Elder Care Services

US industry forecasts for 2011 & 2016

Publication Date	January 2008
Publisher	Freedonia Group
Product Type	Report
Pages	242
ISBN Number	not applicable
Product Code	FED00152

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Summary

US demand to grow 6.6% annually through 2011

Revenues for elder care services in the US are expected to increase 6.6 percent per year to $26.4 billion in 2011. Advances will be driven largely by demographic changes. Medical advances and trends toward healthier lifestyles are increasing the life expectancy of all age groups and contributing to the growing number of individuals in the older population segments. Such gains are augmented by the large, post-World War II "baby boom" generation that will be entering their retirement years. Growth will also stem from the rising cost of providing care on a per capita basis. Additionally, advances are spurred by the rising number of older adults who either do not have family members who are able to care for them, or simply prefer using professional care.

Further revenue gains will be restrained by limitations on government reimbursements that have not generally kept pace with the rising cost of providing care, a particular concern because a large number of older adults rely on Medicare and Medicaid to pay for elder care services.

Home health care to be fastest growing segment

In 2006, skilled nursing facilities accounted for the largest share of elder care revenues with 46 percent. However, the fastest growth is expected in the home health care segment where gains will be driven by the growing number of older adults who choose to have nursing care brought to them, as well as the increasing use of home- and community-based Medicaid waivers to pay for care away from more expensive institutional settings. Other elder care services, including continuing care communities, assisted living facilities and social services (e.g., adult day care, companion services and nonmedical homecare services), will also post strong gains.

Private insurance to lead gains among payers

Medicaid was the largest source for elder care service revenues in 2006 with 34 percent. However, private insurance is expected to post the strongest gains among payment sources as a greater number of older adults utilize long-term care insurance. The Medicare program is expected to post the second strongest gains as the eligible population increases. However, gains in Medicare and Medicaid reimbursements are subject to changes in reimbursement rates and payment structures. Out-of-pocket payments continue to be important, particularly in continuing care, assisted living and privately-funded social services. Other payment sources include charitable donations and other public resources such as Veterans' Administration and Indian Affairs.

Study coverage

This new Freedonia industry study, Elder Care Services, is available for $4500. It presents historical demand data for the years 1996, 2001 and 2006 plus forecasts for 2011 and 2016 by service type, provider, payment source and US region. The study also considers market environment factors, evaluates company market share and profiles 39 US industry players.

Content

SECTION
- 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
- Medical Conditions
- Chronic Conditions
- Acute Conditions
- National Health Expenditures
- Regulatory Environment
- World Markets
III. SERVICES
- General
- Skilled Nursing Care Facilities
- Overview
- Employees
- Regulations
- Providers
- Payment Sources
- Home Health Care Services
- Overview
- Employees
- Regulations
- Personal Emergency Response Services
- Providers
- Payment Sources
- Continuing Care Retirement Communities
- Overview
- Providers
- Payment Sources
- Social Services
- Overview
- Adult Day Care
- Non-Medical Home Care
- Others
- 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
- Medicare
- Overview
- Medicare Payments for Elder Care Services
- Out-Of-Pocket
- 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
- Manor Care
- GGNSC Holdings
- Kindred Healthcare
- Others
- Competitive Strategies
- Marketing
- Mergers & Acquisitions
- Cooperative Agreements
- Company Profiles
- Active Day Incorporated
- ADT Security Services Incorporated,
- see Tyco International Limited
- Adult Day Care Group
- Advocat Incorporated
- Aegis Therapies Incorporated, see GGSNC Holdings LLC
- Amedisys Incorporated
- American Retirement Corporation, see Brookdale Senior
- Living Incorporated
- American Senior Communities LLC
- Assisted Living Concepts Incorporated
- Atria Senior Living Group Incorporated
- Benedictine Health System
- Beverly Enterprises Incorporated, see GGNSC Holdings LLC
- Brookdale Senior Living Incorporated
- Capital Senior Living Corporation
- Chicagoland Caregivers Corporation, see LivHOME Incorporated
- CK Franchising Incorporated
- Covenant Care Incorporated
- Dyna Care Health Ventures Incorporated,
- see Amedisys Incorporated
- Ecumen
- Emeritus Corporation
- Evangelical Lutheran Good Samaritan Society
- Extendicare Real Estate Investment Trust
- Five Star Quality Care Incorporated
- FSQ Pharmacy Holdings LLC,
- see Five Star Quality Care Incorporated
- Genesis HealthCare Corporation
- Gentiva Health Services Incorporated
- GGNSC Holdings LLC
- Griswold Special Care Incorporated
- Gulf Coast Therapy Associates Incorporated,
- see GGNSC Holdings LLC
- HCP Incorporated
- Healthfield Group Incorporated,
- see Gentiva Health Services Incorporated
- Heritage Homecare Services Incorporated,
- see LivHOME Incorporated
- Home Instead Incorporated
- Horizons Hospice Care Incorporated, see Amedisys
- Incorporated
- IntegriCare Incorporated, see Amedisys Incorporated
- Interim HealthCare Incorporated
- Kindred Healthcare Incorporated
- Life Alert Emergency Response Incorporated
- Life Care Centers of America
- Lifeline Systems Incorporated, see Royal Philips
- Electronics NV
- LivHOME Incorporated
- Manor Care Incorporated
- Masonicare
- National HealthCare Corporation
- Odyssey HealthCare Incorporated
- ParaMed Home Health Care,
- see Extendicare Real Estate Investment Trust
- Royal Philips Electronics NV
- SavaSeniorCare LLC
- Skilled Healthcare Group Incorporated
- Sun Healthcare Group Incorporated
- Sunrise Senior Living Incorporated
- Trinity Hospice Incorporated,
- see Sunrise Senior Living Incorporated
- Tyco International Limited
- Additional Companies
LIST OF TABLES
- TABLE NUMBER
SECTION I -- EXECUTIVE SUMMARY
- Summary Table
SECTION II -- MARKET ENVIRONMENT
- 1 Population & Households
- 2 Macroeconomic Indicators
- 3 Personal Income & Expenditures
- 4 Building Construction Expenditures
- 5 Business Establishments
- 6 Service Income
- 7 Chronic Conditions by Type
- 8 Acute Conditions by Type
- 9 National Health Expenditures by Type
SECTION III -- SERVICES
- 1 Elder Care Service Revenues by Service Type
- 2 Skilled Nursing Care Service Overview
- 3 Skilled Nursing Care Revenue by Provider Type
- 4 Skilled Nursing Care Revenue by Payment Source
- 5 Home Health Care Service Overview
- 6 Personal Emergency Response Service Overview
- 7 Home Health Care Revenue by Provider Type
- 8 Home Health Care Revenue by Payment Source
- 9 Continuing Care Communities Overview
- 10 Continuing Care Community Revenue by Provider Type
- 11 Continuing Care Community Revenue by Payment Source
- 12 Social Service Overview
- 13 Social Service Revenue by Provider Type
- 14 Social Service Revenue by Payment Source
- 15 Assisted Living Facilities Overview
- 16 Assisted Living Revenue by Provider Type
- 17 Assisted Living Revenue by Payment Source
SECTION IV -- SERVICE PROVIDERS
- 1 Elder Care Service Revenue 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 Revenue by Payment Source
- 2 Selected Medicaid Statistics
- 3 Medicaid Payments for Elder Care Services
- 4 Selected Medicare Statistics
- 5 Medicare Payments for Elder Care Services
- 6 Out-of-Pocket 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 Regional Elder Care Service Revenue
- 4 Northeast Elder Care Service Revenue
- 5 Midwest Elder Care Service Revenue
- 6 South Elder Care Service Revenue
- 7 West Elder Care Service Revenue
SECTION VII -- INDUSTRY STRUCTURE
- 1 Elder Care Service Revenue by Company, 2006
- 2 Selected Acquisitions & Divestitures
- 3 Selected Cooperative Agreements
LIST OF CHARTS
- CHART NUMBER
SECTION III -- SERVICES
- 1 Elder Care Service Revenues by Service Type, 2006
SECTION IV -- SERVICE PROVIDERS
- 1 Elder Care Service Revenue by Service Provider, 1996-2016
SECTION V -- PAYMENT SOURCES
- 1 Elder Care Service Revenue by Payment Source, 2006
- 2 Medicaid Payments for Elder Care Services, 1996-2016
- 3 Medicare Payments for Elder Care Services, 1996-2016
- 4 Out-of-Pocket Payments for Elder Care Services, 1996-2016
- 5 Private Insurance Payments for Elder Care Services,,1996-2016
- 6 Other Payments for Elder Care Services, 1996-2016
SECTION VII -- INDUSTRY STRUCTURE
- 1 Elder Care Service Market Share, 2006,