Home Healthcare Services
Industry Profile Report
Dive Deep into the industry with a 25+ page industry report (pdf format) including the following chapters
Industry Overview Current Conditions, Industry Structure, How Firms Operate, Industry Trends, Credit Underwriting & Risks, and Industry Forecast.
Call Preparation Call Prep Questions, Industry Terms, and Weblinks.
Financial Insights Working Capital, Capital Financing, Business Valuation, and Financial Benchmarks.
Industry Profile Excerpts
Industry Overview
The 27,400 home healthcare service providers in the US offer skilled nursing and other types of health-related services in the home. Major service categories include traditional home healthcare services (with or without rehabilitative services), home hospice care, home nursing care, homemaker and personal care, home infusion therapy, and the rental or lease of goods and/or equipment. Companies may specialize in a particular service, such as respiratory therapy or hospice care.
Dependence On Third Party Payers
Home healthcare services providers are dependent on third party payers, including Medicare, Medicaid, private insurance companies, and managed care organizations, as sources of revenue.
Risk Of Malpractice
The inherent risk in providing healthcare outside a traditional setting exposes companies to the risk of malpractice.
Industry size & Structure
The average home healthcare services provider operates out of a single location, employs about 58 workers, and generates $4.1 million in annual revenue.
- The home healthcare services industry consists of about 27,400 firms that employ 1.6 million workers and generate $113 billion annually.
- The industry is fragmented; the top 50 firms account for 33% of industry sales.
- Large companies include Apria Healthcare, Lincare Holdings, Amedisys, and Kindred at Home (formerly Gentiva Health Services).
Industry Forecast
Home Healthcare Services Industry Growth
Recent Developments
Dec 17, 2024 - Homebound Seniors may Not Receive Adequate Care
- About 2 million adults 65 and older are completely or mostly homebound, while an additional 5.5 million seniors can get out only with significant difficulty or assistance, according to health policy research firm KFF Health. It's a population whose numbers far exceed those living in nursing homes — about 1.2 million. Nearly 40% have five or more chronic medical conditions, such as heart or lung disease. Almost 30% are believed to have “probable dementia”. Older homebound adults are less likely to receive regular primary care than other seniors, according to KFF Health. They're also more likely to end up in the hospital with medical crises that might have been prevented if someone had been checking on them.
- Medicare home health payments will increase 0.5% in 2025 under final rules issued by the Centers for Medicare and Medicaid Services (CMS). The increase is slight but CMS had proposed a 1.7% cut in June. The home health prospective payment system final rule reflects the continued implementation of the Patient-Driven Groupings Model. This formula bases reimbursements on patient characteristics rather than therapy hours and sets payments based on 30-day episodes instead of 60 days.
- Home health workforce shortages and rising wages are key reasons for rapidly-increasing home healthcare costs, according to Marc Cohen, co-director for the Leading Age Long Term Services and Supports Center at the University of Massachusetts-Boston. Costs for home healthcare for the elderly and bed-ridden have increased 14.2% during the 12-month period ending in March 2024, according to the US Bureau of Labor Statistics (BLS). That's the largest percent increase in home healthcare costs during a 12-month period since the BLS began collecting data on such costs in 2005. The median cost for a home health aide in 2023 was $33 an hour and that for a homemaker aide was $30 an hour, according to insurance company Genworth. The direct care sector is expected to add over 1 million new jobs by 2031, according to health care data analytics firm KFF, but those additional jobs will not be enough to meet the country’s rising eldercare needs.
- Home healthcare industry employment increased significantly during the first 10 months of 2024 while and average wages for nonsupervisory employees increased moderately, according to the US Bureau of Labor Statistics (BLS). Home healthcare services increased prices slightly during the first 10 months of 2024, according to the BLS. Industry sales are forecast to increase at a 6.44% compounded annual rate from 2024 to 2028, faster than the growth of the overall economy, according to Inforum and the Interindustry Economic Research Fund, Inc.
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