1. Market Research
  2. > Healthcare
  3. > Medical Facility Market Trends
  4. > US Elder Care Services Market

US Elder Care Services Market

  • January 2015
  • -
  • Freedonia
  • -
  • 306 pages

US demand to be driven by demographic changes

Through 2018, growth in US elder care service revenues will be stimulated by demographic changes, especially by the large “baby boom” generation entering retirement years and longer life expectancies. Both of these trends will contribute to the rising size of the older population. Growth in elder care services will be further spurred by modified regulations, as improved coverage of these services, especially through Medicare, allows for greater flexibility and more choices for patients. 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 healthcare will be fastest growing segment

In 2013, skilled nursing facilities, with 45 percent of the total, accounted for the largest share of elder care service revenue. However, home healthcare is projected to exhibit faster growth. Advances will be driven by the shift in preference among the older population to age in place, remaining in their homes as long as possible, as well as by regulatory changes that improve coverage of these home-based services. The ability of more seniors to utilize home-based services rather than institutional care will be further aided by advancements in medical technology, such as remote monitoring and a new generation of personal emergency response systems.

Continuing care retirement communities (CCRCs) will also see growth, as housing markets improve and housing values increase, boosting the ability of elderly individuals to raise money for the steep entry fees at CCRCs. More seniors appreciate the less institutional feel and convenience of lifetime care from independent living as opposed to skilled nursing care at a single location. Social services (e.g., senior centers, adult day care, companion services, non-medical home care or homemaker services, respite
care, and group support services) will also see increased demand. Such nonmedical care can postpone or negate the need for more expensive skilled nursing facilities or other institutional care services. The growing availability of home and community based Medicaid waivers will further benefit the market. Assisted living provides similar non-medical care, but in an institutional setting.

Government programs will remain leading pay source

Government programs remain the leading payment source for the elder care service industry, despite efforts to rein in expenditures. In 2013, Medicaid and Medicare combined to account for more than half of payments for elder care services. This dominance makes elder care service industry highly reliant on and reactive to government reimbursements; changes in reimbursement rates, coverage, or eligibility can have a significant impact on the industry.

Out-of-pocket expenditures continue to be essential for continuing care communities and assisted living facilities, as many non-medical care costs are not covered by Medicare or Medicaid. Private insurance usage will see aboveaverage gains in light of both the longterm care insurance industry maturing as more seniors have coverage and consumer concerns over the governments’s ability to pay for future elder care needs. Other payment sources include charitable donations, private grants, and other government resources such as the US Veterans’ Administration.

Study coverage

This upcoming study, Elder Care Services, presents historical demand data (2003, 2008, 2013) plus forecasts (2018, 2023) by type, provider (for-profit, nonprofit), payment source (e.g., Medicaid, out-ofpocket, Medicare, private insurance) and US region. The study also considers key market environment factors, evaluates company market share and profiles 39 US industry competitors.

Table Of Contents

US Elder Care Services Market
INTRODUCTION ix
I. EXECUTIVE SUMMARY 1
II. MARKET ENVIRONMENT 4
General 4
Demographic Trends 4
Macroeconomic Outlook 8
Consumer Spending Trends 13
Building Construction Trends 16
Business Establishment Trends 19
Service Sector Outlook 21
Healthcare Trends 24
National Health Expenditures 25
Medical Conditions 28
Chronic Conditions 29
Acute Conditions 31
Regulatory Environment 33
World Markets 36
III. SERVICES 40
General 40
Skilled Nursing Care Facilities 43
Overview 44
Employees 48
Regulations 50
Providers 53
Payment Sources 55
Home Healthcare Services 58
Overview 58
Employees 61
Regulation 64
Personal Emergency Response Services 65
Providers 69
Payment Sources 71
Social Services 73
Overview 73
Adult Day Care 78
Non-Medical Home Care 81
Other Services 84
Employees 84
Providers 85
Payment Sources 86
Continuing Care Retirement Communities 88
Overview 89
Providers 93
Payment Sources 96
Assisted Living Facilities 98
Overview 99
Employees 102
Regulations 103
Providers 104
Payment Sources 106
IV. SERVICE PROVIDERS 108
General 108
For-Profit 111
Nonprofit 114
V. PAYMENT SOURCES 119
General 119
Medicaid 122
Overview 122
Medicaid Payments for Elder Care Services 124
Medicare 127
Overview 128
Medicare Payments for Elder Care Services 132
Out-of-Pocket 136
Private Insurance 140
Overview 141
Long-Term Care Insurance 144
Private Insurance Payments for Elder Care Services 146
Other 149
VI. REGIONAL MARKETS 153
General 153
Regional Population Aged 65 and Over 153
Regional GDP 155
Elder Care Services by Region 158
Northeast 160
New England 162
Middle Atlantic 165
Midwest 167
East North Central 171
West North Central 173
South 175
South Atlantic 178
East South Central 181
West South Central 183
West 186
Mountain 188
Pacific 190
VII. INDUSTRY STRUCTURE 193
General 193
Industry Composition 193
Market Share 197
Competitive Strategies 203
Marketing 206
Mergers and Acquisitions 208
Cooperative Agreements 216
Company Profiles 218
ADT Corporation 219
Adult Day Care Group 220
Advocat, see Diversicare Healthcare Services
Aegis Therapies, see GGNSC Holdings
Amedisys Incorporated 221
AseraCare, see GGNSC Holdings
Assisted Living Concepts, see Enlivant
Atria Senior Living Group Incorporated 224
Bayada Home Healthcare 225
Brookdale Senior Living Incorporated 227
Capital Senior Living Corporation 232
CareSouth Health System Incorporated 235
Catholic Health Initiatives 237
Centerre Healthcare, see Kindred Healthcare
Chemed Corporation 240
CK Franchising, see Sodexo
Comfort Keepers, see Sodexo
Compassionate Care Hospice LLC 242
Covenant Care Incorporated 243
Diversicare Healthcare Services Incorporated 244
Emeritus, see Brookdale Senior Living
Encompass Home Health Incorporated 247
Encore Senior Living, see LCS
Enlivant 249
Evangelical Lutheran Good Samaritan Society 250
Extendicare Incorporated 252
Family Matters, see Senior Care Centers of America
Five Star Quality Care Incorporated 254
Genesis HealthCare Corporation 256
Gentiva Health Services Incorporated 259
GGNSC Holdings LLC 262
Griswold Home Care Incorporated 264
Harden Healthcare Holdings, see Gentiva Health Services
HCP Incorporated 265
Holland Health, see Senior Care Centers of America
Home Instead Incorporated 268
IntegraCare Holdings, see Kindred Healthcare
Interim HealthCare Incorporated 269
Intrepid USA Healthcare Services 271
Kindred Healthcare Incorporated 273
LCS LLC 278
Life Alert Emergency Response Incorporated 281
Life Care Centers of America 282
LivHOME Incorporated 283
Manor Care Incorporated 285
National HealthCare Corporation 287
Nurse On Call, see Brookdale Senior Living
Odyssey HealthCare, see Gentiva Health Services
Philips Lifeline, see Royal Philips
Professional HealthCare, see Kindred Healthcare
Royal Philips NV 291
SavaSeniorCare LLC 293
Senior Care Centers of America Incorporated 294
Senior Home Care, see Kindred Healthcare
Skilled Healthcare Group Incorporated 296
Sodexo 299
Solari Hospice Care, see Chemed
Sunrise Senior Living LLC 301
TherEX, see Kindred Healthcare
VITAS Healthcare, see Chemed
Wake Forest Baptist Health Care at Home, see Gentiva
Health Services
Western Reserve Senior Care, see Kindred Healthcare
Other Elder Care Companies 304

LIST OF TABLES

SECTION I -- EXECUTIVE SUMMARY
Summary Table 3
SECTION II -- MARKET ENVIRONMENT
1 Population and Households 8
2 Macroeconomic Indicators 13
3 Personal Consumption Expenditures 16
4 Building Construction Expenditures 18
5 Business Establishments 21
6 Services Income 24
7 National Health Expenditures by Category 28
8 Chronic Conditions by Type 31
9 Acute Conditions by Type 32
SECTION III -- SERVICES
1 Elder Care Service Revenues by Service Type 42
2 Skilled Nursing Overview 48
3 Skilled Nursing Care Revenues by Provider Type 54
4 Skilled Nursing Revenues by Payment Source 57
5 Home Healthcare Service Overview 61
6 Personal Emergency Response Service Overview 69
7 Home Healthcare Revenues by Provider Type 71
8 Home Healthcare Revenues by Payment Source 73
9 Social Services Overview 77
10 Social Service Revenues by Provider Type 86
11 Social Service Revenues by Payment Source 88
12 Continuing Care Communities Overview 93
13 Continuing Care Community Revenues by Provider Type 96
14 Continuing Care Community Revenues by Payment Source 98
15 Assisted Living Facilities Overview 102
16 Assisted Living Facility Revenues by Provider Type 106
17 Assisted Living Facility Revenues by Payment Source 107
SECTION IV -- SERVICE PROVIDERS
1 Elder Care Service Revenues by Service Provider 110
2 For-Profit Elder Care Service Revenues by Service Type 114
3 Nonprofit Elder Care Service Revenues by Service Type 118
SECTION V -- PAYMENT SOURCES
1 Elder Care Service Revenues by Payment Source 121
2 Selected Medicaid Statistics, 2003-2013 124
3 Medicaid Payments for Elder Care Services 126
4 Selected Medicare Statistics, 2003-2013 132
5 Medicare Payments for Elder Care Services 135
6 Out-of-Pocket Payments for Elder Care Services 139
7 Selected Private Insurance Statistics, 2003-2013 144
8 Private Insurance Payments for Elder Care Services 148
9 Other Payment Sources for Elder Care Services 151
SECTION VI -- REGIONAL MARKETS
1 Resident Population 65 Years and Over by Region 155
2 Regional Gross Domestic Product 158
3 Elder Care Service Revenues by Region 159
4 Northeast: Elder Care Service Revenues by Source
and Subregion 162
5 New England: Elder Care Service Revenues by State 165
6 Middle Atlantic: Elder Care Service Revenues by State 167
7 Midwest: Elder Care Service Revenues by Source
and Subregion 170
8 East North Central: Elder Care Service Revenues by State 173
9 West North Central: Elder Care Service Revenues by State 175
10 South: Elder Care Service Revenues by Source and Subregion 178
11 South Atlantic: Elder Care Service Revenues by State 181
12 East South Central: Elder Care Service Revenues by State 183
13 West South Central: Elder Care Service Revenues by State 186
14 West: Elder Care Service Revenues by Source and Subregion 188
15 Mountain: Elder Care Service Revenues by State 190
16 Pacific: Elder Care Service Revenues by State 192
SECTION VII -- INDUSTRY STRUCTURE
1 Elder Care Service Revenues by Company, 2013 196
2 Selected Acquisitions and Divestitures 212
3 Selected Cooperative Agreements 217

LIST OF CHARTS

SECTION III -- SERVICES
1 Elder Care Service Revenues by Service Type, 2003-2013 43
2 Social Service Caregivers, 2013 78
SECTION IV -- SERVICE PROVIDERS
1 Elder Care Service Revenues by Service Provider, 2003-2023 110
SECTION V -- PAYMENT SOURCES
1 Elder Care Service Revenues by Payment Source, 2013 121
2 Medicaid Payments for Elder Care Services, 2003-2023 127
3 Medicare Payments for Elder Care Services, 2013 136
4 Out-of-Pocket Payments for Elder Care Services, 2013 140
5 Private Insurance Payments for Elder Care Services, 2013 149
6 Other Payments for Elder Care Services, 2013 152
SECTION VI -- REGIONAL MARKETS
1 Elder Care Service Revenues by Region, 2013 160
SECTION VII -- INDUSTRY STRUCTURE
1 Elder Care Service Market Share, 2013 197

View This Report »

Get Industry Insights. Simply.

  • Latest reports & slideshows with insights from top research analysts
  • 24 Million searchable statistics with tables, figures & datasets
  • More than 10,000 trusted sources
24/7 Customer Support

Talk to Ahmad

+1 718 618 4302

Purchase Reports From Reputable Market Research Publishers
Ventricular Assist Device Market - North America Industry Analysis, Size, Share, Growth, Trends, and Forecast 2016 - 2024

Ventricular Assist Device Market - North America Industry Analysis, Size, Share, Growth, Trends, and Forecast 2016 - 2024

  • $ 5795
  • Industry report
  • November 2016
  • by Transparency Market Research

North America Ventricular Assist Device Market: Overview Advance Heart Failure is characterized as weakening of the heart caused due to failure of the left ventricle, due to which the heart is unable to ...

Disabled and Elderly Assistive Technologies - Global Market Outlook (2016-2022)

Disabled and Elderly Assistive Technologies - Global Market Outlook (2016-2022)

  • $ 4157
  • Industry report
  • November 2016
  • by Stratistics MRC

According to Stratistics MRC, the Global Disabled and Elderly Assistive Technologies market is accounted for $43.1 billion in 2015 and is expected to reach $69.8 billion by 2022 growing at a CAGR of 7.15%. ...

Global and Chinese European Smart Homes and Assisted Living Industry, 2016 Market Research Report

Global and Chinese European Smart Homes and Assisted Living Industry, 2016 Market Research Report

  • $ 3000
  • Industry report
  • November 2016
  • by Prof Research

The ’Global and Chinese European Smart Homes and Assisted Living Industry, 2011-2021 Market Research Report’ is a professional and in-depth study on the current state of the global European Smart Homes ...


Download Unlimited Documents from Trusted Public Sources

Nursing Home Industry in the US

  • December 2016
    15 pages
  • Nursing Home  

  • United States  

View report >

Nursing Home Industry in the UK

  • November 2016
    154 pages
  • Nursing Home  

  • United Kingdom  

View report >

Assisted Living Industry in the US

  • November 2016
    31 pages
  • Assisted Living  

    Prosthesis  

    Therapy  

  • United States  

View report >

Related Market Segments :

Assisted Living

ref:plp2015

Reportlinker.com © Copyright 2016. All rights reserved.

ReportLinker simplifies how Analysts and Decision Makers get industry data for their business.