2015 Long Term Care Report

Report: 2015 Long Term Care


2015 Long Term Care General Liability and Professional Liability Actuarial Analysis

Liability Costs Expected to Rise for Long Term Care Facilities

The cost of liability continues to increase for the long term care profession, according to the findings of an analysis released by the American Health Care Association (AHCA) and Aon Global Risk Consulting. The overall national long term care loss rate is expected to grow by 5 percent annually, with claim frequency driving the increase at an expected 3 percent growth rate.

The 13th published edition of the Aon/AHCA 2015 Long Term Care General Liability and Professional Liability Actuarial Analysis provides estimates of loss rates, or the cost of liability to skilled nursing care centers on a per-bed basis. The projected national 2016 loss rate, which is a combination of claim severity and frequency, is expected to increase from $2,030 to $2,150 per occupied bed. This means that a nursing center with 100 occupied beds can expect approximately $215,000 in liability expenses in 2016.

In addition to the national projection, 18 states are profiled individually in this annual report. Consistent with 2014 findings, this year’s data show that Kentucky is expected to remain the highest-cost state with a projected loss rate of $9,820 per occupied bed, while Texas, which has enacted substantive tort reforms, contrasts sharply with an anticipated $410 loss rate per occupied bed.

New to this year’s report, liability loss rate estimates for Cook County, Illinois, which includes Chicago, were studied separately from the rest of the state in response to provider requests. Interestingly, Cook County claims frequency was approximately 50 percent higher than claims frequency in the rest of the state, and 86 percent of claims in Cook County resulted in indemnification to the plaintiff compared with 72 percent in the rest of the state.

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Approximately 17,600 individual non-zero claims from long term care facilities were aggregated. The 35 providers represented in the national study operate approximately 240,000 long term care beds, consisting of skilled nursing facility beds and a number of independent living, assisted living, home health care and rehabilitation beds. They represent approximately 17 percent of the beds in the United States, and six of the 10 largest operators in the country.

The American Health Care Association and National Center for Assisted Living (AHCA/NCAL) represents more than 12,000 non-profit and proprietary skilled nursing centers, assisted living communities, sub-acute centers and homes for individuals with intellectual and development disabilities. By delivering solutions for quality care, AHCA/NCAL aims to improve the lives of the millions of frail, elderly and individuals with disabilities who receive long term or post-acute care in our member facilities each day. For more information, please visit www.ahca.org or www.ncal.org.

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