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Who Buys Source

National Association for Home Care and Hospice, 2012

Based on research conducted by the National Center for Health Statistics, distribution of home healthcare patients, by age group: Under 18 years, 4.6%; 18-44 years, 8.1%; 45-64 years, 18.6%; 65 years and over, 68.7%.

National Center for Health Statistics, 2011

According to a study by the National Center for Health Statistics, 64.0% of home healthcare patients are female, while 36.0% are male.

National Center for Health Statistics, 2011

When They Buy Source

November is National Home Care and Hospice Month, as well as National Family Caregivers Month.

National Association for Home Care and Hospice, 2012


How They Buy Source

Home care services can be paid for directly by the patient and his or her family members or through a variety of public and private sources. Hospice care generally is provided regardless of the patient's and/or family's ability to pay. Public third-party payors include Medicare, Medicaid, the Older Americans Act, the Veterans Administration, and Social Services block grant programs. Some community organizations, such as local chapters of the American Cancer Society, the Alzheimer's Association, and the National Easter Seal Society, also provide funding to help pay for home care services.

National Association for Home Care and Hospice, 2012

Home care services generally are available 24 hours a day, seven days a week. Depending on the patient's needs, these services may be provided by an individual or a team of specialists on a part-time, intermittent, hourly, or shift basis.

National Association for Home Care and Hospice, 2012

According to a 2011 study by the MetLife Mature Market Institute, the average hourly rate for home care was $21 for a Home Health Aide, the same as 2010. The MetLife survey also determined that the average hourly rate for homemaker/companion care was $19 in 2011, also the same as 2010.

MetLife Mature Market Institute, 2011

Major cities with the highest average hourly rates for Home Health Aides in 2011: Rochester (MN), $34; Stamford (CT), $27; Des Moines (IA), $25; Boston (MA), $25; Alaska (statewide), $25; Minneapolis/St. Paul (MN), $25; Salt Lake City (UT), $24; Seattle (WA), $24; Providence (RI); $24; South Dakota (statewide), $24; New Hampshire (statewide), $24; Rochester (NY), $24; Fargo (ND), $24; Denver (CO), $24.

MetLife Mature Market Institute, 2011

Cities with the lowest hourly rates for Home Health Aides in 2011: Shreveport (LA), $14; Birmingham (AL), $15; Montgomery (AL), $16; Little Rock (AR), $16; Miami (FL), $16; Baton Rouge (LA), $16; Charleston (WV), $16; Memphis (TN), $17; Louisville (KY), $17; Lexington  (KY), $17; Jackson (MS), $17; Atlanta (GA), $17; Marietta (GA), $17.

MetLife Mature Market Institute, 2011

What They Buy Source

The term "home health care" encompasses a wide range of health and social services that are delivered at home to recovering, disabled, chronically or terminally ill persons in need of medical, nursing, social or therapeutic treatment and/or assistance with the essential activities of daily living. Generally, home care is appropriate whenever a person prefers to stay at home but needs ongoing care that cannot easily or effectively be provided solely by family and friends.

National Association for Home Care and Hospice, 2012

Hospice care is comprehensive palliative medical care (treatment to provide for the reduction or abatement of pain and other troubling symptoms, rather than treatment aimed at cure) and supportive social, emotional and spiritual services to the terminally ill and their families, primarily in the patient's home.

National Association for Home Care and Hospice, 2012

Home Health Aides are trained to provide hands-on care and assistance to people in their homes who need help with ADLs (bathing, dressing, transferring, eating, toileting or continence). They are also able to help with needed tasks such as cooking, shopping and laundry. Homemakers or companions provide services that include light housekeeping, meal preparation, transportation and companionship.

MetLife Mature Market Institute, 2011

Where They Buy Source

Home health care services are usually provided by home care organizations, but may also be obtained from registries and independent providers. Home care organizations include home health agencies, hospices, homemaker and home care aide (HCA) agencies, staffing and private-duty agencies, and companies specializing in medical equipment and supplies, pharmaceuticals and drug infusion therapy.

National Association for Home Care and Hospice, 2012

Apria Healthcare Group is one of the largest home health care companies in the U.S., providing home infusion therapy, respiratory therapy and medical equipment. The organization operates approximately 500 branches nationwide, and also operates 30 outpatient infusion clinics. Apria's 2010 revenues totaled $2.080 billion, down 0.7% from the prior year.

Hoover's, 2012

Gentiva Health Services, Inc. operates one of the nation's largest home health care services firm, providing in-home nursing care through a network of some 300 locations in 40 states. Gentiva's home care nurses provide services ranging from acute care treatment to housekeeping for the elder or disabled. Its hospice services are offered through 150 locations in 30 states. Gentiva's 2011 sales amounted to $1.799 billion, up 24.3% from 2010.

Hoover's, 2012

Through some 440 home health care agencies located across the country, Amedisys provides skilled nursing and home health aide services to primarily geriatric patients covered by Medicare. In addition to its home health services, the company owns or manages about 90 hospice agencies. Amedisys registered sales of $1.470 billion in 2011, 10.0% lower than 2010.

Hoover's, 2012

American HomePatient provides home health care services from approximately 280 centers around the country. The company offers respiratory therapy and equipment, infusion therapies, including enteral and parenteral feeding, and administration of antibiotics and pain medications.

Hoover's, 2012

National HealthCare Corporation operates over 75 long-term care centers and more than 35 home health programs in 12 states (primarily in the southeastern U.S.). In addition to its core long-term care business, National HealthCare provides a number of other services, including visiting nurse, hospice, rehabilitation therapy, and institutional pharmacy services. The company's 2011 sales totaled $774 million, up 8.1% from the prior year.

Hoover's, 2012

As of 2011, states with the largest number of Medicare-certified home health care agencies: Texas, 2,447; Florida, 1,464; California, 1,015; Illinois, 705; Michigan, 607; Ohio, 601; Pennsylvania, 390; Oklahoma, 243; Indiana, 243; Louisiana, 219; Minnesota, 206; Virginia, 205.

Center for Medicare & Medicaid Services, 2011

As of 2011, states with the greatest number of Medicare-certified hospices: Texas, 345; California, 279; Pennsylvania, 182; Georgia, 152; Oklahoma, 144; Louisiana, 133; Mississippi, 120; Alabama, 117; Ohio, 116; Michigan, 104; Missouri, 102; Illinois, 100.

Center for Medicare & Medicaid Services, 2011

Business Trends Source

Overall spending on home health care services was projected to reach $72.9 billion in 2011, before climbing to $77.5 billion in 2012.

National Health Expenditures, 2012

The U.S. home health care industry includes about 23,000 establishments (single-location and branches of multi-location companies), with combined annual revenues of approximately $57 billion. The industry is highly fragmented, with the 50 largest companies generating less than 25% of revenue.

Hoover's, 2012

According to a 2012 study by Genworth Financial, rates charged by home healthcare providers for "non-skilled" services have remained relatively flat over the past five years. These rates have remained stable in part because of increased competition among agencies and the availability of unskilled labor, and because the companies that provide these types of services do not incur the costs associated with maintaining stand-alone healthcare facilities.

Genworth Financial, 2012

Since 2000, there has been a 23% increase in home health care employment.

USA Today, 2012

The number of Medicare-certified home healthcare agencies in the U.S. grew to 11,633 by mid-2011, up from 10,581 in 2009. 

Center for Medicare & Medicaid Services, 2011