Providers Molding the Future with Continuing Care at Home Programs

As demand for in-home care and aging in place continues to grow, senior living industry is looking for ways to expand market reach and boost occupancy, prompting some entrepreneurial providers to develop Continuing Care at Home (CCaH) programs.

The “CCRC without walls” model is helping to mold the future of senior care, says CliftonLarsonAllen in a white paper on the CCaH’s evolution, innovation, and opportunity, with many providers building on “core strengths that have been developed over time and balancing the demands of a new and distinct service line.”

The number of at-home programs offered by the largest 100 nonprofit senior living organizations in the U.S. grew by 32% between 2010 and 2011, according to the 2012 LeadingAge Ziegler 100 Fact Sheet


Existing, innovative demonstration programs are “helping make the strategic case for re-imaging opportunities to serve the largest segment of the growing market for senior care services,” says CliftonLarsonAllen. But the programs are not without risk. 

When developing and operating a CCaH-type program, sound actuarial pricing is key, the white paper says. Actuarial studies should include several components, such as a clear definition of the package of services and their costs; the criteria a member must meet to qualify for services; a daily cap on expenses; and the estimated future utilization of services.

Since the CCaH concept is fairly young, the actuarial firm hired to price the CCaH program must have experience with CCRCs, CCaH programs, and LTCi, notes CliftonLarsonAllen. 


The firm stresses importance on LTCi data since these insurance companies offer a variety of policies and have longer, as well as historical policy data to help validate future utilization of services. 

While CCaHs are believed to help boost occupancies in other senior living residences, CliftonLarsonAllen does not find the CCaH program to dramatically influence occupancy in independent living facilities. However, it does promote transitions for seniors moving from the program to retirement community campuses. That move won’t always happen without some sort of motivation, though. 

“Moving from the CCaH program into independent living on campus sometimes depends on the financial incentives offered to members,” writes CliftonLarsonAllen.

Members of some programs even receive 90%-100% credit of their CCaH membership fee to apply toward entrance fees if they decide to move onto campus, says Pamela Klapproth, vice president of community outreach services and managing director of the Seabury at Home program in Bloomfield, Ct.  

Originally designed to provide security for individuals placed on the program’s waiting lists, Klapproth notes that seven Seabury program members have moved onto campus since the introduction of the entry fee credit program in 2009.

“Overall, we find that most of our at-home members have different desires and interests compared to our campus residents in regards to where they want to live,” says Klapproth. 

As it matures, the CCaH model will continue to have a role in shaping, refining and strengthening what has already been a successful, innovative care, writes CliftonLarsonAllen.

Access the white paper.

Written by Jason Oliva