Key Trends Shaping the Long-Term Care Industry

elderly couple with adult daughter looking at laptop
Mary Sizemore
Mary Sizemore November 1, 2024

With over 25 years of experience, Mary leverages her industry knowledge to help agents and their clients navigate various insurance products. She stays current on the latest products and trends and develops creative content for both agents and consumers.


As your clients age, the need to plan for long-term care becomes increasingly more important. Preparing for this stage of their life is essential, but the long-term care landscape is evolving rapidly. Let’s explore some of the most important trends that are reshaping long-term care today, and what they mean for those planning for their future care needs.


Home-Based Care: Aging in Place Takes Center Stage

For many of your clients, staying at home for as long as possible is the ideal situation. The COVID-19 pandemic only accelerated this trend, highlighting concerns over safety and quality of life in facility care settings like nursing homes. As a result, aging in place has become more popular than ever.

To meet this demand, home care services are expanding, and technologies such as telehealth and remote monitoring devices are making it easier to receive medical care at home. These tools help your client remain independent while providing peace of mind to their families. Whether through wearable health monitors or smart home devices that detect falls, technology is revolutionizing how care is delivered in the comfort of one’s own home.


Read More: Long-Term Care Insurance Offers Independence


The Rise of Alternative Insurance Products

While traditional long-term care insurance (LTCI) is the most affordable option to plan for a long-term care event, these types of policies have faced challenges over the years. In response to rate increases and the “use it or lose it” argument, carriers are increasingly offering hybrid products—a combination of life insurance or annuity with long-term care benefits.

With hybrid LTCI, if your client never needs long-term care, their beneficiaries will receive a death benefit. Additionally, premiums are guaranteed for the life of the policy. For many, these hybrid options provide better peace of mind than conventional LTCI policies, as they ensure some value regardless of care needs.

We are also seeing an increase in short-term care insurance (STC) options. These policies fill the gap that traditional LTCI leaves when it comes to underwriting and age. STC is available through age 89 and offers simplified underwriting, especially for those with obesity, diabetes, and other chronic illnesses.


Supply and Demand Increasing Costs of Care

One of the most pressing concerns in the long-term care space is the rising cost of care. Labor shortages and increasing demand are forcing rates to climb in all aspects of long-term care. Whether it’s for home health services, assisted living, or nursing home care, the expenses are significant. For instance, the cost of a private room in a U.S. nursing home now averages over $100,000 per year. This makes financial planning for long-term care more critical than ever.


The Expanding Role of Medicaid and State Programs

For many seniors, Medicaid becomes the go-to option for long-term care services, particularly for those who can no longer afford private care. However, as Medicaid budgets are stretched, states are looking for ways to control costs. One approach is Medicaid Managed Long-Term Services and Supports (MLTSS), where states contract with private insurance companies to manage Medicaid beneficiaries’ long-term care.

Some states are also introducing publicly funded long-term care programs. For example, Washington’s WA Cares Fund provides state residents with long-term care coverage funded through a payroll tax. Though the benefits are modest, such programs may represent a first step toward broader public solutions for long-term care financing. On November 5, Washington voters shot down an initiative to make the WA Cares Fund voluntary, so the program will continue to be mandatory for all residents of the state.


Technology-Driven Innovations in Care Delivery

The role of technology in long-term care is expanding rapidly, especially in the wake of the pandemic. Telehealth services, which allow for remote consultations with healthcare providers, have become a crucial tool for your clients. Meanwhile, AI-powered predictive analytics, wearable health monitors, and fall detection systems are improving care quality by allowing caregivers to monitor and address health issues in real-time. These innovations not only increase the efficiency of care but also improve the safety and well-being of your clients, particularly those living alone.


Specialized Care for Cognitive Impairments

As the number of individuals with Alzheimer’s disease and other forms of dementia grows, the need for specialized care is also rising. Many assisted living facilities now offer dedicated memory care units that cater specifically to the unique needs of those with cognitive impairments. These units often provide a safer, more structured environment with trained staff who can handle the challenges associated with dementia. The focus is on improving quality of life through tailored activities, therapies, and environments designed to reduce confusion and agitation.


New Models of Long-Term Care Facilities

Alternative models of care are emerging to challenge the traditional nursing home setting. One example is the Green House Project, which replaces large, institutional facilities with smaller, home-like environments. These small homes are designed to foster a more personal and dignified experience for residents, promoting a sense of community and autonomy.

Similarly, Programs of All-Inclusive Care for the Elderly (PACE) are gaining popularity. PACE programs allow your clients to receive medical, social, and long-term care services while remaining in their homes, offering an integrated approach to care that reduces the need for institutionalization.


Wellness and Preventative Care in Long-Term Care

Another major trend in long-term care is the growing focus on wellness and preventative care. Many providers are implementing programs that encourage healthy aging, such as exercise, physical therapy, and nutritional counseling. These programs are designed to maintain your clients’ health and independence for as long as possible, potentially delaying the need for more intensive long-term care. Preventative care has the dual benefit of improving quality of life while reducing healthcare costs by minimizing hospitalizations and the onset of chronic conditions.


Planning for the Future

With the long-term care landscape evolving rapidly, it’s more important than ever for you to be a resource to your clients. Taking proactive steps can help your client secure a plan that fits their needs and budget. As these trends continue to shape the industry, the key to successful long-term care planning will be flexibility, early preparation, and staying attuned to new solutions. By doing so, your clients can ensure they are ready for whatever the future holds.

Are your clients prepared for their long-term care needs? Explore the options we have available through The Krause Agency, and schedule a call with our team today!