Mr. CCRC, tear down that wall...

Sombit Mishra

Some folks like to get away, take a holiday from the neighborhood. Hop a flight to Miami Beach or to Hollywood. 

~Billy Joel, New York State of Mind

While the 20th Century gave rise to the brick-and-mortar nursing home, the 21st Century appears to be tearing it down, and fast.  No matter how old we get, we're never gonna want to stop vacationing and doing the things we want to do when we want to do them, assuming of course we can do them.  The desire to live flexibly is nothing new but the demands of older adults have become amplified in the digital age and are now giving rise to a whole new suite of in-home care options.  As a result, traditional care facilities, from the high end to the low end, are facing stiffer competition from new programs like "C.C.R.C Without Walls."

This NY Times post outlines how the business models of CCRCs are adapting to meet the evolving needs of older adults:

"Tiered plans with varying levels of benefits are common. The most expensive cover services 100 percent; others can require a co-payment of up to 30 percent for assisted living or nursing home care. Operators say that the most expensive plans are the most popular, because people want the extra protection. When long-term care is necessary, it’s typically provided in the assisted living or nursing home section of a continuing care retirement center with which the program is affiliated."

The health landscape is starting to look more like an on-demand cable menu or buffet table.  It'll be interesting to see what continuing care will look like without walls, and who, if anyone, will emerge as a leader in this market.