Countries covered: United States
Discover the future of home care services in this new, updated Kalorama Information market intelligence report. This comprehensive report assesses demographic data, describes reimbursement issues and analyzes current trends in the market for home care services. Moreover, it profiles leading home care
corporations, their lines of business, financial information, home services and corporate strategies. Learn which corporations and services are gaining market share.
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Additional InformationScope and Methodology
Home care encompasses skilled health care services, treatments, and support for daily activities provided by paid health-care workers in patients’ homes. For the purposes of this report, Kalorama Information divides the home health services market into the following five segments:
- Infusion services;
- Nursing and allied services;
- Home renal dialysis;
- Respiratory therapy; and
- Home hospice care.
The home infusion therapy segment includes six categories: anti-infectives, chemotherapeutics, hydration, parenteral and enteral nutrition, pain medications, and other infusion therapies.
The home care market includes only those hospice services that are provided as part of routine or continuous home care. Other hospice services, such as inpatient respite care, general inpatient care, and physician services, are not covered in this report. The home hospice care market does not include hospice services provided in hospitals, physicians’ offices, or long-term care facilities.
The home care services market also does not include the rental and sale of medical equipment, except when it is purchased at the time of a home health visit. The rental and sale of home medical products are detailed in the Kalorama Information report, The Home Care Products Market, published in March 1998 (with a new edition scheduled for mid-2000.)
Noteworthy home services, such as disease state management programs, perinatal care, and pediatric care are qualitatively discussed in Chapter 9, but market estimates are not provided because the estimates of nursing time and other types of care are counted in their respective chapters; including them again with other, miscellaneous services would result in double counting.
Some overlap of function exists between the home medical equipment, hospice, and home services market. Kalorama Information has endeavored to disentangle these wherever possible.
Kalorama Information analyzed data from numerous sources in order to prepare this report. Secondary sources included information on disease etiology, treatment, and prevalence; statistics on home care agencies, patients, and reimbursement; regulations governing home care; financial information; a variety of databases; trade journals; and information from government agencies and trade organizations. Primary research included interviews with representatives of government agencies, trade organizations, and companies in the industry.
In estimating the size of the market, Kalorama Information analyzed the results of both primary and secondary research to develop estimates and projections. Factors considered included past market growth, past and current trends, population and demographic information, and industry status and direction.
In addition to market size and market share estimates for the 1998 base year, Kalorama Information provides historical market estimates for 1993 through 1997, as well as projections for 1999 through 2003. Compound annual growth rates are provided for 1993 to 1998, 1998 to 2003, and 1993 through 2003.
Chapter One: Executive Summary
- Intro
- Scope and Methodology
- Size and Growth of the Market
- Trends Affecting the Market
- Industry Structure and Leading Competitors
- Chapter Two: Introduction
- Definition
- History
- National Trends
- National Health Expenditures
- Shortened Hospital Stays
- Larger Population of Older Americans
Home Health Agencies
- Market Segments
- Infusion Therapies
- Nursing and Allied Services
- Home Renal Dialysis
- Respiratory Therapy
- Home Hospice Care
- Other Home Care Services
Advantages and Disadvantages
- Advantages
- Cost
- Client Satisfaction
- Health Benefits
- Public Support
- Disadvantages
- Cost
- Client Satisfaction
- Insufficient Research
- Current Status
Chapter Three: Infusion Therapies
- Definitions
- Anti-Infectives
- Chemotherapeutics
- Hydration
- Nutritionals
- Enteral
- Indications
- Routes
- Managing Home Enteral Nutrition
- Parenteral
- Indications
- Routes
- Managing Home Parenteral Nutrition
- Complications
Pain Medications
- Other Infusion Therapies
- Dobutamine
- Hemophilia Treatments
- Immunomodular Therapy
- Intravenous Immunoglobulin
- Colony Stimulating Factors
- Other Immunomodifiers
- Miscellaneous
Market Size and Forecast
- The Total Market
- Anti-Infectives
- Chemotherapy
- Hydration
- Nutritional Therapies
- Pain Medications
- Other Infusion Therapies
Market Analysis
- The Total Market
- Anti-Infectives
- Chemotherapy
- Hydration
- Nutritional Therapies
- Pain Medications
- Other Infusion Therapies
Competitor Analysis
- Olsten Health Services
- Coram Healthcare Corporation
- Apria Healthcare Group
- American HomePatient
- Option Care
- Home Medical of America
- Integrated Health Services
- Infu-Tech
- HealthCor Holdings
- Amedisys
Chapter Four: Nursing And Allied Services
- Definition
- Services
- Cost Overview
- Reimbursement Overview
- Types of Home Health Service Providers
- Home Health Aides
- Description
- Indications
- Training
- Cost and Reimbursement
- Nursing Care
- Licensed Practical Nurses
- Registered Nurses
- Case Management
- Specialty Nursing
- Costs and Reimbursement
- Occupational Therapy
- Description
- Indications
- Training
- Cost and Reimbursement
- Physical Therapy
- Description
- Indications
- Training
- Cost and Reimbursement
- Social Services
- Speech and Language Pathology
- Description
- Indications
- Training
- Cost and Reimbursement
- Other
Market Size and Forecast
- Market Analysis
- Competitor Analysis
- Visiting Nurse Association
- Olsten Health Services
- TBN of Tennessee
- Tender Loving Care Health Care Services
Chapter Five: Renal Dialysis
- Definitions
- End-Stage Renal Disease
- Incidence and Prevalence
ESRD Treatment Modalities
- Hemodialysis
- Facility Dialysis
- Home Hemodialysis
- Daily Hemodialysis
- Peritoneal Dialysis
- Continuous Ambulatory Peritoneal Dialysis
- Continuous Cycling Peritoneal Dialysis
- Advantages and Disadvantages
- Associated Therapies
- Laboratory Tests
- Medications
- Nutritional Support
Dialysis Outcomes Quality Initiative
- Reimbursement
- Market Size and Forecast
- Market Analysis
- Competitor Analysis
- Fresenius Medical Care Holdings
- Total Renal Care Holdings
- Gambro Healthcare Patient Services, Inc
- Renal Care Group
- Dialysis Clinic
- Everest Healthcare Services
Chapter Six: Respiratory Therapy
- Definition
- Medical Indications
- Chronic Obstructive Pulmonary Disease
- Chronic Bronchitis
- Emphysema
- Cystic Fibrosis
- Respiratory Failure
- Respiratory Distress Syndrome
- Adult Respiratory Distress Syndrome
- Sleep Apnea
Respiratory Equipment and Services
- Home Oxygen Therapy
- High-Pressure Oxygen Cylinders
- Liquid Oxygen Systems
- Oxygen Concentrators
- Oxygen Delivery Devices
- Nebulizers
- Continuous Positive Airway Pressure
- Noninvasive Positive Pressure Ventilation
- Apnea Monitors
- Sleep Screening Studies
- Ventilators
Respiratory Therapy Service Providers
- Registered Respiratory Therapists
- Respiratory Therapy Technicians
- Reimbursement
- Medical Documentation
- Medical Diagnosis and Laboratory Evidence
Market Size and Forecast
- Market Analysis
- Competitor Analysis
- Apria Healthcare Group
- Lincare Holdings
- Integrated Health Services
- American HomePatient
Chapter Seven: Home Hospice Care
- Definitions
- History
- Hospice Agencies
- Hospice Patient Demographics
- Hospice Services and Providers
- Profitability
- Medicare Spending
- Market Size and Forecast
- Payment Sources
- Agency Ownership
- Market Analysis
- Competitor Analysis
Chapter Eight: Other Home Care Services
- Definitions
- Disease Management Programs
- Pediatric Home Care Services
- Distinctions Between Pediatric and Adult Home Services
- Pediatric Demographics
- Birth Defects
- Low Birthweights
- Injuries
- Advantages of Pediatric Home Care
- Market Size and Analysis
- Perinatal Services
Chapter Nine: Issues And Trends
- Aging of the US Population
- Acquisitions, Closures, and Mergers
- Certification and Accreditation
- Medicare Certification
- Home Care Accreditation
Characteristics of Home Care Patients
- Cost Containment
- Managed Care
- Medicare
- Disease Management
Family Caregivers
- Fraud and Abuse Allegations
- Geographic Concentrations
- Government Regulation
- Anti-Kickback Statute
- Balanced Budget Act of 1997
- False Claims Act
- Health Insurance Portability and Accountability Act of 1996
- Interim Payment System
- Omnibus Budget Reconciliation Act of 1989
- Omnibus Budget Reconciliation Act of 1993
- Operation Restore Trust
- Surety Bonds
Health Insurance Coverage
- Home Care Providers
- Information Systems
- Integration of Services
- Living Arrangements
- Outcomes Analysis
- Outcome and Assessment Information Set
- Agency for Health Care Policy Research
- ORYX Initiative
- Private Spending
- Payment Delays
- Racial Diversity
- Technological Advances
Chapter Ten: Market Summary
- Definition
- Market Size and Forecast
- Infusion Therapies
- Nursing and Allied Services
- Renal Dialysis
- Respiratory Therapy
- Home Hospice Care
- Payment Sources
Chapter Eleven: Competitor Profiles
- Amedisys, Inc
- History and Lines of Business
- Financial Information
- Home Care Services
- Corporate Strategies
American HomePatient, Inc
- History and Lines of Business
- Financial Information
- Home Care Services
- Corporate Strategies
Apria Healthcare Group, Inc
- History and Lines of Business
- Financial Information
- Home Care Services
- Corporate Strategies
Coram Healthcare Corporation
- History and Lines of Business
- Financial Information
- Home Care Services
- Corporate Strategies
Fresenius Medical Care Holdings, Inc
- History and Lines of Business
- Financial Information
- Home Care Services
- Corporate Strategies
Gambro AB
- History and Lines of Business
- Financial Information
- Home Care Services
- Corporate Strategies
HealthCor Holdings, Inc
- History and Lines of Business
- Financial Information
- Home Care Services
- Corporate Strategies
Home Medical of America, Inc
- History and Lines of Business
- Financial Information
- Home Care Services
- Corporate Strategies
Infu-Tech, Inc
- History and Lines of Business
- Financial Information
- Home Care Services
- Corporate Strategies
Integrated Health Services, Inc
- History and Lines of Business
- Financial Information
- Home Care Services
- Corporate Strategies
Lincare Holdings Inc
- History and Lines of Business
- Financial Information
- Home Care Services
- Corporate Strategies
Matria Healthcare, Inc
- History and Lines of Business
- Financial Information
- Home Care Services
- Corporate Strategies
Olsten Health Services
- History and Lines of Business
- Financial Information
- Home Care Services
- Corporate Strategies
Option Care, Inc 280
- History and Lines of Business
- Financial Information
- Home Care Services
- Corporate Strategies
Pediatric Services of America, Inc
- History and Lines of Business
- Financial Information
- Home Care Services
- Corporate Strategies
Renal Care Group, Inc
- History and Lines of Business
- Financial Information
- Home Care Services
- Corporate Strategies
TBN of Tennessee, Inc
- History and Lines of Business
- Financial Information
- Home Care Services
- Corporate Strategies
Tender Loving Care Health Care Services, Inc
- History and Lines of Business
- Financial Information
- Home Care Services
- Corporate Strategies
Total Renal Care Holdings, Inc
- History and Lines of Business
- Financial Information
- Home Care Services
- Corporate Strategies
Appendix: Company Names And Addresses
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