERVICE REVENUES BY PAYMENT SOURCE (million dollars)

      2. 6.2 Medicaid

        $223.00

        1. 6.2.1 Overview

          $91.00

          1. Table | SELECTED MEDICAID STATISTICS (billion dollars)

        2. 6.2.2 Medicaid Payments for Elder Care Services

          $108.00

          1. Table | MEDICAID PAYMENTS FOR ELDER CARE SERVICES (million dollars)

      3. 6.3 Out-of-Pocket

        $163.00

        1. Table | OUT-OF-POCKET PAYMENTS FOR ELDER CARE SERVICES (million dollars)

      4. 6.4 Medicare

        $366.00

        1. 6.4.1 Overview

          $198.00

          1. Table | SELECTED MEDICARE STATISTICS

        2. 6.4.2 Medicare Payments for Elder Care Services

          $140.00

          1. Table | MEDICARE PAYMENTS FOR ELDER CARE SERVICES (million dollars)

      5. 6.5 Private Insurance

        $420.00

        1. 6.5.1 Overview

          $181.00

          1. Table | SELECTED PRIVATE INSURANCE STATISTICS

        2. 6.5.2 Long Term Care Insurance

          $105.00

        3. 6.5.3 Private Insurance Payments for Elder Care Services

          $106.00

          1. Table | PRIVATE INSURANCE PAYMENTS FOR ELDER CARE SERVICES (million dollars)

      6. 6.6 Other

        $92.00

        1. Table | OTHER PAYMENTS FOR ELDER CARE SERVICES (million dollars)

    7. 7 REGIONAL MARKETS

      $719.00

      1. 7.1 General

        $82.00

      2. 7.2 Regional Population Aged 65 & Over

        $96.00

        1. Table | RESIDENT POPULATION 65 YEARS & OVER BY REGION (million persons)

      3. 7.3 Regional GDP

        $101.00

        1. Table | REGIONAL GROSS DOMESTIC PRODUCT (billion dollars)

      4. 7.4 Elder Care Services by Region

        $498.00

        1. Table | ELDER CARE SERVICE REVENUES BY REGION (million dollars)

        2. 7.4.1 Northeast

          $99.00

          1. Table | NORTHEAST ELDER CARE SERVICE REVENUES (million dollars)

        3. 7.4.2 Midwest

          $82.00

          1. Table | MIDWEST ELDER CARE SERVICE REVENUES (million dollars)

        4. 7.4.3 South

          $146.00

          1. Table | SOUTH ELDER CARE SERVICE REVENUES (million dollars)

        5. 7.4.4 West

          $111.00

          1. Table | WEST ELDER CARE SERVICE REVENUES (million dollars)

    8. 8 INDUSTRY STRUCTURE

      $4,931.00

      1. 8.1 General

        $82.00

      2. 8.2 Industry Composition

        $174.00

        1. Table | ELDER CARE SERVICE REVENUES BY COMPANY, 2011 (million dollars)

      3. 8.3 Market Share

        $338.00

      4. 8.4 Competitive Strategies

        $186.00

      5. 8.5 Marketing

        $129.00

      6. 8.6 Mergers & Acquisitions

        $321.00

        1. Table | SELECTED ACQUISITIONS & DIVESTITURES

      7. 8.7 Cooperative Agreements

        $128.00

        1. Table | SELECTED COOPERATIVE AGREEMENTS

      8. 8.8 Company Profiles

        $4,895.00

        1. 8.8.1 ADT Corporation

          $82.00

        2. 8.8.2 Adult Day Care Group

          $82.00

        3. 8.8.3 Advocat Incorporated

          $111.00

        4. 8.8.4 Amedisys Incorporated

          $160.00

        5. 8.8.5 American Senior Communities LLC

          $158.00

        6. 8.8.6 Assisted Living Concepts Incorporated

          $82.00

        7. 8.8.7 Atria Senior Living Group Incorporated

          $82.00

        8. 8.8.8 Benedictine Health System

          $84.00

        9. 8.8.9 Brookdale Senior Living Incorporated

          $199.00

        10. 8.8.10 Capital Senior Living Corporation

          $169.00

        11. 8.8.11 Chemed Corporation

          $82.00

        12. 8.8.12 Covenant Care Incorporated

          $82.00

        13. 8.8.13 Ecumen

          $86.00

        14. 8.8.14 Emeritus Corporation

          $192.00

        15. 8.8.15 Evangelical Lutheran Good Samaritan Society

          $162.00

        16. 8.8.16 Extendicare Incorporated

          $137.00

        17. 8.8.17 Five Star Quality Care Incorporated

          $134.00

        18. 8.8.18 Genesis HealthCare Corporation

          $184.00

        19. 8.8.19 Gentiva Health Services Incorporated

          $201.00

        20. 8.8.20 GGNSC Holdings LLC

          $139.00

        21. 8.8.21 Griswold Home Care Incorporated

          $82.00

        22. 8.8.22 HCP Incorporated

          $144.00

        23. 8.8.23 Home Instead Incorporated

          $82.00

        24. 8.8.24 Interim HealthCare Incorporated

          $123.00

        25. 8.8.25 Kindred Healthcare Incorporated

          $232.00

        26. 8.8.26 LCS LLC

          $168.00

        27. 8.8.27 Life Alert Emergency Response Incorporated

          $82.00

        28. 8.8.28 Life Care Centers of America

          $82.00

        29. 8.8.29 LivHOME Incorporated

          $82.00

        30. 8.8.30 Manor Care Incorporated

          $133.00

        31. 8.8.31 Masonicare

          $107.00

        32. 8.8.32 National HealthCare Corporation

          $224.00

        33. 8.8.33 Royal Philips Electronics NV

          $111.00

        34. 8.8.34 SavaSeniorCare LLC

          $82.00

        35. 8.8.35 Senior Care Centers of America Incorporated (formerly Active Day)

          $107.00

        36. 8.8.36 Skilled Healthcare Group Incorporated

          $204.00

        37. 8.8.37 Sodexo

          $98.00

        38. 8.8.38 Sun Healthcare Group Incorporated

          $137.00

        39. 8.8.39 Sunrise Senior Living Incorporated

          $189.00

        40. 8.8.40 Tyco International Limited

          $82.00

      9. 8.9 Other Elder Care Companies

        $82.00

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