The long-term care industry is forever changed as a result of the COVID-19 pandemic, according to expert Robert Kramer.

“There never will come a time when we will return to the old normal,” Kramer, the founder and president of Nexus Insights, told Forbes’ columnist Howard Gleckman in a May analysis.

Gleckman agreed, noting that workforce demands for increased pay may substantially increase. The rise in costs also could come with a likely drop in patient revenues from Medicaid and Medicare. And providers may face “enormous regulatory and consumer pressure” to maximize infection control, and a “massive wave of lawsuits,” he wrote. n