U.S. Long Term Care Market Size, Share & Trends Analysis Report By Service (Skilled Nursing Facility, Home Healthcare, Assisted Living Facilities, Hospice & Palliative Care and Others), And Segment - Industry Analysis, Share, Growth, Regional Outlook and Forecasts, 2023-2032

The U.S. long term care market size was estimated at USD 491.90 billion in 2022 and is expected to surpass around USD 885.92 billion by 2032 and poised to grow at a compound annual growth rate (CAGR) of 6.06% during the forecast period 2023 to 2032.

Key Takeaways:

• The skilled nursing facility segment dominated the market for long-term care in the U.S. in terms of revenue in 2022. This can be attributed to the presence of a large number of facilities offering medical supervision and round the clock assistance
• Although the geriatric population is the major consumer pool of these services, other age groups are also benefiting from long-term care. Increasing demand for long-term care for all ages is creating major opportunities for home healthcare service providers in the U.S
• The U.S long-term care market has been witnessing several mergers and acquisitions and partnerships resulting in the integration of various services and maximizing revenue. For instance, in October 2021, Amedisys announced the expansion of its home healthcare services with the opening of new centers in Charlotte and Raleigh, North Carolina
• In August 2022, Humana acquired Kindred at Home, which includes services such as personal care, hospice, and home health
• Group purchasing organizations contribute to the growth of the LTC market as they facilitate the distribution of medical supplies, pharmaceuticals products, and vaccinations. There are organizations dedicated to LTC facilities operating mainly in the U.S. GeriMed is a group purchasing organization, which offers pharmacy and contract services to the LTC in the U.S
• A significant increase in the adoption of telehealth solutions since 2022 is expected to increase the adoption rate of LTC software. Among long-term care providers, home healthcare centers and skilled nursing facilities are leading users of long-term care software

U.S. Long Term Care Market Report Scope

Demand for long-term care (LTC) has increased owing to the recognition of unmet needs of the elderly which are not fulfilled by hospital settings. According to estimates of the U.S. Department of Health and Human Services (HHS), around 71% of the U.S. population is expected to use long-term care services in their lives for an average of about three years, thus impelling their demand in the forthcoming times.

High geriatric population in the U.S. is rapidly rising due to increased life expectancy. In 2020, around 73 million adults in the U.S. were aged 65 and above, accounting for 16.5% of the country’s population as per the U.S. Census Bureau. The geriatric population in the U.S. has a high prevalence of chronic diseases driving the market. For instance, as per the Alzheimer’s Association, 6 million people in the U.S. aged 65 & above have dementia.

Technological developments in the long-term care industry are one of the major factors responsible for the expansion of these services across the U.S. Earlier, durable medical devices such as wheelchairs, walkers, and safety rugs were mostly used for care management. The development of sophisticated & easy-to-use devices and services such as internet-enabled home monitors, telemedicine, and apps for mobile health is likely to boost the market in the forecast period.

The adoption of telehealth applications by providers of long-term care services is helping the market transform into an organized sector, attracting the interest of investors and entrepreneurs. Important advantages of technology integrated service are the reduction in financial burden associated with medical procedures and a decrease in the requirement of institutional care. For instance, remote patient monitoring in-home care services enable doctors to review real-time data and consult patients, reducing the number of home visits & appointments and helping in reducing emergency hospital admissions

According to the American Association of Long-Term Care Insurance, more than 8 million U.S. citizens have long-term care insurance. Employers are taking initiative to provide long-term care services to their employees. For instance, Medtronic sponsors a group LTC insurance plan for its employees. This plan is aimed at protecting employees from high costs associated with long-term care services at home, in community care, and in assisted living facilities.

The federal and state governments in the U.S. are undertaking initiatives to enhance the reach & quality of care services in the U.S. The federal government-initiated training & development programs for the workforce at care facilities, ensuring that the best services were provided at the facilities during the pandemic and in the future as well. For Instance, The CMS updated reimbursement for remote patient in 2021, facilitating better reimbursement for technology use

State governments are also actively undertaking initiatives for care services. For Instance, Washington State Legislature established a public insurance program, providing coverage for SNF, assisted living, hospice, and other care services, which would be applicable from 2025.

Service Insights

Based on service, the market is categorized into skilled nursing facilities, home healthcare care, assisted living facility, hospice & palliative care, and others. In 2022, skilled nursing facility accounted for the largest share of 37.49% due to the increasing demand for nursing care services because of the high prevalence of chronic diseases among the U.S. population.

Home healthcare held a significant share of the U.S. LTC market in 2022. Factors such as an increase in average life expectancy, a rise in incidences of chronic but manageable diseases, an increase in the geriatric population, and sufficient economic resources are contributing to the growth of the market for home healthcare. Adoption of home healthcare is high among people older than 65 years of age, individuals recently discharged from hospitals, mothers of newborns, mentally challenged adults, and individuals who want medical assistance for their parents within their homes.

The hospice & palliative care segment is expected to witness the highest growth with a CAGR of 9.04% over the forecast period. Disorders such as Alzheimer’s disease are major reasons for preference for assisted living facilities, which is followed by depression. Adults suffering from mental illness require assisted living to sustain themselves in mainstream society. In the U.S., mental illness is the most expensive disorder, costing about USD 201 billion annually. This is expected to translate into exponential growth in the assisted living industry in the times to come.

Key Companies & Market Share Insights

The U.S. long-term care market is highly competitive with the presence of serval small & big players at regional and national levels. The top players are adopting various strategies, such as market expansion, mergers & acquisitions, and partnerships to strengthen their presence in the market. For instance, in July 2021, Brookdale Senior Living, Inc. sold a significant stake in its outpatient therapy, hospice, and home health business to HCA Healthcare. Some of the prominent players in the U.S. long term care market include:

• Brookdale Senior Living, Inc
• Sunrise Senior Living, LLC
• Kindred Healthcare
• Amedisys, Inc
• Genesis Healthcare, Inc
• Capital Senior Living Corporation
• Diversicare Healthcare Services, Inc
• Home Instead, Inc
• Senior Care Center
• Atria’s Senior Living

Segments Covered in the Report

This report forecasts revenue growth at country levels and provides an analysis of the latest industry trends in each of the sub-segments from 2018 to 2032. For this study, Nova one advisor, Inc. has segmented the U.S. Long Term Care market.

By Service 

• Skilled Nursing Facility
• Home Healthcare
• Assisted Living Facilities
• Hospice & Palliative Care
• Others