米国の急性期後ケア (PAC) 市場 : 2027 年までの予測

出版:Daedal Research (デダルリサーチ) 出版年月:2022年9月

米国の急性期後ケア (PAC) 市場 : サービス、状態、用途、支出別、プロバイダー数別規模と分析 – 2027 年までの予測
The US Post-Acute Care (PAC) Market: Analysis By Services, By Condition, By Application, By Spending, By Number of Providers Size and Trends with Impact of COVID-19 and Forecast up to 2027

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The US post-acute care market in 2021 was valued at US$338.49 billion. The value of the market is expected to reach US$443.84 billion by 2027. Post-acute care is a continuum of facilities that accompanies the care delivered by an acute care hospital after a major illness or injury. Post-acute care services are required by those patients who are no longer in life-threatening conditions but still demand quality care and services for a speedy recovery.

Post-acute care is primarily designed to take care and rehabilitate the family members and loved ones after surgery, major medical procedure, or illness. The goal of post-acute care is to ensure that the patient suffers no complications or problems on his or her path to recovery. In addition to that, post-acute care surgery makes the recovery process more comfortable at home by making sure that all the medical needs, health monitoring, treatment, attention, and care are provided for his or her convenience. The market is anticipated to grow at a CAGR of approx. 4.6% during the forecasted period of 2022-2027.

Market Segmentation Analysis:

By Services: The report provides the bifurcation of the market into four segments based on the services: Skilled Nursing Facilities, Home Health, Long Term Acute Care, and Inpatient Rehabilitation. The skilled nursing facilities held the highest share of 44% in the market, whereas the home health segment is expected to be the fastest growing segment in the forecasted period owing to the affordability offered by home health services in comparison to other post-acute care services.

By Condtion: The report further provided the segmentation based on the condition: Neurological Disorders, Brain Injury, Amputations, Spinal Cord Injury, Wound Management, and Others. Amputations segment is expected to grow at the highest CAGR in the forthcoming years. Cancer accounted for 0.8% of total amputations and is the most common cause between ages 10 and 20 years. The increasing incidence of cancer is expected to drive amputation cases in the coming years, which would further increase the need for post-acute care.

By Application: The market is also segmented based on application: Elderly, Adult, and Child. The elderly segment held the highest share in the market, i.e. approximately 62% as the old generation is more prone to chronic diseases and other medical problems as compared to the young generation.

By Spending: The report provides a glimpse of market spending based on services: Skilled Nursing Facilities, Home Health, Long Term Acute Care, and Inpatient Rehabilitation. Fee-for-services (FFS) spending on inpatient rehabilitation facilities (IRFs) has increased steadily over the past decade and is estimated to increase in the approaching years. This is because an increasing number of Medicare FFS users are likely to opt for inpatient rehabilitation facilities for conditions such as stroke, brain injury, cardiac conditions, etc.

By Number of Providers: The report also gives insight into the number of providers in the US post-acute care market based on the service type. In 2021, the number of inpatient rehabilitation facilities (IRF) increased. Most IRFs are distinct units in acute care hospitals; about one-quarter are freestanding facilities. However, because freestanding IRFs tend to have more beds, they account for about half of Medicare discharges from IRFs.

Market Dynamics:

Growth Drivers: The US post-acute care market has been growing over the past few years, due to factors such as the aging population, growing prevalence of chronic diseases, rising healthcare expenditure, rising affordability, and many other factors. The aging population in the US is anticipated to lead to a sharp increase in the demand for post-acute care services provided by home health agencies. After getting discharged from acute-care hospitals, the majority of the elderly patients require post-acute care and a large number of these patients prefer to receive such care in the comfort of their homes as the old people are not able to travel much to avail of treatments.

Challenges: However, the market has been confronted with some challenges specifically, tight labor supply, changes in reimbursement policies, etc.

Trends: The market is projected to grow at a fast pace during the forecast period, due to various latest trends such as integration of CMMI in payment models, growing emphasis on home-based services, etc. Home is the most affordable setting to treat patients requiring post-acute care services. The provision of care at home is preferred by consumers as compared to more costly settings such as skilled nursing facilities.

Impact Analysis of COVID-19 and Way Forward:

The COVID-19 pandemic acted as a headwind for the post-acute care market in the US in 2020. The pandemic led to overwhelmed healthcare systems. Hence, many patients suffering from non-COVID diseases patients were denied admission in post-acute care settings. However, with the rollout of the vaccine, the market witnessed positive growth. Also, the increasing use of telemedicine and pent demand for surgeries has further boosted the demand for post-acute care in the year 2021.

Competitive Landscape:

The US post—acute care market is highly fragmented, with a large number of small- and medium-sized manufacturers accounting for a insignificant revenue share of overall market.

The key players in the US post-acute care market are:

Amedisys, Inc.
LHC Group, Inc.
Encompass Health Corp.
Brookdale Senior Living Inc.
National HealthCare Corporation
Select Medical Holdings (Select Medical Corporation)
The Ensign Group, Inc.
Athena Health Care Systems
Kindred Healthcare
ProMedica (ProMedica Senior Care)
Genesis Healthcare, Inc.
Vineyard Post Acute

Some of the strategies among key players in the market for post-acute care are mergers, acquisitions, and collaborations. For instance, in 2022, LHC Group announced an agreement to purchase Three Rivers Home Health. Whereas, Select Medical Corporation and Inova Health System announced a joint venture to own and operate the first critical illness recovery hospital in Northern Virginia. The 32-bed specialty hospital would open in the first half of 2023 and be located within Inova Mount Vernon Hospital. Also, in 2021, Kindred Healthcare accounted for a share of approx. 7% in the US home health PAC market, whereas Encompass Health is the largest owner and operator of inpatient rehabilitation facilities in the US.


目次

1. Executive Summary

2. Introduction

2.1 Post-Acute Care (PAC): An Overview
2.2 Post-Acute Care (PAC) Segmentation: An Overview
2.2.1 Post-Acute Care (PAC) Segmentation

3. The US Market Analysis

3.1 The US Post-Acute Care (PAC) Market: An Analysis

3.1.1 The US Post-Acute Care (PAC) Market: An Overview
3.1.2 The US Post-Acute Care (PAC) Market by Value
3.1.3 The US Post-Acute Care (PAC) Market by Services (Skilled Nursing Facilities, Home Health, Inpatient Rehabilitation Facilities, and Long-term Acute Care)
3.1.4 The US Post-Acute Care (PAC) Market by Condition (Neurological Disorders, Brain Injury, Amputations, Spinal Cord Injury, Wound Management, and Others)
3.1.5 The US Post-Acute Care (PAC) Market by Application (Elderly, Adult, and Child)

3.2 The US Post-Acute Care (PAC) Market: Service Analysis

3.2.1 The US Post-Acute Care (PAC) Market by Services: An Overview
3.2.2 The US Skilled Nursing Facilities Post-Acute Care (PAC) Market by Value
3.2.3 The US Home Health Post-Acute Care (PAC) Market by Value
3.2.4 The US Long Term Post-Acute Care (PAC) Market by Value
3.2.5 The US Inpatient Rehabilitation Post-Acute Care (PAC) Market by Value

3.3 The US Post-Acute Care (PAC) Market: Condition Analysis

3.3.1 The US Post-Acute Care (PAC) Market by Condition: An Overview
3.3.2 The US Neurological Disorders Post-Acute Care (PAC) Market by Value
3.3.3 The US Brain Injury Post-Acute Care (PAC) Market by Value
3.3.4 The US Amputations Post-Acute Care (PAC) Market by Value
3.3.5 The US Spinal Cord Injury Post-Acute Care (PAC) Market by Value
3.3.6 The US Wound Management Post-Acute Care (PAC) Market by Value
3.3.7 The US Others Post-Acute Care (PAC) Market by Value

3.4 The US Post-Acute Care (PAC) Market: Application Analysis

3.4.1 The US Post-Acute Care (PAC) Market by Application: An Overview
3.4.2 The US Elderly Post-Acute Care (PAC) Market by Value
3.4.3 The US Adult Post-Acute Care (PAC) Market by Value
3.4.4 The US Child Post-Acute Care (PAC) Market by Value

3.5 The US Post-Acute Care (PAC) Market: Spending Analysis

3.5.1 The US Post-Acute Care (PAC) Market by Spending: An Overview
3.5.2 The US Post-Acute Care (PAC) Market by Spending
3.5.3 The US Post-Acute Care (PAC) Market Spending by Services (Skilled Nursing Facilities, Home Health, Inpatient Rehabilitation Facilities, and Long-term Acute Care)
3.5.4 The US Skilled Nursing Facilities Post-Acute Care (PAC) Market by Spending
3.5.5 The US Home Health Post-Acute Care (PAC) Market by Spending
3.5.6 The US Inpatient Rehabilitation Post-Acute Care (PAC) Market by Spending
3.5.7 The US Long Term Post-Acute Care (PAC) Market by Spending

3.6 The US Post-Acute Care (PAC) Market: Number of Providers Analysis

3.6.1 The US Post-Acute Care (PAC) Market by Number of Providers: An Overview
3.6.2 The US Post-Acute Care (PAC) Market by Number of Providers
3.6.3 The US Post-Acute Care (PAC) Market Providers by Services (Skilled Nursing Facilities, Home Health, Inpatient Rehabilitation Facilities, and Long-term Acute Care)
3.6.4 The US Skilled Nursing Facilities Post-Acute Care (PAC) Market by Number of Providers
3.6.5 The US Home Health Post-Acute Care (PAC) Market by Number of Providers
3.6.6 The US Inpatient Rehabilitation Post-Acute Care (PAC) Market by Number of Providers
3.6.7 The US Long Term Post-Acute Care (PAC) Market by Number of Providers

4. Impact of Covid-19

4.1 Impact on the US Post-Acute Care (PAC) Market

4.1.1 Pandemic Induced Challenges
4.1.2 Impact on Skilled Nursing Facilities
4.1.3 Expected Trends

5. Market Dynamics

5.1 Growth Drivers
5.1.1 Aging Population
5.1.2 Growing Prevalence of Chronic Diseases
5.1.3 Rising Healthcare Expenditure
5.1.4 Rapid Urbanization
5.1.5 Rising Affordability

5.2 Challenges
5.2.1 Tight Labor Supply
5.2.2 Changes in Reimbursement Policies

5.3 Market Trends
5.3.1 Integration of CMMI in Payment Models
5.3.2 Growing Emphasis on Home-based Services
5.3.3 Increasing Use of Healthcare Data Analytics

6. Competitive Landscape

6.1 The US Home Health PAC Players by Market Share
6.2 The US Inpatient Rehabilitation Facilities PAC Players by Market Share
6.3 The US Skilled Nursing Facilities PAC Players by Market Share

7. Company Profiles

7.1 Amedisys, Inc.
7.1.1 Business Overview
7.1.2 Operating Segments
7.1.3 Business Strategy

7.2 LHC Group, Inc.
7.2.1 Business Overview
7.2.2 Operating Segments
7.2.3 Business Strategy

7.3 Encompass Health Corp.
7.3.1 Business Overview
7.3.2 Operating Segments
7.3.3 Business Strategy

7.4 Brookdale Senior Living Inc.
7.4.1 Business Overview
7.4.2 Operating Segments
7.4.3 Business Strategy

7.5 National HealthCare Corporation
7.5.1 Business Overview
7.5.2 Operating Segments
7.5.3 Business Strategy

7.6 Select Medical Holdings (Select Medical Corporation)
7.6.1 Business Overview
7.6.2 Operating Segments
7.6.3 Business Strategy

7.7 The Ensign Group, Inc.
7.7.1 Business Overview
7.7.2 Operating Segments
7.7.3 Business Strategy

7.8 Athena Health Care Systems
7.8.1 Business Overview
7.8.2 Business Strategy

7.9 Kindred Healthcare
7.9.1 Business Overview
7.9.2 Business Strategies

7.10 ProMedica (ProMedica Senior Care)
7.10.1 Business Overview
7.10.2 Business Strategies

7.11 Genesis Healthcare, Inc.
7.11.1 Business Overview
7.11.2 Business Strategy

7.12 Vineyard Post Acute
7.12.1 Business Overview

List of Figures

Figure 1: Post-Acute Care (PAC) Segmentation
Figure 2: The US Post-Acute Care (PAC) Market by Value; 2017-2021 (US$ Billion)
Figure 3: The US Post-Acute Care (PAC) Market by Value; 2022-2027 (US$ Billion)
Figure 4: The US Post-Acute Care (PAC) Market by Services; 2021 (Percentage, %)
Figure 5: The US Post-Acute Care (PAC) Market by Condition; 2021 (Percentage, %)
Figure 6: The US Post-Acute Care (PAC) Market by Application; 2021 (Percentage, %)
Figure 7: The US Skilled Nursing Facilities Post-Acute Care (PAC) Market by Value; 2017-2021 (US$ Billion)
Figure 8: The US Skilled Nursing Facilities Post-Acute Care (PAC) Market by Value; 2022-2027 (US$ Billion)
Figure 9: The US Home Health Post-Acute Care (PAC) Market by Value; 2017-2021 (US$ Billion)
Figure 10: The US Home Health Post-Acute Care (PAC) Market by Value; 2022-2027 (US$ Billion)
Figure 11: The US Long Term Post-Acute Care (PAC) Market by Value; 2017-2021 (US$ Billion)
Figure 12: The US Long Term Post-Acute Care (PAC) Market by Value; 2022-2027 (US$ Billion)
Figure 13: The US Inpatient Rehabilitation Post-Acute Care (PAC) Market by Value; 2017-2021 (US$ Billion)
Figure 14: The US Inpatient Rehabilitation Post-Acute Care (PAC) Market by Value; 2022-2027 (US$ Billion)
Figure 15: The US Neurological Disorders Post-Acute Care (PAC) Market by Value; 2017-2021 (US$ Billion)
Figure 16: The US Neurological Disorders Post-Acute Care (PAC) Market by Value; 2022-2027 (US$ Billion)
Figure 17: The US Brain Injury Post-Acute Care (PAC) Market by Value; 2017-2021 (US$ Billion)
Figure 18: The US Brain Injury Post-Acute Care (PAC) Market by Value; 2022-2027 (US$ Billion)
Figure 19: The US Amputations Post-Acute Care (PAC) Market by Value; 2017-2021 (US$ Billion)
Figure 20: The US Amputations Post-Acute Care (PAC) Market by Value; 2022-2027 (US$ Billion)
Figure 21: The US Spinal Cord Injury Post-Acute Care (PAC) Market by Value; 2017-2021 (US$ Billion)
Figure 22: The US Spinal Cord Injury Post-Acute Care (PAC) Market by Value; 2022-2027 (US$ Billion)
Figure 23: The US Wound Management Post-Acute Care (PAC) Market by Value; 2017-2021 (US$ Billion)
Figure 24: The US Wound Management Post-Acute Care (PAC) Market by Value; 2022-2027 (US$ Billion)
Figure 25: The US Others Post-Acute Care (PAC) Market by Value; 2017-2021 (US$ Billion)
Figure 26: The US Others Post-Acute Care (PAC) Market by Value; 2022-2027 (US$ Billion)
Figure 27: The US Elderly Post-Acute Care (PAC) Market by Value; 2017-2021 (US$ Billion)
Figure 28: The US Elderly Post-Acute Care (PAC) Market by Value; 2022-2027 (US$ Billion)
Figure 29: The US Adult Post-Acute Care (PAC) Market by Value; 2017-2021 (US$ Billion)
Figure 30: The US Adult Post-Acute Care (PAC) Market by Value; 2022-2027 (US$ Billion)
Figure 31: The US Child Post-Acute Care (PAC) Market by Value; 2017-2021 (US$ Billion)
Figure 32: The US Child Post-Acute Care (PAC) Market by Value; 2022-2027 (US$ Billion)
Figure 33: The US Post-Acute Care (PAC) Market by Spending; 2017-2021 (US$ Billion)
Figure 34: The US Post-Acute Care (PAC) Market by Spending; 2022-2027 (US$ Billion)
Figure 35: The US Post-Acute Care (PAC) Market Spending by Services; 2021 (Percentage, %)
Figure 36: The US Skilled Nursing Facilities Post-Acute Care (PAC) Market by Spending; 2017-2021 (US$ Billion)
Figure 37: The US Skilled Nursing Facilities Post-Acute Care (PAC) Market by Spending; 2022-2027 (US$ Billion)
Figure 38: The US Home Health Post-Acute Care (PAC) Market by Spending; 2017-2021 (US$ Billion)
Figure 39: The US Home Health Post-Acute Care (PAC) Market by Spending; 2022-2027 (US$ Billion)
Figure 40: The US Inpatient Rehabilitation Post-Acute Care (PAC) Market by Spending; 2017-2021 (US$ Billion)
Figure 41: The US Inpatient Rehabilitation Post-Acute Care (PAC) Market by Spending; 2022-2027 (US$ Billion)
Figure 42: The US Long Term Post-Acute Care (PAC) Market by Spending; 2017-2021 (US$ Billion)
Figure 43: The US Long Term Post-Acute Care (PAC) Market by Spending; 2022-2027 (US$ Billion)
Figure 44: The US Post-Acute Care (PAC) Market by Number of Providers; 2017-2021 (Unit)
Figure 45: The US Post-Acute Care (PAC) Market Providers by Services; 2021 (Percentage, %)
Figure 46: The US Skilled Nursing Facilities Post-Acute Care (PAC) Market by Number of Providers; 2017-2021 (Unit)
Figure 47: The US Home Health Post-Acute Care (PAC) Market by Number of Providers; 2017-2021 (Unit)
Figure 48: The US Inpatient Rehabilitation Post-Acute Care (PAC) Market by Number of Providers; 2017-2021 (Unit)
Figure 49: The US Long Term Post-Acute Care (PAC) Market by Number of Providers; 2017-2021 (Unit)
Figure 50: The US Quarterly Skilled Nursing Facilities (SNF) Admissions; Q2 2019-Q2 2020
Figure 51: The US Aging Population; 2020-2035 (Million)
Figure 52: The US Chronic Diseases Growth Rates; 2016-2025 (Percentage, %)
Figure 53: The US National Health Expenditure; 2019-2028 (US$ Trillion)
Figure 54: The US Urban Population; 2015-2022 (Percentage, %)
Figure 55: The US Per Capita Disposable Income; 2015-2021 (US$ Thousand)
Figure 56: The US Home Health PAC Players by Market Share; 2021
Figure 57: The US Inpatient Rehabilitation Facilities PAC Players by Market Share; 2021
Figure 58: The US Skilled Nursing Facilities PAC Players by Market Share; 2021
Figure 59: Amedisys Inc. Net Service Revenue by Segment; 2021 (Percentage, %)
Figure 60: LHC Group, Inc. Net Service Revenue by Segments; 2021 (Percentage, %)
Figure 61: Encompass Health Corp. Net Operating Revenues by Segment; 2021 (Percentage, %)
Figure 62: Brookdale Senior Living Inc. Total Revenue and Other Operating Income by Segment; 2021 (Percentage, %)
Figure 63: National HealthCare Corporation Net Patient Revenues by Segment; 2021 (Percentage, %)
Figure 64: Select Medical Holdings Revenue by Segment; 2021 (Percentage, %)
Figure 65: The Ensign Group, Inc. Revenue by Segment; 2021 (Percentage, %)


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