table of contents executive summary 1 healthcare megatrends 3 changes in demographics aging the population 7 impact an 9 health and disability older adults 10 generational driven change consumer preferences 13 demography disparities advances clinical technology 14 care organization delivery 17 shift locus acute long term 20 hospitals nursing homes future 24 areas uncertainty need for surge capacity 28 30 bibliography 35 tables figures new york state projections 75 2000 to 2030 2 us home usage 1973 1999 number medicaid waiver clients residential settings 23 4 influenza patients on nyc at peak week 5 29 appendix 1990 31 33 figure growth commission regions by region projected 6
