2016 Horizon Report: Home Care Evolution, Increasing Demand Drives the Market
Executive Summary INCREASING DEMAND DRIVES THE MARKET The number of patients receiving healthcare at home continues to increase, driven not only by preferenceand cost savings but also by population growth in the 65+ age bracket. This report details the followinghome care market segments:
Home Nursing Care: Organizations, primarily home health agencies (HHAs), provide nursing care in thehome. Many have expanded their basic menu of services to include rehabilitation and infusion therapy,in addition to medication management and general nursing care. Some agencies also offer nonhealthcareservices such as assistance with housekeeping.
Home Hospice: Over the past decade, families and payers have embraced end-of-life care providedin-home. Almost two-thirds who receive hospice care do so at home, whether that is a family home,nursing home, or independent or assisted living facility. Medicare and other insurers require twophysicians to certify a hospice patient has six months or less to live, although services can be renewedand covered for additional periods after that.
Infusion Therapy: Those unable to receive medication or nutrition by mouth may be given intravenousdrug delivery, commonly referred to as infusion therapy. Advances in clinical administration haveallowed movement from inpatient settings to home and alternate sites to provide these services. Thisprovides cost savings as well as convenience.
Home Medical Equipment (HME): Also commonly referred to as durable medical equipment (DME),HME refers to medical equipment for home use, such as wheelchairs, walkers, hospital beds, andbathing aids. HME dealers often have retail storefronts, but others market their products online only.
Home Remote Monitoring: Technological innovations allow earlier intervention for patients with chronicconditions and provide cost savings by reducing inpatient visits. New monitoring and care managementtechnologies are being developed to provide closer connections between home caregivers, recipients,and clinical providers.
Unpaid Caregiving: 16.6% of the U.S. population provided unpaid care for an adult in the past year. Inthe future there will be fewer potential caregivers under the age of 65 who can provide unpaid care toseniors and others.
Home–Based Primary Care: A pilot program of the Centers for Medicare and Medicaid Services (CMS)has already yielded cost savings by delivering home-based primary care (nurse, physician, otherclinicians) to chronically ill patients.