Long-Term Care Market - Global Industry Size, Share, Trends, Opportunity, and Forecast, Segmented By Service (Home healthcare, Hospice & Palliative Care, Nursing care, Assisted living facilities, Others), By Payer (Public, Private, Out of Pocket), By Region and Competition 2021-2031F

Forecast Period	2027-2031
Market Size (2025)	USD 1.23 Trillion
CAGR (2026-2031)	6.81%
Fastest Growing Segment	Home Healthcare
Largest Market	North America
Market Size (2031)	USD 1.83 Trillion

Market Overview

The Global Long-Term Care Market will grow from USD 1.23 Trillion in 2025 to USD 1.83 Trillion by 2031 at a 6.81% CAGR. Long-term care encompasses a comprehensive range of medical and non-medical services designed to assist individuals with chronic illnesses or disabilities who are unable to perform daily activities independently. The primary drivers fueling this market include a rapidly aging global demographic and the increasing prevalence of chronic diseases, both of which necessitate sustained professional support and specialized residential facilities. These fundamental factors create a consistent and escalating demand for care infrastructure that extends beyond temporary medical intervention.

However, the market faces a substantial challenge regarding the severe scarcity of qualified personnel, which significantly impedes operational capacity and expansion. This workforce deficit restricts the ability of providers to accept new patients despite the high demand for services. According to the American Health Care Association, in 2024, 46% of nursing homes were forced to limit new admissions due to severe labor shortages. Consequently, this gap between service availability and patient needs remains a critical barrier to broader market growth.

Key Market Drivers

The rapid expansion of the global geriatric population and the rising prevalence of chronic diseases constitute the primary structural catalyst for the Global Long-Term Care Market. As life expectancy increases, a larger demographic cohort is entering the age range where age-related disabilities and conditions such as dementia require continuous professional oversight. This demographic shift forces a transition from acute, episodic care to sustained support models, significantly increasing the utilization rate of both residential facilities and home-based services. According to the Alzheimer's Association, March 2024, in the '2024 Alzheimer's Disease Facts and Figures' report, an estimated 6.9 million Americans aged 65 and older are living with Alzheimer's dementia, a figure that illustrates the escalating need for specialized care infrastructure.

Advancements in telehealth, remote monitoring, and smart care technologies are fundamentally reshaping market operations by enhancing care delivery efficiency and enabling aging-in-place models. These technologies are critical for mitigating workforce shortages by automating routine monitoring tasks and allowing providers to manage larger patient panels without compromising safety. Healthcare leaders are aggressively integrating these digital tools to optimize resource allocation. According to Philips, June 2024, in the 'Future Health Index 2024' report, 85% of healthcare leaders are currently investing in or planning to invest in generative AI technologies to streamline clinical decision support and operational workflows. This technological shift is occurring alongside substantial financial expansion; according to the Centers for Medicare & Medicaid Services, June 2024, in the 'National Health Expenditure 2023-2032' report, national health spending is projected to grow at an average annual rate of 5.6% over the projection period, underscoring the compounding economic weight of these care demands.

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Key Market Challenges

The severe scarcity of qualified personnel serves as a substantial structural barrier impeding the growth of the global long-term care market. This workforce deficit directly restricts operational capacity, as providers are unable to meet the mandatory staff-to-patient ratios required to maintain safety standards. Consequently, facilities must often freeze bed availability or reduce the scope of their services, effectively capping revenue potential despite the rising volume of patients seeking care.

Financial sustainability is further compromised by this shortage, as providers frequently resort to expensive temporary labor solutions to maintain minimum staffing levels, which significantly inflates operating costs. This erosion of profit margins creates a volatile environment that discourages new market entry and capital investment. According to the American Health Care Association, in 2024, more than 66 percent of nursing home facilities expressed concern that they may have to close if these workforce challenges persist. Such instability threatens to physically shrink the market's infrastructure, preventing the supply side from scaling to meet the escalating global demand.

Key Market Trends

The shift towards aging-in-place and home-based care models is fundamentally altering the service delivery landscape, driven by a decisive consumer preference for non-institutional settings over traditional residential facilities. This transition is reshaping the economic structure of the market, as the escalating demand for in-home support forces a reevaluation of service valuations and resource distribution. The migration of care to the home is creating acute supply pressures, resulting in significant cost increases for personal assistance services as providers struggle to scale their workforce to meet decentralized needs. According to Genworth Financial, March 2025, in the '2024 Cost of Care Survey', the median annual cost of homemaker services increased by 10% to $75,504, a figure that underscores the compounding financial weight resulting from this structural change in care consumption.

The deployment of assistive robotics to support caregiver tasks represents a critical evolution in operational support, moving beyond digital monitoring to the automation of physical and logistical workflows. Unlike passive sensor systems, these active robotic solutions are being integrated to assist with physically demanding activities, directly alleviating the burden on human staff and ensuring consistent adherence to care protocols. This adoption is yielding measurable clinical benefits by maintaining high standards of patient attention even during periods of staffing volatility. According to the Information Technology and Innovation Foundation, November 2024, in the 'Fact of the Week: Robot Adoption in Nursing Homes' report, facilities that adopted robotic systems reduced the incidence of pressure ulcers among residents by 26%, demonstrating the direct impact of physical automation on long-term care quality.

Segmental Insights

The Home Healthcare segment currently represents the fastest-growing category within the Global Long-Term Care Market, driven by a distinct shift in patient preference towards aging in place. This trajectory is primarily supported by the comparative cost-effectiveness of domiciliary services against institutional facilities and the rising prevalence of chronic conditions requiring continuous monitoring. Furthermore, regulatory initiatives from entities such as the Centers for Medicare & Medicaid Services actively encourage this transition by expanding reimbursement models for home-based care options. Consequently, providers are increasingly prioritizing decentralized delivery systems to enhance accessibility while optimizing long-term operational expenditures.

Regional Insights

North America holds the dominant share of the global long-term care market, driven by a rising aging population and comprehensive government funding. In the United States, the Centers for Medicare & Medicaid Services plays a pivotal role by establishing favorable reimbursement frameworks for nursing homes and home healthcare. This financial structure ensures service affordability and stability for providers, encouraging consistent market expansion. Additionally, the presence of established healthcare infrastructure supports the effective management of chronic conditions, further consolidating North America’s leading status in the global industry.

Recent Developments

• In October 2025, Provider Partners Connect Care established a strategic collaboration with MatrixCare to launch a value-based care initiative tailored for long-term care facilities. This partnership integrated MatrixCare’s electronic health record technology with a specialized care management platform, enabling nursing home operators to participate effectively in value-based care models. The initiative focused on equipping providers with advanced data tools to close care gaps, reduce avoidable hospitalizations, and improve health outcomes for high-needs Medicare populations. By combining technological capabilities with operational support, the collaboration aimed to accelerate the transition of long-term care providers toward outcome-based reimbursement structures.
• In August 2025, UnitedHealth Group finalized its acquisition of Amedisys, a prominent home health and hospice provider, in a transaction valued at approximately $3.3 billion. This strategic consolidation integrated Amedisys into the acquiring company's Optum division, significantly expanding its capacity to deliver home-based care services. To satisfy antitrust requirements established by the Department of Justice, the companies divested over 160 care centers to The Pennant Group and BrightSpring Health Services. This merger created one of the largest integrated networks for long-term and post-acute care in the market, aiming to enhance care coordination for patients with complex health needs.
• In November 2024, The Springs Living and PMB celebrated the grand opening of a new senior living development in Vancouver, Washington, known as The Springs at The Waterfront. The 12-story community features 250 units offering a continuum of care that includes independent living, assisted living, and memory care services. Designed to meet rigorous LEED Gold and Fitwel certifications, the facility emphasizes sustainable construction and a wellness-focused environment for residents. This launch represented a significant expansion of high-end urban senior living options in the region, incorporating advanced amenities and accessibility features to support the evolving lifestyle preferences of the aging population.
• In October 2024, CareTrust REIT entered into an agreement to acquire a portfolio of 31 skilled nursing facilities for approximately $500 million. Executed in partnership with a joint venture associate, this acquisition focused on expanding the company's footprint in Tennessee and Alabama, adding over 3,000 licensed beds to its real estate portfolio. The operational management of these facilities was assigned to existing tenant partners, including The Ensign Group and PACS Group. This transaction marked a substantial investment in the skilled nursing sector, designed to strengthen the company's long-term revenue growth through the strategic selection of high-quality healthcare assets.

Key Market Players

• Brookdale Senior Living Inc.
• Sunrise Senior Living
• Kindred Healthcare
• Genesis Healthcare, Inc.
• Extendicare Inc.
• Capital Senior Living Corporation
• Diversicare Healthcare Services, Inc.
• Home Instead, Inc.
• Senior Care Centers, LLC
• Atria Senior Living, Inc.

By Service	By Payer	By Region
Home healthcare Hospice & Palliative Care Nursing care Assisted living facilities Others	Public Private Out of Pocket	North America Europe Asia Pacific South America Middle East & Africa

Report Scope:

In this report, the Global Long-Term Care Market has been segmented into the following categories, in addition to the industry trends which have also been detailed below:

• Long-Term Care Market, By Service:

• Home healthcare
• Hospice & Palliative Care
• Nursing care
• Assisted living facilities
• Others

• Long-Term Care Market, By Payer:

• Public
• Private
• Out of Pocket

• Long-Term Care Market, By Region:

• North America
• United States
• Canada
• Mexico
• Europe
• France
• United Kingdom
• Italy
• Germany
• Spain
• Asia Pacific
• China
• India
• Japan
• Australia
• South Korea
• South America
• Brazil
• Argentina
• Colombia
• Middle East & Africa
• South Africa
• Saudi Arabia
• UAE