The document provides an overview and industry update of the home care franchise sector in 2013. It discusses key factors driving the growth of the home care industry such as the rising healthcare costs in the US and increasing elderly population. The report finds that the home care franchise sector continued growing, with the number of locations of the top 17 franchisors increasing over 15% from the previous year to over 6,000 locations. It also summarizes regulations and trends affecting the home care industry.
The health care debate - up to date as of June 15, 2017
1) Health care troubles, 2) ACA accomplishments and problems, 3) 20 AHCA characteristics and problems, 4) Single payer as solution
Analysis of the Patient Protection and Affordable Care ActKaryssa Costagliola
This document provides an analysis of the Patient Protection and Affordable Care Act (ACA). It summarizes the goals of the ACA to increase availability of healthcare and reduce costs. It also discusses some of the challenges in implementing the ACA, such as people losing subsidies due to lack of documentation, narrow networks limiting choice of providers, and effects on jobs from the employer mandate. The document also compares the US healthcare system to Canada's single-payer system and their differences in achieving universal coverage, cost containment, and other factors.
This document provides an analysis of the Patient Protection and Affordable Care Act (ACA). It discusses the goals and implementation of the ACA, including expanding health insurance coverage and controlling costs. It also examines the impacts of the ACA on various stakeholders in the healthcare system, such as hospitals, long-term care facilities, doctors, and patients. Challenges in implementing the ACA are also assessed, like increasing access to care and addressing shortages of primary care physicians.
Analysis of the patient protection and affordable care act paper, hcs410, hea...Paige Catizone
This document provides an analysis of the Patient Protection and Affordable Care Act (ACA). It discusses key goals and provisions of the ACA, including expanding health insurance coverage and controlling costs. It also examines the impact of the ACA on various stakeholders, such as individuals, employers, healthcare providers and facilities. Implementation challenges are outlined, such as difficulties insuring some individuals, narrow provider networks, cuts to employee hours by some employers to avoid mandates, and shortages of primary care physicians. Overall effects on the healthcare system are assessed, including changes to payment models focusing on quality rather than quantity of services.
Case analysis of the affordable care act power point, hcs410, hcs organizatio...Paige Catizone
The document discusses the history and implementation of the Affordable Care Act (ACA) in the United States. It passed in 2010 with the goals of expanding access to health insurance and reducing costs. While it helped reduce the uninsured rate, challenges remain around ensuring access to care, containing costs, and addressing shortages in healthcare providers and resources. Ongoing debates surround the impacts of the ACA on jobs and religious freedom. Solutions proposed include expanding provider networks, addressing compensation imbalances, and increasing incentives and funding for medical education.
The document discusses the history and implementation of the Affordable Care Act (ACA) in the United States. It passed in 2010 with the goals of increasing access to healthcare and reducing costs. While it helped reduce the uninsured rate, there have been ongoing issues with the healthcare exchanges and limited provider networks. The execution of the ACA has contributed to a shortage of primary care doctors due to compensation rates and impacted jobs and small businesses with its coverage mandates. Educating new doctors and nurses will take years to address the increased demand caused by the ACA.
Will Healthcare Improve the US Economy in the Coming Years?anthonycasimano
With a double-digit growth rate, the healthcare industry is poised to improve the US economy. Also, looking at the current trend of growth, it does not seem like this is going to stop anytime soon. Healthcare has shown a healthy growth over the last decade between 2000 and 2010. Interestingly, healthcare employment grew by 25% while the employment rate dropped by more than 2% in the same period.
Healthcare oligopoly is Affecting u.s. economy convertedRoyJMeidinger
The document provides an overview of rising healthcare costs and declining outcomes in the United States compared to other developed nations. It notes that while the US spends much more per capita on healthcare, it has lower life expectancy and rates of preventable deaths than peers. The high costs are driven by administrative waste, high prices, and lack of cost control. The document argues that healthcare costs are a major burden on the US economy and individuals, and that reforms are needed to reduce costs while improving access and outcomes for all Americans.
The health care debate - up to date as of June 15, 2017
1) Health care troubles, 2) ACA accomplishments and problems, 3) 20 AHCA characteristics and problems, 4) Single payer as solution
Analysis of the Patient Protection and Affordable Care ActKaryssa Costagliola
This document provides an analysis of the Patient Protection and Affordable Care Act (ACA). It summarizes the goals of the ACA to increase availability of healthcare and reduce costs. It also discusses some of the challenges in implementing the ACA, such as people losing subsidies due to lack of documentation, narrow networks limiting choice of providers, and effects on jobs from the employer mandate. The document also compares the US healthcare system to Canada's single-payer system and their differences in achieving universal coverage, cost containment, and other factors.
This document provides an analysis of the Patient Protection and Affordable Care Act (ACA). It discusses the goals and implementation of the ACA, including expanding health insurance coverage and controlling costs. It also examines the impacts of the ACA on various stakeholders in the healthcare system, such as hospitals, long-term care facilities, doctors, and patients. Challenges in implementing the ACA are also assessed, like increasing access to care and addressing shortages of primary care physicians.
Analysis of the patient protection and affordable care act paper, hcs410, hea...Paige Catizone
This document provides an analysis of the Patient Protection and Affordable Care Act (ACA). It discusses key goals and provisions of the ACA, including expanding health insurance coverage and controlling costs. It also examines the impact of the ACA on various stakeholders, such as individuals, employers, healthcare providers and facilities. Implementation challenges are outlined, such as difficulties insuring some individuals, narrow provider networks, cuts to employee hours by some employers to avoid mandates, and shortages of primary care physicians. Overall effects on the healthcare system are assessed, including changes to payment models focusing on quality rather than quantity of services.
Case analysis of the affordable care act power point, hcs410, hcs organizatio...Paige Catizone
The document discusses the history and implementation of the Affordable Care Act (ACA) in the United States. It passed in 2010 with the goals of expanding access to health insurance and reducing costs. While it helped reduce the uninsured rate, challenges remain around ensuring access to care, containing costs, and addressing shortages in healthcare providers and resources. Ongoing debates surround the impacts of the ACA on jobs and religious freedom. Solutions proposed include expanding provider networks, addressing compensation imbalances, and increasing incentives and funding for medical education.
The document discusses the history and implementation of the Affordable Care Act (ACA) in the United States. It passed in 2010 with the goals of increasing access to healthcare and reducing costs. While it helped reduce the uninsured rate, there have been ongoing issues with the healthcare exchanges and limited provider networks. The execution of the ACA has contributed to a shortage of primary care doctors due to compensation rates and impacted jobs and small businesses with its coverage mandates. Educating new doctors and nurses will take years to address the increased demand caused by the ACA.
Will Healthcare Improve the US Economy in the Coming Years?anthonycasimano
With a double-digit growth rate, the healthcare industry is poised to improve the US economy. Also, looking at the current trend of growth, it does not seem like this is going to stop anytime soon. Healthcare has shown a healthy growth over the last decade between 2000 and 2010. Interestingly, healthcare employment grew by 25% while the employment rate dropped by more than 2% in the same period.
Healthcare oligopoly is Affecting u.s. economy convertedRoyJMeidinger
The document provides an overview of rising healthcare costs and declining outcomes in the United States compared to other developed nations. It notes that while the US spends much more per capita on healthcare, it has lower life expectancy and rates of preventable deaths than peers. The high costs are driven by administrative waste, high prices, and lack of cost control. The document argues that healthcare costs are a major burden on the US economy and individuals, and that reforms are needed to reduce costs while improving access and outcomes for all Americans.
The document summarizes an interview with Katie Robbins about the passage of the New York Health Act and the future of the single-payer movement in New York state. The key points are:
1) The New York Health Act would create a universal, publicly financed healthcare system for all New York residents and was passed by the New York State Assembly due to a coalition effort and grassroots organizing across the state.
2) While an important step, the bill still needs to pass the Senate and be signed by the governor to become law. Continued organizing will be needed to build further support.
3) Robbins has been involved in the single-payer movement since 2008 due to experiencing the deficiencies of the for
The document discusses West Virginia's other post-employment benefits (OPEB) liability for retiree healthcare. It summarizes that while the costs are growing significantly, the liability is manageable rather than a crisis if put into proper context compared to budget and economic growth. Currently, retiree healthcare costs around $400 million annually but is projected to reach nearly $1 billion by 2025, though state budgets and GDP are also expected to grow considerably. The liability exists because the state has provided subsidized healthcare to retired public employees since the 1970s.
Us vs canada, hcs400, hcs systems and policysPaige Catizone
The document compares the healthcare systems of the United States and Canada. Some key differences include: (1) Canada has a single-payer system funded through taxes, while the US has a mix of public and private insurance; (2) Canada has universal healthcare coverage for all residents, while the US is working to expand coverage under the ACA but still has uninsured people; (3) Access to care can be limited in both countries due to wait times in Canada and lack of insurance in the US.
Universal Health Care in the United StatesShantanu Basu
The document discusses the current US healthcare system and theories of policy change. It analyzes how multiple problem streams, political conditions, and policy alternatives could converge to place healthcare reform on the policy agenda. Specifically, rising costs, decreased coverage, and poor outcomes have highlighted issues with the current system. Shifting public opinion and the upcoming presidential election may open a policy window to address universal healthcare.
The document summarizes the strategic planning efforts of Healthcare-NOW! to grow the single-payer healthcare movement in 2013 and beyond. Their three main strategies are: 1) developing a leadership structure of state and regional coordinators, 2) increasing support for local single-payer groups through improved materials and trainings, and 3) organizing around national healthcare issues to engage local activists. Key events in 2013 include the reintroduction of HR 676 and various state-level organizing efforts to expand Medicaid and pass single-payer bills.
Medicaid expansion issues to be consideredakame2015
House Bill 148 proposes expanding Medicaid eligibility in Alaska as well as making other changes to the state's Medicaid program. If expanded, Medicaid eligibility would include able-bodied adults up to 138% of the federal poverty level. The federal government would pay 90-100% of coverage costs for newly eligible individuals through 2020, though specifics beyond 2020 are unknown. However, the state would still be responsible for 50% of administrative expenses. In addition to Medicaid expansion, HB 148 would expand Denali KidCare and add new Medicaid programs and options, but it does not propose specific reforms to address the existing problems in Alaska's Medicaid system. There is uncertainty around how many newly eligible individuals would enroll and what the overall costs of expansion would be
The Affordable Care Act (ACA) is comprehensive healthcare reform legislation that was signed into law in 2010. It expanded access to health insurance coverage in three primary ways: by expanding Medicaid eligibility; creating health insurance exchanges; and preventing insurance companies from denying coverage due to pre-existing conditions. The ACA was intended to provide more affordable health insurance options for millions of uninsured Americans and supports innovative healthcare delivery methods. It established different metal-tiered health insurance plan options that vary in out-of-pocket costs and premiums.
US Healthcare Reform Landscape - Addendum to June 2018 Presentation to the Ch...Dan Wellisch
This is an addendum to the June 2018 presentation (to the Chicago Technology For Value-Based Healthcare Meetup https://www.meetup.com/Chicago-Technology-For-Value-Based-Healthcare-Meetup/) containing interesting info. about what may replace the Affordable Care Act
This presentation discusses the history and key aspects of universal healthcare in the United States. It covers major healthcare programs and reforms over time like Medicare, Medicaid, and the Affordable Care Act. Key points of the ACA are explained, such as the individual mandate, health insurance exchanges, Medicaid expansion, and new regulations for insurance companies. The presentation also addresses criticisms around the cost of universal coverage and impacts on taxpayers, employers, and immigrants.
This document summarizes emerging trends in Medicaid based on a presentation by Robin Rudowitz of the Kaiser Family Foundation. Key points include:
- Medicaid plays a central role in health insurance coverage and supports the health care system and safety net.
- States are seeking waivers to implement work requirements, impose premiums and cost sharing, but research shows these policies can negatively impact coverage and health outcomes for low-income populations.
- Ongoing debates around Medicaid include the federal government's new direction regarding waivers, the future of the ACA Medicaid expansion, CHIP reauthorization, and possible deficit reduction proposals around Medicaid entitlement reform and federal spending caps.
The document summarizes the Debt Ceiling Deal passed by Congress and its potential impacts. It establishes a bipartisan committee to cut $1.2-1.5 trillion in spending over 10 years, with automatic cuts taking effect in 2013 if no deal is reached. Many programs are exempt from these cuts, but discretionary programs and entitlement reforms are on the table. The deal could reduce funding for services like nutrition assistance and Medicaid, threatening vulnerable populations. Advocates encourage engaging with members of Congress to prioritize critical social programs in further deficit reduction efforts.
The document discusses deficiencies in the Affordable Care Act related to Medicaid eligibility and funding. It argues that Medicaid eligibility should be expanded to cover more low-income individuals and families. Specifically, it states that the eligibility criteria should be changed to just below the income level of the middle class. It also argues that the government needs to better manage healthcare spending and could generate new funding by legalizing and taxing marijuana, with states required to spend a percentage on Medicaid. This would help increase access to healthcare for low-income individuals.
The document summarizes highlights from Ohio's proposed state budget bill HB 153 for fiscal years 2012-2013. It discusses funding cuts to areas like education, Medicaid, and mental health services while Medicaid caseloads increase. Concerns are raised that more cuts may come in the next budget and the long-term impacts on health and human services are uncertain given over 5,000 pages of policy changes with little detail. Advocates call for more investment in areas like child welfare, mental health, and foodbanks to adequately meet growing needs.
The document summarizes the economic and medical benefits of the Affordable Care Act (ACA) on the American population. It discusses how the ACA aims to provide more Americans with affordable, quality health insurance while also curbing the growth of healthcare spending. Specifically, it highlights two main benefits - the improvement to the US healthcare system's economic aspects through increased employment and demand for goods/services, and the medical benefits such as improved access to care and health outcomes for Americans.
1) Discuss what seems to be the current posture of the Trump Administration and Republican Party leadership relative to expected health care policy changes.
2) Identify key distinctions between the Affordable Care Act (ACA aka ObamaCare) and the American Health Care Act (AHCA aka TrumpCare).
3) Recognize key strategies for future success regardless of changes to US healthcare policy and law.
North Oakland Tea Party Presentation 8.23.12MattMcCord
This document discusses government-centered versus patient-centered healthcare and argues for a transition to a more patient-centered model. It summarizes some key provisions and costs of the Affordable Care Act and cites studies showing increased costs in Massachusetts. The document advocates for health savings accounts with high-deductible plans and direct primary care practices as an alternative that would give patients more control and reduce costs. It concludes that adopting these reforms could help citizens and the country by moving away from a government-dominated system and prioritizing patient-centered care instead.
This document discusses concerns about government-run healthcare based on experiences in other countries and proposed legislation. It notes high costs, taxes, and fines associated with the proposals. Waiting times, denial of care, and doctor shortages are presented as issues with government-run systems in places like Canada and the UK. Alternatives are suggested that focus on helping those who cannot afford coverage rather than overhauling the entire system.
This document proposes replacing the current US healthcare system with a single-payer system funded through a 12% payroll tax on all employees. It estimates funding sources and costs, arguing the system would provide universal coverage while being financially balanced. Key points made include:
- A 12% payroll tax on all public and private employees would fund standard healthcare coverage for all residents.
- This would eliminate private insurance and replace it with a universal public system.
- Estimated funding sources like Medicaid savings would balance the estimated costs of the program.
- Converting all healthcare providers to non-profits over time would reduce costs and improve the system's integrity.
HealthcareProposal_ClarificationsFromSuzanneVeneziaToSenator_BobCaseySUZANNE VENEZIA - ITALY
Federal employees, including members of Congress, receive significantly higher healthcare contributions from the government compared to average private sector employees. For a silver healthcare plan, a congressional employee making $174,000 would pay $125.75 per month while a private sector employee making the same salary would pay over $400 per month. The letter argues that healthcare inequities still exist between public and private employees and calls on Congress to further modify the Affordable Care Act to reduce these differences and ensure all Americans have access to affordable, high-quality healthcare based on their income.
The Impact of Immigrant Workforce in the Senior Care Economy 2.docxlillie234567
The Impact of Immigrant Workforce in the Senior Care Economy 2
The Impact of Immigrant Workforce in the Senior Care Economy 15
The Impact of Immigrant Workforce in the Senior Care Economy
Dominique Elmadi
Bay Atlantic University
ECON 505
Bintou Lingani
December 2, 2022
Table of Contents
ABSTRACT 3
INTRODUCTION 4
LITERATURE REVIEW 6
CONCLUSION 14
REFERENCES 15
ABSTRACT
This paper presents the challenges and opportunities of the senior care economy. The demographic trends in the United States show an aging nation. The last two decades have seen the country grow continuously older, resulting in a growing elderly care economy which translates in the creation of a great number of jobs, now and in the future, for senior housing and care options. Home health care workers are estimated to be the third fastest growing occupation.
At the same time, a shortage of paid caregivers has led immigrants to play an important role, both in nursing homes as in-home care, filling the gap. This paper focuses on 3 states where one-fourth of these older Americans live: California, Florida, and Texas, analyzing the trends in senior care, the options available, the costs and the contribution of the immigrants to the labor force.
By 2025, the in-home health care industry is expected to generate $225 billion in revenue and employ close to 3.5 million workers; therefore, the growth of the industry is good news for the economy. The industry provides jobs for a wide range of workers, including nurses, home health aides, as well as individual care aides. The shortage for low and middle skilled home health caregivers is a challenge which also entails an opportunity to provide such services, while promoting economic development and job creation and could be addressed, among other initiatives, by immigration pilot programs for caregivers.
INTRODUCTION
Many studies concur that “In the US, the number of people aged 85 and up will more than double to 14.4 million by the year 2040” (ACL,2020). This means that there will be more demand for senior care in the upcoming years and it is important to navigate about the economic options available for them, while at the same time analysing the impact of these options on the economy. According to several studies, the trends imply that there will be a rising need for senior housing and care options for seniors who need some level of care. However, the future is not all bright. Growing workforce shortages and the resulting increasing cost of labor are leading concerns for the industry, which relies on people to provide services and care at the bedside. The worker shortage will be one of the biggest difficulties in this industry segment.
Since the 1990s, the number of immigrants in the United States has grown dramatically. Immigrants make up a significant share of the U.S. workforce, and their impact is especially evident in the senior care economy. .
The document discusses the issue of the uninsured in the United States. It outlines key points of an AHIP proposal to address the crisis, including expanding Medicaid and the State Children's Health Insurance Program, establishing Universal Health Accounts, and enacting new tax credits. It discusses how the uninsured crisis affects both the insured and uninsured through rising costs, and how Health Net is working with other insurers and through AHIP to help develop solutions to expand coverage.
Industry Analysis of Elderly HealthcareNysia Fulmore
This document provides an overview of the elderly healthcare industry, with a focus on the growing home health care sector. It notes that the home health care industry is currently in a growth phase and is expected to experience significant expansion driven by an aging population, rising healthcare costs, and a desire for seniors to age in place. The global home health care market was valued at $244 billion in 2015 and is projected to grow at a 7.8% annual rate due to these factors. The expanding elderly population and movement towards advanced home healthcare technologies are fueling growth in the North American home health software and services market at a rate of 13-15% per year.
The document summarizes an interview with Katie Robbins about the passage of the New York Health Act and the future of the single-payer movement in New York state. The key points are:
1) The New York Health Act would create a universal, publicly financed healthcare system for all New York residents and was passed by the New York State Assembly due to a coalition effort and grassroots organizing across the state.
2) While an important step, the bill still needs to pass the Senate and be signed by the governor to become law. Continued organizing will be needed to build further support.
3) Robbins has been involved in the single-payer movement since 2008 due to experiencing the deficiencies of the for
The document discusses West Virginia's other post-employment benefits (OPEB) liability for retiree healthcare. It summarizes that while the costs are growing significantly, the liability is manageable rather than a crisis if put into proper context compared to budget and economic growth. Currently, retiree healthcare costs around $400 million annually but is projected to reach nearly $1 billion by 2025, though state budgets and GDP are also expected to grow considerably. The liability exists because the state has provided subsidized healthcare to retired public employees since the 1970s.
Us vs canada, hcs400, hcs systems and policysPaige Catizone
The document compares the healthcare systems of the United States and Canada. Some key differences include: (1) Canada has a single-payer system funded through taxes, while the US has a mix of public and private insurance; (2) Canada has universal healthcare coverage for all residents, while the US is working to expand coverage under the ACA but still has uninsured people; (3) Access to care can be limited in both countries due to wait times in Canada and lack of insurance in the US.
Universal Health Care in the United StatesShantanu Basu
The document discusses the current US healthcare system and theories of policy change. It analyzes how multiple problem streams, political conditions, and policy alternatives could converge to place healthcare reform on the policy agenda. Specifically, rising costs, decreased coverage, and poor outcomes have highlighted issues with the current system. Shifting public opinion and the upcoming presidential election may open a policy window to address universal healthcare.
The document summarizes the strategic planning efforts of Healthcare-NOW! to grow the single-payer healthcare movement in 2013 and beyond. Their three main strategies are: 1) developing a leadership structure of state and regional coordinators, 2) increasing support for local single-payer groups through improved materials and trainings, and 3) organizing around national healthcare issues to engage local activists. Key events in 2013 include the reintroduction of HR 676 and various state-level organizing efforts to expand Medicaid and pass single-payer bills.
Medicaid expansion issues to be consideredakame2015
House Bill 148 proposes expanding Medicaid eligibility in Alaska as well as making other changes to the state's Medicaid program. If expanded, Medicaid eligibility would include able-bodied adults up to 138% of the federal poverty level. The federal government would pay 90-100% of coverage costs for newly eligible individuals through 2020, though specifics beyond 2020 are unknown. However, the state would still be responsible for 50% of administrative expenses. In addition to Medicaid expansion, HB 148 would expand Denali KidCare and add new Medicaid programs and options, but it does not propose specific reforms to address the existing problems in Alaska's Medicaid system. There is uncertainty around how many newly eligible individuals would enroll and what the overall costs of expansion would be
The Affordable Care Act (ACA) is comprehensive healthcare reform legislation that was signed into law in 2010. It expanded access to health insurance coverage in three primary ways: by expanding Medicaid eligibility; creating health insurance exchanges; and preventing insurance companies from denying coverage due to pre-existing conditions. The ACA was intended to provide more affordable health insurance options for millions of uninsured Americans and supports innovative healthcare delivery methods. It established different metal-tiered health insurance plan options that vary in out-of-pocket costs and premiums.
US Healthcare Reform Landscape - Addendum to June 2018 Presentation to the Ch...Dan Wellisch
This is an addendum to the June 2018 presentation (to the Chicago Technology For Value-Based Healthcare Meetup https://www.meetup.com/Chicago-Technology-For-Value-Based-Healthcare-Meetup/) containing interesting info. about what may replace the Affordable Care Act
This presentation discusses the history and key aspects of universal healthcare in the United States. It covers major healthcare programs and reforms over time like Medicare, Medicaid, and the Affordable Care Act. Key points of the ACA are explained, such as the individual mandate, health insurance exchanges, Medicaid expansion, and new regulations for insurance companies. The presentation also addresses criticisms around the cost of universal coverage and impacts on taxpayers, employers, and immigrants.
This document summarizes emerging trends in Medicaid based on a presentation by Robin Rudowitz of the Kaiser Family Foundation. Key points include:
- Medicaid plays a central role in health insurance coverage and supports the health care system and safety net.
- States are seeking waivers to implement work requirements, impose premiums and cost sharing, but research shows these policies can negatively impact coverage and health outcomes for low-income populations.
- Ongoing debates around Medicaid include the federal government's new direction regarding waivers, the future of the ACA Medicaid expansion, CHIP reauthorization, and possible deficit reduction proposals around Medicaid entitlement reform and federal spending caps.
The document summarizes the Debt Ceiling Deal passed by Congress and its potential impacts. It establishes a bipartisan committee to cut $1.2-1.5 trillion in spending over 10 years, with automatic cuts taking effect in 2013 if no deal is reached. Many programs are exempt from these cuts, but discretionary programs and entitlement reforms are on the table. The deal could reduce funding for services like nutrition assistance and Medicaid, threatening vulnerable populations. Advocates encourage engaging with members of Congress to prioritize critical social programs in further deficit reduction efforts.
The document discusses deficiencies in the Affordable Care Act related to Medicaid eligibility and funding. It argues that Medicaid eligibility should be expanded to cover more low-income individuals and families. Specifically, it states that the eligibility criteria should be changed to just below the income level of the middle class. It also argues that the government needs to better manage healthcare spending and could generate new funding by legalizing and taxing marijuana, with states required to spend a percentage on Medicaid. This would help increase access to healthcare for low-income individuals.
The document summarizes highlights from Ohio's proposed state budget bill HB 153 for fiscal years 2012-2013. It discusses funding cuts to areas like education, Medicaid, and mental health services while Medicaid caseloads increase. Concerns are raised that more cuts may come in the next budget and the long-term impacts on health and human services are uncertain given over 5,000 pages of policy changes with little detail. Advocates call for more investment in areas like child welfare, mental health, and foodbanks to adequately meet growing needs.
The document summarizes the economic and medical benefits of the Affordable Care Act (ACA) on the American population. It discusses how the ACA aims to provide more Americans with affordable, quality health insurance while also curbing the growth of healthcare spending. Specifically, it highlights two main benefits - the improvement to the US healthcare system's economic aspects through increased employment and demand for goods/services, and the medical benefits such as improved access to care and health outcomes for Americans.
1) Discuss what seems to be the current posture of the Trump Administration and Republican Party leadership relative to expected health care policy changes.
2) Identify key distinctions between the Affordable Care Act (ACA aka ObamaCare) and the American Health Care Act (AHCA aka TrumpCare).
3) Recognize key strategies for future success regardless of changes to US healthcare policy and law.
North Oakland Tea Party Presentation 8.23.12MattMcCord
This document discusses government-centered versus patient-centered healthcare and argues for a transition to a more patient-centered model. It summarizes some key provisions and costs of the Affordable Care Act and cites studies showing increased costs in Massachusetts. The document advocates for health savings accounts with high-deductible plans and direct primary care practices as an alternative that would give patients more control and reduce costs. It concludes that adopting these reforms could help citizens and the country by moving away from a government-dominated system and prioritizing patient-centered care instead.
This document discusses concerns about government-run healthcare based on experiences in other countries and proposed legislation. It notes high costs, taxes, and fines associated with the proposals. Waiting times, denial of care, and doctor shortages are presented as issues with government-run systems in places like Canada and the UK. Alternatives are suggested that focus on helping those who cannot afford coverage rather than overhauling the entire system.
This document proposes replacing the current US healthcare system with a single-payer system funded through a 12% payroll tax on all employees. It estimates funding sources and costs, arguing the system would provide universal coverage while being financially balanced. Key points made include:
- A 12% payroll tax on all public and private employees would fund standard healthcare coverage for all residents.
- This would eliminate private insurance and replace it with a universal public system.
- Estimated funding sources like Medicaid savings would balance the estimated costs of the program.
- Converting all healthcare providers to non-profits over time would reduce costs and improve the system's integrity.
HealthcareProposal_ClarificationsFromSuzanneVeneziaToSenator_BobCaseySUZANNE VENEZIA - ITALY
Federal employees, including members of Congress, receive significantly higher healthcare contributions from the government compared to average private sector employees. For a silver healthcare plan, a congressional employee making $174,000 would pay $125.75 per month while a private sector employee making the same salary would pay over $400 per month. The letter argues that healthcare inequities still exist between public and private employees and calls on Congress to further modify the Affordable Care Act to reduce these differences and ensure all Americans have access to affordable, high-quality healthcare based on their income.
The Impact of Immigrant Workforce in the Senior Care Economy 2.docxlillie234567
The Impact of Immigrant Workforce in the Senior Care Economy 2
The Impact of Immigrant Workforce in the Senior Care Economy 15
The Impact of Immigrant Workforce in the Senior Care Economy
Dominique Elmadi
Bay Atlantic University
ECON 505
Bintou Lingani
December 2, 2022
Table of Contents
ABSTRACT 3
INTRODUCTION 4
LITERATURE REVIEW 6
CONCLUSION 14
REFERENCES 15
ABSTRACT
This paper presents the challenges and opportunities of the senior care economy. The demographic trends in the United States show an aging nation. The last two decades have seen the country grow continuously older, resulting in a growing elderly care economy which translates in the creation of a great number of jobs, now and in the future, for senior housing and care options. Home health care workers are estimated to be the third fastest growing occupation.
At the same time, a shortage of paid caregivers has led immigrants to play an important role, both in nursing homes as in-home care, filling the gap. This paper focuses on 3 states where one-fourth of these older Americans live: California, Florida, and Texas, analyzing the trends in senior care, the options available, the costs and the contribution of the immigrants to the labor force.
By 2025, the in-home health care industry is expected to generate $225 billion in revenue and employ close to 3.5 million workers; therefore, the growth of the industry is good news for the economy. The industry provides jobs for a wide range of workers, including nurses, home health aides, as well as individual care aides. The shortage for low and middle skilled home health caregivers is a challenge which also entails an opportunity to provide such services, while promoting economic development and job creation and could be addressed, among other initiatives, by immigration pilot programs for caregivers.
INTRODUCTION
Many studies concur that “In the US, the number of people aged 85 and up will more than double to 14.4 million by the year 2040” (ACL,2020). This means that there will be more demand for senior care in the upcoming years and it is important to navigate about the economic options available for them, while at the same time analysing the impact of these options on the economy. According to several studies, the trends imply that there will be a rising need for senior housing and care options for seniors who need some level of care. However, the future is not all bright. Growing workforce shortages and the resulting increasing cost of labor are leading concerns for the industry, which relies on people to provide services and care at the bedside. The worker shortage will be one of the biggest difficulties in this industry segment.
Since the 1990s, the number of immigrants in the United States has grown dramatically. Immigrants make up a significant share of the U.S. workforce, and their impact is especially evident in the senior care economy. .
The document discusses the issue of the uninsured in the United States. It outlines key points of an AHIP proposal to address the crisis, including expanding Medicaid and the State Children's Health Insurance Program, establishing Universal Health Accounts, and enacting new tax credits. It discusses how the uninsured crisis affects both the insured and uninsured through rising costs, and how Health Net is working with other insurers and through AHIP to help develop solutions to expand coverage.
Industry Analysis of Elderly HealthcareNysia Fulmore
This document provides an overview of the elderly healthcare industry, with a focus on the growing home health care sector. It notes that the home health care industry is currently in a growth phase and is expected to experience significant expansion driven by an aging population, rising healthcare costs, and a desire for seniors to age in place. The global home health care market was valued at $244 billion in 2015 and is projected to grow at a 7.8% annual rate due to these factors. The expanding elderly population and movement towards advanced home healthcare technologies are fueling growth in the North American home health software and services market at a rate of 13-15% per year.
From the Desk of Mike Wojcik May Newslettermikewojcik
The document is a newsletter from The Horton Group providing updates on healthcare reform and employee benefits topics. It includes summaries of reports on rising healthcare costs, reasons for high US healthcare spending compared to other countries, and a study finding that over half of individual health plans would not meet requirements under the Affordable Care Act. It also lists upcoming topics to be covered in future issues such as prescription drug trends, worksite wellness initiatives, industry news, and notification of upcoming workshops. The newsletter seeks to help clients reduce costs and complexity in healthcare.
Mr. Wojcik provides a newsletter update for his clients on various healthcare topics. He explains that he took a break from newsletters to avoid spreading misinformation during the uncertain healthcare reform period. The newsletter includes sections on "Know Your Employee Benefits" tips, healthcare cost analytics, compliance updates, wellness program trends, and industry news. It aims to help clients control costs, workload, and anxiety around benefits.
Prepared by Helene Andre and Luka Grujic for French Tech Hub
The aging population is expected to sky rocket in the next decade and the United States has to rethink how it will deliver care for its elderly.
With recent advancements in technology, Aging in Place has emerged as strong solution to address this pressing need.
In this presentation, French Tech Hub explores the dynamics of the U.S. aging population and gives an overview of the solutions that are being developed for Aging in Place.
Uninsured Americans And The Health Care CrisisAngela Hays
The document discusses several key topics related to uninsured Americans and the healthcare crisis:
- It describes who is considered uninsured and some of the challenges uninsured people face in accessing healthcare.
- It discusses how the Affordable Care Act aimed to increase access to healthcare insurance and lower uninsured rates.
- Statistics are provided on the number of uninsured Americans both before and after the Affordable Care Act.
- Ways to potentially improve the Affordable Care Act are explored, such as expanding Medicaid coverage in more states.
The document discusses opportunities in the elderly care industry. It notes that the US elderly population is growing rapidly and will increase demand for elderly care services. Major opportunities exist in developing solutions to help seniors leverage their assets for additional retirement income and providing cheaper in-home care alternatives to retirement homes. The elderly care sector is poised for consolidation as many small players currently operate with minimal market share. Overall, the aging population will drive significant industry growth and present excellent investment opportunities.
Analysis of the Patient Protection and Affordable Care Act Paper, HCS410, hea...Paige Catizone
This document provides an analysis of the Patient Protection and Affordable Care Act (ACA). It discusses key goals and provisions of the ACA, including expanding health insurance coverage and controlling costs. It also examines the impact of the ACA on various stakeholders, such as individuals, employers, healthcare providers and facilities. Implementation challenges are outlined, such as difficulties insuring previously uninsured individuals, narrow provider networks, and workforce shortages exacerbated by the increase in insured patients. Overall effects on the US healthcare system are assessed.
The document summarizes the findings of surveys of non-profits and individuals in Ohio regarding economic struggles and the social safety net. The surveys found that:
1) Non-profits saw large increases (average of 60%) in demand for services like food and shelter from 2008-2011. Many turned clients away due to lack of resources.
2) Individuals reported problems with health care, hunger, and meeting basic needs despite being employed. Over 80% of respondents earned less than $30,000 annually.
3) Both non-profits and individuals supported reforms like increasing funding for social programs, making health care more affordable, expanding job training programs, and raising eligibility levels for assistance.
Bernie Sanders proposes a Medicare for All, single-payer healthcare system that would provide universal coverage for all Americans. It would be funded through a 6.2% income-based premium paid by employers, a 2.2% household premium, and taxes on high-income individuals. This system is estimated to cost $1.38 trillion annually but save $6 trillion over 10 years by reducing overhead costs. It would eliminate premiums, deductibles, and network restrictions while covering all medical needs.
This gives a good base knowledge of where the current insurance industry is, a timeline of when certain mandates go into effect and a simplified description of the mandats being launched on Sept 23, 2010.
This document discusses a data analysis task involving childhood obesity rates in different regions of the United States. The analysis will use data on the percentage of overweight and obese children ages 10-17 in each state. The states will be categorized into regions - East, South, Midwest, and West. A cluster analysis technique will be used to determine if there are trends in childhood obesity rates between different regions. If trends are found, government and healthcare organizations can focus obesity prevention programs on specific regions. The document provides background on the situation, data sources, and analysis methodology to be used.
The document discusses the effects and implementation of the Affordable Care Act (ACA) in the United States. It covers several topics:
- The goals of the ACA were to expand availability of health insurance and control costs, but it has faced many challenges in implementation.
- Hospitals and healthcare providers have had to change how they operate to focus more on quality of care rather than quantity of patients.
- The ACA could help address shortages in primary care doctors and nurses by increasing funding for education incentives, but it will take time for these measures to have an effect.
- Coverage expansions under the ACA have increased demand for care while supplies of doctors and other providers remain limited
Health Care Reform Goes Live: The Affordable Care Act in 2014Craig B. Garner
The document provides an overview of health care reform under the Affordable Care Act (ACA) that goes into effect in 2014. It summarizes the history of health care in the US and the key provisions of the ACA, including the individual and employer mandates, health insurance exchanges, essential health benefits, and reforms to the delivery of medical care through programs like Accountable Care Organizations. The document is intended to educate about how the ACA will be implemented and its impact on various groups in early 2014.
The document discusses healthcare reform and its potential repeal. It notes that while repeal seems out of reach currently, many aspects of the law have already taken effect. These include eliminating pre-existing condition exclusions for children, covering dependents until age 26, and minimum loss ratios for insurance companies. The document also discusses the costs and implementation of state health insurance exchanges. It provides the perspective of the author who has advised on the impacts of healthcare reform.
The document discusses providing concise yet informative summaries of healthcare related news and legislation to clients. It aims to help clients understand challenges from the Affordable Care Act and determine solutions. The author will start a blog called "From the Desk of Mike Wojcik" to share healthcare market trends, legislative updates, and topics relevant to human resources challenges. The overall goal is to help the current healthcare model survive as more efficient, affordable and accessible to all.
This document summarizes the history of poverty in America from the industrialization era to modern times. It discusses how poverty is measured using thresholds and guidelines, and analyzes poverty levels and the impact of government assistance programs. Specific agencies that help the poor are also outlined, including how healthcare reform like the Affordable Care Act and Promise Zone initiatives aim to reduce poverty rates. Wealth inequality in the U.S. is significant as shown in an included video.
Describe rationale for free care in Providence Rhode Island, the mission and aims of the Clinica Esperanza / Hope Clinic, the current patient demographics, and plans for the future.
Overview - Health Care IssuesHealth Care IssuesOpposing .docxgerardkortney
Overview - Health Care Issues
Health Care Issues
Opposing Viewpoints Online Collection, 2015
In recent years, the availability and affordability of health insurance in the United States has become
the subject of much debate. The United Nations’ Universal Declaration of Human Rights lists medical
care among the basic human rights to which all people are entitled. In 2011, however, about 17
percent of Americans had no health insurance at all. For many people who are insured, the cost of
coverage is a financial hardship. This situation has led some people to call for the government to
provide health insurance for all citizens. Others, however, are skeptical of government’s ability to
efficiently manage health insurance and oppose any plans that involve government. The issue is made
more urgent by rapidly rising health care costs that threaten to overwhelm the country’s current
system of health insurance, and the national economy in general. Health care reform has become one
of the most important issues in contemporary American politics.
The Basics of Health Care
In most developed countries, health care systems involve government control or sponsorship. For
instance, in Great Britain, Scandinavia, and the countries of the former Soviet Union, the government
controls almost all aspects of health care, including access and delivery. For the most part, health
services in these countries are free to everyone; the systems are financed primarily by taxes. Other
countries, such as Germany and France, guarantee health insurance for almost all their citizens, but
the government plays a smaller role in managing health care. Both systems are financed at least in
part by taxes on wages.
The US government, by contrast, does not pay for most of its citizens’ health care. Generally,
Americans receive health care through employer-sponsored insurance, or they arrange to pay for
insurance on their own. Like all forms of insurance, health insurance operates by pooling the
resources of a group of people who face similar risks. This creates a common fund that members can
draw upon when needed. Each person in the group pays a certain amount, called a premium, every
month. These premiums are used to cover the medical expenses of group members who become sick
or injured.
Health Insurance in the United States
Today, most Americans receive health insurance through their place of work. Employers typically pay
for part of the premiums. Most employer-sponsored plans are administered through payroll
contributions. People who are self-employed and those whose employers do not provide health
insurance must purchase individual health insurance. Individual plans are generally more expensive
than group plans. Certain low-income individuals and families may be eligible for Medicaid, a form of
government-sponsored health insurance. In 1997, the US government introduced the Children’s
Health Insurance Program (CHIP) to assist the children of families who do not qualify f.
Similar to Data of Home care franchise industry in 2013 (20)
This document provides an introduction to Volume II of a book that describes home care systems in 31 European countries. Volume I concluded that demand for home care is expected to increase due to aging populations and a shift towards home-based long-term care. However, home care faces challenges of growing demand, financial constraints, and shortages of both formal and informal caregivers. Volume II presents detailed country reports on the organization and provision of home care in each country, covering topics such as policy context, financing, service delivery models, client needs, and current issues. The reports aim to fill an information gap on home care policies and systems across Europe.
This document summarizes a final rule by the Department of Labor that revises regulations regarding overtime pay and minimum wage protections for domestic service workers. The revisions narrow the definition of "companionship services" to exclude many direct care workers, and prevent third-party employers like home care agencies from claiming exemptions. This will extend Fair Labor Standards Act protections to more domestic service workers. The changes are intended to better reflect Congressional intent given the increased professionalization of home care work since the 1970s.
This document summarizes a report about reforming regulations regarding minimum wage and overtime protections for home care workers under the Fair Labor Standards Act. It finds that the current regulations implementing the companionship exemption are overly broad and have inadvertently excluded most home care workers from basic protections. Extending minimum wage and overtime coverage to home care workers is necessary to address poverty and stimulate job growth in this important industry. A revised regulation should provide that workers employed by agencies are covered and narrow the definition of companionship to exclude duties beyond fellowship and protection. This would extend protections to the fastest-growing segments of the industry while imposing only moderate, manageable costs.
This document provides an introduction and background to home care in Europe. It discusses the challenges of an aging population and increasing demand for home care. There is currently a lack of up-to-date comparative information on home care systems across Europe. This book aims to address that gap by examining the current structure and policies of home care in different European countries. It establishes a conceptual framework and identifies key issues to be analyzed, such as governance, funding, service delivery and quality monitoring. The book's findings are intended to help inform future policy debates around supporting elderly citizens in European countries.
This document provides a comprehensive analysis of the home health and personal care aide workforce in the United States. It finds that this workforce, numbering around 2.5 million, is the largest and fastest growing occupation. Demand is increasing due to the aging population and preference for home-based care. However, the workforce remains poorly paid and supported, facing challenges such as low wages, part-time work, high turnover, and a lack of training. The report aims to bring greater understanding and informed discussion to develop effective policies around this important industry.
This document provides an analysis of evidence from social innovation good practices across the EU that examine whether technology-based services can support long-term care challenges in home care. It begins with acknowledgments and preface sections. The document then provides an executive summary and introduces the topics of long-term care, the increasing demand for it in Europe, the role of families and informal carers in provision of long-term care, and the increasing role of migrant care workers. It examines the current state of ICT-based solutions that could support informal carers and the research and policy contexts regarding these solutions.
Cost of Care Survey 2014 130568 03/25/14 Genworth 2014 Cost of Care Survey Home Care Providers, Adult Day Health Care Facilities, Assisted Living Facilities and Nursing Homes
The future vision of Homecare medicinesHome Care Aid
This document summarizes the key findings and recommendations from a review of homecare medicines in England. It finds issues with the current homecare medicines market such as unstable cash flows, weak governance, and a lack of collaboration between organizations. It recommends strengthening governance within NHS trusts, developing national standards for homecare providers, and more open and collaborative procurement between trusts, commissioners, providers, and patients to improve services and value for money. The goal is to establish safer, more effective and efficient homecare medicine delivery that works in the best interests of both patients and taxpayers.
Beyond the Basics of A/B Tests: Highly Innovative Experimentation Tactics You...Aggregage
This webinar will explore cutting-edge, less familiar but powerful experimentation methodologies which address well-known limitations of standard A/B Testing. Designed for data and product leaders, this session aims to inspire the embrace of innovative approaches and provide insights into the frontiers of experimentation!
STATATHON: Unleashing the Power of Statistics in a 48-Hour Knowledge Extravag...sameer shah
"Join us for STATATHON, a dynamic 2-day event dedicated to exploring statistical knowledge and its real-world applications. From theory to practice, participants engage in intensive learning sessions, workshops, and challenges, fostering a deeper understanding of statistical methodologies and their significance in various fields."
Predictably Improve Your B2B Tech Company's Performance by Leveraging DataKiwi Creative
Harness the power of AI-backed reports, benchmarking and data analysis to predict trends and detect anomalies in your marketing efforts.
Peter Caputa, CEO at Databox, reveals how you can discover the strategies and tools to increase your growth rate (and margins!).
From metrics to track to data habits to pick up, enhance your reporting for powerful insights to improve your B2B tech company's marketing.
- - -
This is the webinar recording from the June 2024 HubSpot User Group (HUG) for B2B Technology USA.
Watch the video recording at https://youtu.be/5vjwGfPN9lw
Sign up for future HUG events at https://events.hubspot.com/b2b-technology-usa/
ViewShift: Hassle-free Dynamic Policy Enforcement for Every Data LakeWalaa Eldin Moustafa
Dynamic policy enforcement is becoming an increasingly important topic in today’s world where data privacy and compliance is a top priority for companies, individuals, and regulators alike. In these slides, we discuss how LinkedIn implements a powerful dynamic policy enforcement engine, called ViewShift, and integrates it within its data lake. We show the query engine architecture and how catalog implementations can automatically route table resolutions to compliance-enforcing SQL views. Such views have a set of very interesting properties: (1) They are auto-generated from declarative data annotations. (2) They respect user-level consent and preferences (3) They are context-aware, encoding a different set of transformations for different use cases (4) They are portable; while the SQL logic is only implemented in one SQL dialect, it is accessible in all engines.
#SQL #Views #Privacy #Compliance #DataLake
Analysis insight about a Flyball dog competition team's performanceroli9797
Insight of my analysis about a Flyball dog competition team's last year performance. Find more: https://github.com/rolandnagy-ds/flyball_race_analysis/tree/main
End-to-end pipeline agility - Berlin Buzzwords 2024Lars Albertsson
We describe how we achieve high change agility in data engineering by eliminating the fear of breaking downstream data pipelines through end-to-end pipeline testing, and by using schema metaprogramming to safely eliminate boilerplate involved in changes that affect whole pipelines.
A quick poll on agility in changing pipelines from end to end indicated a huge span in capabilities. For the question "How long time does it take for all downstream pipelines to be adapted to an upstream change," the median response was 6 months, but some respondents could do it in less than a day. When quantitative data engineering differences between the best and worst are measured, the span is often 100x-1000x, sometimes even more.
A long time ago, we suffered at Spotify from fear of changing pipelines due to not knowing what the impact might be downstream. We made plans for a technical solution to test pipelines end-to-end to mitigate that fear, but the effort failed for cultural reasons. We eventually solved this challenge, but in a different context. In this presentation we will describe how we test full pipelines effectively by manipulating workflow orchestration, which enables us to make changes in pipelines without fear of breaking downstream.
Making schema changes that affect many jobs also involves a lot of toil and boilerplate. Using schema-on-read mitigates some of it, but has drawbacks since it makes it more difficult to detect errors early. We will describe how we have rejected this tradeoff by applying schema metaprogramming, eliminating boilerplate but keeping the protection of static typing, thereby further improving agility to quickly modify data pipelines without fear.
Learn SQL from basic queries to Advance queriesmanishkhaire30
Dive into the world of data analysis with our comprehensive guide on mastering SQL! This presentation offers a practical approach to learning SQL, focusing on real-world applications and hands-on practice. Whether you're a beginner or looking to sharpen your skills, this guide provides the tools you need to extract, analyze, and interpret data effectively.
Key Highlights:
Foundations of SQL: Understand the basics of SQL, including data retrieval, filtering, and aggregation.
Advanced Queries: Learn to craft complex queries to uncover deep insights from your data.
Data Trends and Patterns: Discover how to identify and interpret trends and patterns in your datasets.
Practical Examples: Follow step-by-step examples to apply SQL techniques in real-world scenarios.
Actionable Insights: Gain the skills to derive actionable insights that drive informed decision-making.
Join us on this journey to enhance your data analysis capabilities and unlock the full potential of SQL. Perfect for data enthusiasts, analysts, and anyone eager to harness the power of data!
#DataAnalysis #SQL #LearningSQL #DataInsights #DataScience #Analytics
Codeless Generative AI Pipelines
(GenAI with Milvus)
https://ml.dssconf.pl/user.html#!/lecture/DSSML24-041a/rate
Discover the potential of real-time streaming in the context of GenAI as we delve into the intricacies of Apache NiFi and its capabilities. Learn how this tool can significantly simplify the data engineering workflow for GenAI applications, allowing you to focus on the creative aspects rather than the technical complexities. I will guide you through practical examples and use cases, showing the impact of automation on prompt building. From data ingestion to transformation and delivery, witness how Apache NiFi streamlines the entire pipeline, ensuring a smooth and hassle-free experience.
Timothy Spann
https://www.youtube.com/@FLaNK-Stack
https://medium.com/@tspann
https://www.datainmotion.dev/
milvus, unstructured data, vector database, zilliz, cloud, vectors, python, deep learning, generative ai, genai, nifi, kafka, flink, streaming, iot, edge
Global Situational Awareness of A.I. and where its headedvikram sood
You can see the future first in San Francisco.
Over the past year, the talk of the town has shifted from $10 billion compute clusters to $100 billion clusters to trillion-dollar clusters. Every six months another zero is added to the boardroom plans. Behind the scenes, there’s a fierce scramble to secure every power contract still available for the rest of the decade, every voltage transformer that can possibly be procured. American big business is gearing up to pour trillions of dollars into a long-unseen mobilization of American industrial might. By the end of the decade, American electricity production will have grown tens of percent; from the shale fields of Pennsylvania to the solar farms of Nevada, hundreds of millions of GPUs will hum.
The AGI race has begun. We are building machines that can think and reason. By 2025/26, these machines will outpace college graduates. By the end of the decade, they will be smarter than you or I; we will have superintelligence, in the true sense of the word. Along the way, national security forces not seen in half a century will be un-leashed, and before long, The Project will be on. If we’re lucky, we’ll be in an all-out race with the CCP; if we’re unlucky, an all-out war.
Everyone is now talking about AI, but few have the faintest glimmer of what is about to hit them. Nvidia analysts still think 2024 might be close to the peak. Mainstream pundits are stuck on the wilful blindness of “it’s just predicting the next word”. They see only hype and business-as-usual; at most they entertain another internet-scale technological change.
Before long, the world will wake up. But right now, there are perhaps a few hundred people, most of them in San Francisco and the AI labs, that have situational awareness. Through whatever peculiar forces of fate, I have found myself amongst them. A few years ago, these people were derided as crazy—but they trusted the trendlines, which allowed them to correctly predict the AI advances of the past few years. Whether these people are also right about the next few years remains to be seen. But these are very smart people—the smartest people I have ever met—and they are the ones building this technology. Perhaps they will be an odd footnote in history, or perhaps they will go down in history like Szilard and Oppenheimer and Teller. If they are seeing the future even close to correctly, we are in for a wild ride.
Let me tell you what we see.
2. Table of Contents
Subject Page
Report Summary
The Economics of Health Care and Statistics on Aging 1-5
Home Healthcare Industry Overview 6-13
Home Care Franchise Profile 14-17
The Components of Home Care Growth 18-19
The Home Care Regulatory Environment 20-22
M & A Activity 23-24
Resources 25
This document is the property of FranchiseKnowHow, LLC and is a published document protected by federal
copyright laws. No unauthorized copying, adaptation, or distribution is permitted unless approved in writing by
FranchiseKnowHow, LLC.
3. Home Care Franchise Industry Update 2013
By Ed Teixeira
FranchiseKnowHow, LLC
About the Report
This report presents information and trends pertaining to the home care franchise industry for 2013. It
includes data, information, and statistics from the following sources: U.S. Census Bureau Department of
Aging, U.S. Department of Health and Human Services, The 2013 Private Duty Benchmarking Study,
published by Home Care Pulse, National Association of Home Healthcare and Hospice, National Private
Duty Association, Entrepreneur Magazine Franchise 500 2013 and websites. FKH has made every effort
to provide accurate information. If there any comments or questions regarding the contents of this
report please contact FranchiseKnowHow at franchiseknowhow@gmail.com or 631-246-5782
FranchiseKnowHow,LLC
FranchiseKnowHow, LLC, publishes newsletters and articles for the franchise industry and consults home
care agencies and other businesses considering franchising their business. The company also assists
franchisors that look to export their franchise to other countries. Ed Teixeira, President of
FranchiseKnowHow,LLC and the author of the report, has spent over 35 years in the franchise industry,
including 15 years in the franchised home healthcare sector. He served as a senior executive for a
publicly traded home care franchisor as well as franchisee of a multi-million dollar home care operation
with six locations. He was also Chief Operating Officer of a franchised medical staffing company. During
his tenure, Teixeira was directly responsible for executing international licensing agreements to include
the first home healthcare franchise license in Japan and agreements in Spain, Indonesia and Brazil. He is
the author of The Franchise Buyers Manual and Franchising FromThe Inside Out.
4. Report Summary
The franchise home care sector continues to be one of the fastest growing components of the franchise
industry. In last year’s report 17 companies had a total of 5,300 locations. This year the same 17
franchised home care companies accounted for over 6,000 locations, an increase of over 15%!
The continuing growth of the home care industry results from the increased aging of the U.S. population
and the resultant demand for services. In addition, home care services properly administered are less
costly compared to the cost at long term care facilities. The 2013 Private Duty Benchmarking Study
published by Home Care Pulse reported that the number of private duty home care agencies has grown
by at least 104% since 2007. There are an estimated 15,100-17,700 private duties agencies in the United
States of which over 6,000 are franchised. On the date of this report there were over 60 home care
franchise companies in the United States operating over 6,000 locations. 1
Approximately 90% of
franchises offer and provide companion and homemaker services only. The remaining franchises or 10%
of the total provide skilled nursing services.
A home care franchise that provides unskilled home care services typically requires a lower investment
and minimal equipment compared to other franchise concepts. Almost half of home care franchisors
allow a home based operation. These factors coupled with a growing market and increased demand for
services has continued to fuel the growth of home care franchises.
At the national level the implementation of The Affordable Care Act and certain issues related to the
launch, including the operation of the website and individual health insurance policy cancellations, could
postpone the full implementation of the ACA. The ACA contains regulations that when followed will
increase the expenses of home care companies. It remains to be seen how this will play out.
The elimination of the minimum wage and overtime exemption for certain caregivers, which was
included in the Fair Labor Standards Act since 1974 will take effect in 2015. Although some home care
industry experts predict an increase in the cost of home care services it’s still too early to predict the full
impact of this change. These subjects are covered in greater detail inside the report. Despite the
emerging financial and regulatory changes, the size of the home care market, demand for home care
services and the cost control benefits to private and public healthcare organizations and providers will
continue to fuel the growth of the home care franchise industry.
1
FranchiseKnowHow Survey