MetLife Mature Market Institute(R) Releases National Survey of Adult Day Services...
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MetLife Mature Market Institute(R) Releases National Survey of Adult Day Services Costs and Annual Home Health Care Rates
Adult Day Services Cost an Average of $64 Per Day
Home Health Aides Cost $20 Per Hour on Average
Homemaker/Companions are $18 Per Hour on Average
WESTPORT, Conn.--(Business Wire)--
The MetLife Mature Market Institute(R) today released its national
survey of adult day services and home care costs which found that the
national average daily rate for adult day services is $64, up $3 per
day or 5% from 2007. The national average hourly rate for home health
aides is $20, a $1 or 5% increase from 2007. The 2008 national average
hourly homemaker/companion rate is $18, unchanged from last year. This
year's study includes expanded coverage of statewide averages for all
50 states, in addition to rates for each state's largest metropolitan
regions.
The maximum reported daily costs for adult day services are
highest in the state of Vermont ($141 daily) and lowest in Montgomery
area, Alabama ($27). For both home care categories, rates are lowest
in Shreveport area, Louisiana ($12) and highest in two areas of
Minnesota - Minneapolis/St. Paul ($$28) for home health aides and
Rochester ($26) for homemaker/companions. Rate variances reflect
regional cost differences, local demand and pricing practices,
services included and differences in state-level reporting
requirements.
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*T
NATIONAL FINDINGS Home Health Homemaker/ Adult Day
Aides Companions Services
----------------------------------------------------------------------
Rate Type Hourly Rate Hourly Rate Daily Rate
----------------------------------------------------------------------
2008 Average Rate $20 $18 $64
----------------------------------------------------------------------
2007 Average Rate $19 $18 $61
----------------------------------------------------------------------
$ Change 2007 to 2008 +$1 Unchanged +$3
----------------------------------------------------------------------
% Change 2007 to 2008 +5% Unchanged +5%
----------------------------------------------------------------------
2008 Median Rate $20 $18 $60
----------------------------------------------------------------------
2008 High/Location $28 - $26 - Rochester $141 -
Minneapolis/ Area, MN Vermont
St. Paul, MN
----------------------------------------------------------------------
2008 Low /Location $12 - $12 - $27 -
Shreveport Shreveport Montgomery
Area, LA Area, LA Area, AL
----------------------------------------------------------------------
*T
"The trend toward older persons desiring to stay in their homes or
'age in place' has increased the demand for in-home care and other
programs and services available during the day," said Sandra
Timmermann, Ed.D., director of the MetLife Mature Market Institute.
"We are closely watching this data and the trends in this industry as
new adult day centers are opening in virtually all parts of the
country. According to the National Adult Day Services Association
(NADSA), there are more than 3,500 centers nationwide helping more
than 150,000 Americans each day. This form of care has gained
prominence as caregivers realize that these facilities provide a less
costly alternative to nursing homes and in-home care. They also allow
people to continue to live in their homes while giving their
caregivers the time during the day to work or take a few hours off and
they provide socialization for the care recipient."
"Despite the increase in home health aid rates, home care costs
overall have remained relatively steady for the past few years," said
Timmermann, "though these options continue to be costly. We underscore
what we have been saying about long-term care costs for years: those
planning for retirement should save adequately for their care needs
later in life and working with a financial professional is the best
way to make sure that they will be able to achieve a reliable
retirement income stream with adequate plans for covering their
long-term care."
Regional cost breakdowns for all three types of care are:
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*T
Home Homemaker/
State Health Aide Companion Adult Day Services
----------------------------------------------------------------------
Alabama (AL) $18 $16 $34
----------------------------------------------------------------------
Birmingham $14 $13 $37
----------------------------------------------------------------------
Montgomery $14 $13 $27
----------------------------------------------------------------------
Rest of State $24 $20 $35
----------------------------------------------------------------------
Alaska (AK) $25 $21 $80
----------------------------------------------------------------------
Arizona (AZ) $21 $19 $79
----------------------------------------------------------------------
Phoenix $21 $18 $95
----------------------------------------------------------------------
Tucson $19 $18 $72
----------------------------------------------------------------------
Rest of State $23 $23 $80
----------------------------------------------------------------------
Arkansas (AR) $16 $15 $53
----------------------------------------------------------------------
Little Rock $16 $15 $60
----------------------------------------------------------------------
Rest of State $16 $16 $49
----------------------------------------------------------------------
California (CA) $22 $20 $74
----------------------------------------------------------------------
Los Angeles $21 $20 $76
----------------------------------------------------------------------
San Diego $20 $19 $77
----------------------------------------------------------------------
San Francisco $23 $23 $69
----------------------------------------------------------------------
Rest of State $23 $20 $73
----------------------------------------------------------------------
Colorado (CO) $24 $19 $66
----------------------------------------------------------------------
Denver $25 $21 $61
----------------------------------------------------------------------
Colorado Springs $25 $18 $79
----------------------------------------------------------------------
Rest of State $24 $19 $64
----------------------------------------------------------------------
Connecticut (CT) $27 $19 $73
----------------------------------------------------------------------
Hartford $25 $18 $77
----------------------------------------------------------------------
Stamford Area $27 $21 $76
----------------------------------------------------------------------
Rest of State $27 $19 $71
----------------------------------------------------------------------
Washington (DC) $19 $18 $100
----------------------------------------------------------------------
Delaware (DE) $21 $19 $65
----------------------------------------------------------------------
Wilmington $21 $19 $73
----------------------------------------------------------------------
Rest of State $22 $21 $57
----------------------------------------------------------------------
Florida (FL) $17 $16 $54
----------------------------------------------------------------------
Jacksonville $16 $15 $57
----------------------------------------------------------------------
Orlando $18 $17 $53
----------------------------------------------------------------------
Miami $16 $15 $46
----------------------------------------------------------------------
Rest of State $19 $17 $56
----------------------------------------------------------------------
Georgia (GA) $17 $17 $57
----------------------------------------------------------------------
Marietta Area $17 $16 $60
----------------------------------------------------------------------
Atlanta $17 $17 $48
----------------------------------------------------------------------
Rest of State $18 $17 $63
----------------------------------------------------------------------
Hawaii (HI) $23 $21 $59
----------------------------------------------------------------------
Honolulu $22 $21 $62
----------------------------------------------------------------------
Rest of State $25 $21 $55
----------------------------------------------------------------------
Idaho (ID) $18 $17 $91
----------------------------------------------------------------------
Boise $18 $16
----------------------------------------------------------------------
Rest of State $18 $18
----------------------------------------------------------------------
Illinois (IL) $20 $19 $58
----------------------------------------------------------------------
Highland Park Area $22 $20 $57 (Des Plaines Area)
----------------------------------------------------------------------
Chicago $18 $16 $50
----------------------------------------------------------------------
Peoria Area $20 $19 $68 (Central IL)
----------------------------------------------------------------------
Rest of State $21 $19 $59
----------------------------------------------------------------------
Indiana (IN) $22 $19 $77
----------------------------------------------------------------------
Indianapolis $21 $18 $81
----------------------------------------------------------------------
Fort Wayne Area $19 $16 $65
----------------------------------------------------------------------
Rest of State $23 $20 $79
----------------------------------------------------------------------
Iowa (IA) $23 $20 $51
----------------------------------------------------------------------
Des Moines Area $24 $20 $52 (Central IA)
----------------------------------------------------------------------
Rest of State $23 $21 $51
----------------------------------------------------------------------
Kansas (KS) $18 $17 $77
----------------------------------------------------------------------
Wichita $18 $17 $55
----------------------------------------------------------------------
Rest of State $18 $17 $82
----------------------------------------------------------------------
Kentucky (KY) $20 $19 $67
----------------------------------------------------------------------
Louisville $16 $16 $62
----------------------------------------------------------------------
Lexington $18 $18 $58
----------------------------------------------------------------------
Rest of State $24 $20 $71
----------------------------------------------------------------------
Louisiana (LA) $16 $14 $48
----------------------------------------------------------------------
Baton Rouge $14 $13 $48
----------------------------------------------------------------------
Shreveport Area $12 $12 $49 (New Orleans Area)
----------------------------------------------------------------------
Rest of State $17 $15 $49
----------------------------------------------------------------------
Maine (ME) $21 $20 $90
----------------------------------------------------------------------
$85 (Southern ME)
----------------------------------------------------------------------
$92 (Rest of State)
----------------------------------------------------------------------
Maryland (MD) $19 $18 $76
----------------------------------------------------------------------
Silver Spring $17 $16 $76
----------------------------------------------------------------------
Baltimore $19 $19 $73
----------------------------------------------------------------------
Rest of State $20 $19 $78
----------------------------------------------------------------------
Massachusetts (MA) $25 $22 $56
----------------------------------------------------------------------
Worcester Area $24 $22 $65
----------------------------------------------------------------------
Boston Area $26 $23 $58
----------------------------------------------------------------------
Rest of State $25 $22 $53
----------------------------------------------------------------------
Michigan (MI) $19 $18 $70
----------------------------------------------------------------------
Detroit $19 $18 $62
----------------------------------------------------------------------
Grand Rapids $19 $17 $114
----------------------------------------------------------------------
Rest of State $19 $18 $67
----------------------------------------------------------------------
Minnesota (MN) $28 $22 $64
----------------------------------------------------------------------
Minneapolis/St. Paul $28 $22 $78
----------------------------------------------------------------------
Rochester Area $27 $26 $55
----------------------------------------------------------------------
Rest of State $28 $21 $61
----------------------------------------------------------------------
Mississippi (MS) $16 $16 $49
----------------------------------------------------------------------
Jackson $14 $14 $54 (Central MS)
----------------------------------------------------------------------
Rest of State $19 $19 $48
----------------------------------------------------------------------
Missouri (MO) $18 $18 $67
----------------------------------------------------------------------
Saint Louis $19 $18 $67
----------------------------------------------------------------------
Kansas City $18 $18 $70
----------------------------------------------------------------------
Rest of State $19 $18 $66
----------------------------------------------------------------------
Montana (MT) $19 $17 $83
----------------------------------------------------------------------
Billings $19 $17 $77
----------------------------------------------------------------------
Rest of State $20 $18 $85
----------------------------------------------------------------------
Nebraska (NE) $22 $17 $62
----------------------------------------------------------------------
Omaha $21 $17 $43
----------------------------------------------------------------------
Rest of State $22 $18 $69
----------------------------------------------------------------------
Nevada (NV) $19 $18 $79
----------------------------------------------------------------------
Las Vegas $19 $17 $64
----------------------------------------------------------------------
Rest of State $20 $18 $88
----------------------------------------------------------------------
New Hampshire (NH) $26 $22 $60
----------------------------------------------------------------------
$62 (Southern NH)
----------------------------------------------------------------------
$55 (Rest of State)
----------------------------------------------------------------------
New Jersey (NJ) $21 $18 $81
----------------------------------------------------------------------
Cherry Hill Area $20 $18 $83
----------------------------------------------------------------------
Bridgewater Area $20 $18 $81
----------------------------------------------------------------------
Rest of State $23 $20 $80
----------------------------------------------------------------------
New Mexico (NM) $18 $16 $61
----------------------------------------------------------------------
Albuquerque $23 $20 $73
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Rest of State $16 $15 $46
----------------------------------------------------------------------
New York (NY) $21 $18 $79
----------------------------------------------------------------------
New York City $17 $17 $107
----------------------------------------------------------------------
Syracuse Area $21 $17 $72
----------------------------------------------------------------------
Rochester $22 $19 $52
----------------------------------------------------------------------
Rest of State $23 $20 $73
----------------------------------------------------------------------
North Carolina (NC) $17 $16 $46
----------------------------------------------------------------------
Raleigh/Durham $17 $16 $52
----------------------------------------------------------------------
Charlotte $18 $17 $80
----------------------------------------------------------------------
Rest of State $17 $16 $38
----------------------------------------------------------------------
North Dakota (ND) $20 $20 $73
----------------------------------------------------------------------
Fargo Area $19 $18
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Rest of State $21 $21
----------------------------------------------------------------------
Ohio (OH) $19 $18 $51
----------------------------------------------------------------------
Columbus $20 $19 $53
----------------------------------------------------------------------
Cleveland $19 $16 $59
----------------------------------------------------------------------
Cincinnati $19 $19 $56
----------------------------------------------------------------------
Rest of State $19 $18 $45
----------------------------------------------------------------------
Oklahoma (OK) $18 $16 $47
----------------------------------------------------------------------
Oklahoma City $17 $16 $47
----------------------------------------------------------------------
Tulsa $18 $15 $46
----------------------------------------------------------------------
Rest of State $18 $17 $47
----------------------------------------------------------------------
Oregon (OR) $20 $18 $91
----------------------------------------------------------------------
Portland $20 $19 $60
----------------------------------------------------------------------
Eugene Area $19 $18 $133
----------------------------------------------------------------------
Rest of State $23 $18 $91
----------------------------------------------------------------------
Pennsylvania (PA) $20 $18 $57
----------------------------------------------------------------------
Pittsburgh $20 $19 $53
----------------------------------------------------------------------
Scranton Area $19 $19 $55
----------------------------------------------------------------------
Philadelphia $18 $17 $62
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Rest of State $21 $19 $56
----------------------------------------------------------------------
Rhode Island (RI) $24 $20 $60
----------------------------------------------------------------------
Providence $24 $19
----------------------------------------------------------------------
Rest of State $24 $21
----------------------------------------------------------------------
South Carolina (SC) $17 $16 $48
----------------------------------------------------------------------
Columbia $17 $16 $49
----------------------------------------------------------------------
Charleston $18 $18 $54
----------------------------------------------------------------------
Rest of State $17 $15 $46
----------------------------------------------------------------------
South Dakota (SD) $21 $19 $60
----------------------------------------------------------------------
Tennessee (TN) $20 $17 $56
----------------------------------------------------------------------
Nashville $21 $18 $40
----------------------------------------------------------------------
Memphis $17 $15 $33
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Rest of State $22 $19 $65
----------------------------------------------------------------------
Texas (TX) $17 $16 $40
----------------------------------------------------------------------
Dallas/Fort Worth $18 $18 $56
----------------------------------------------------------------------
Houston $19 $16 $42
----------------------------------------------------------------------
Austin $16 $15 $32 (San Antonio)
----------------------------------------------------------------------
Rest of State $16 $15 $37
----------------------------------------------------------------------
Utah (UT) $24 $22 $53
----------------------------------------------------------------------
Salt Lake City $24 $21 $46 (Northern UT)
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Rest of State $25 $22 $75
----------------------------------------------------------------------
Vermont (VT) $24 $22 $141
----------------------------------------------------------------------
Virginia (VA) $17 $16 $60
----------------------------------------------------------------------
Northern VA $18 $16 $90
----------------------------------------------------------------------
Richmond $18 $16 $53
----------------------------------------------------------------------
Rest of State $17 $16 $58
----------------------------------------------------------------------
Washington (WA) $22 $21 $62
----------------------------------------------------------------------
Seattle $23 $22 $60
----------------------------------------------------------------------
Spokane $18 $19 $71 (Eastern WA)
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Rest of State $23 $20 $56
----------------------------------------------------------------------
West Virginia (WV) $17 $16 $66
----------------------------------------------------------------------
Charleston Area $17 $15
----------------------------------------------------------------------
Rest of State $17 $16
----------------------------------------------------------------------
Wisconsin (WI) $22 $18 $54
----------------------------------------------------------------------
Milwaukee $21 $19 $54
----------------------------------------------------------------------
Madison Area $23 $20 $54
----------------------------------------------------------------------
Rest of State $22 $17 $53
----------------------------------------------------------------------
Wyoming (WY) $21 $21 $77
----------------------------------------------------------------------
NATIONAL AVERAGE $20 $18 $64
----------------------------------------------------------------------
*T
Adult day services (ADSs) provide older adults with an out of home
environment providing social and some health services. Most centers
provide lunch, recreational activities, health/therapeutic services,
personal care, and transportation. Current codes, laws, and
regulations governing ADSs are not uniform among the states. Although
many require licensing or certification, they are not federally
regulated. All adult day centers surveyed for this report were
licensed, if required by state law.
Home health aides provide assistance with daily activities such as
bathing and dressing and some health-related services, while
homemaker/companions generally provide comfort and companionship in
addition to meal preparation and light housekeeping. All home care
agencies surveyed were licensed, if required by their state.
Methodology
This survey of adult day services and home care agencies in all 50
states and the District of Columbia was conducted by telephone in July
and August 2008 by LifePlans, Inc., for the MetLife Mature Market
Institute. Results presented in this report are representative of the
sample of adult day services and home care agencies in the areas
surveyed. The states were divided into three groups, according to the
population--under 3 million, 3 to 10 million, and over 10 million.
These groupings were determined using data from the 2000 U.S. Census.
The cities/areas surveyed were chosen on the basis of population and
the ability to obtain a reasonably balanced sampling. Vermont is the
only state that requires adult day services to charge an hourly rate
rather than a daily or half day rate, which is common among most of
the facilities in other states.
About the MetLife Mature Market Institute
Established in 1997, the Mature Market Institute (MMI) is
MetLife's center on aging and the 50+ market. MMI's groundbreaking
research, gerontology expertise, national partnerships, and
educational materials work to expand the knowledge and choices for
those in, approaching, or caring for the mature market.
The Mature Market Institute supports MetLife's long-standing
commitment to identifying emerging issues and innovative solutions for
the challenges of life. MetLife, a subsidiary of MetLife, Inc. (NYSE:
MET), is celebrating 140 years and is a leading provider of insurance
and financial services to individual and institutional customers.
The entire document, MetLife Market Survey of Adult Day Services &
Home Care Costs, is available via e-mail,
MatureMarketInstitute@metlife.com or download,
www.maturemarketinstitute.com. You may also write to request a copy
from the MetLife Mature Market Institute, 57 Greens Farms Road,
Westport, CT 06880.
For more information about the MetLife Mature Market Institute,
visit: www.maturemarketinstitute.com.
About LifePlans, Inc.
LifePlans, Inc., a risk management and consulting firm, provides
data analysis and information to the long-term care insurance
industry. The firm works with insurers, the federal government,
industry groups, and other organizations to conduct research that
helps these groups monitor their business, understand industry trends,
perform effective advocacy and modify their strategic direction.
National Adult Day Services Association
The MetLife Mature Market Institute would like to express its
appreciation and thanks to the National Adult Day Services Association
(NADSA) for its assistance and recommendations in compiling and
interpreting the cost data for the Adult Day Services cost survey.
DJC Communications
Debra Caruso, 212-907-0051
debra@djccommunications.com
or
MetLife
Christine Bonney, 212-578-9558
cbonney@metlife.com
Copyright Business Wire 2008
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