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2017 Home Health Care Market Outlook

2017 Home Health Care Market Outlook

Version 3.1.6, Updated April 14, 2017.

Our 2017 Home Health Care Market Outlook takes a deep dive into the existing market and offers insight into future potential for home health care. In the report you will find:

  • A comprehensive evaluation of the current state of the home care environment, including trends and factors affecting growth
  • Company profiles: strategies, news, financials, market penetration, organizational structure, and more
  • Implications of the Affordable Care Act for home health care
  • Primary research conducted with our home care industry executive panel, including their perspective on the outlook for their firms and the industry; current and expected future use of technology, and experience with accountable care organizations and value-based contracts
  • Primary research of consumer attitudes, and awareness and usage of home health care and private duty services
  • Primary research of home health satisfaction drivers
  • Opportunities, threats, and critical success factors
  • An analysis of Medicare and Medicaid expenditures, current and projected
This is the 10th edition of this report. We believe this is the most comprehensive analysis of the industry to date—a sentiment echoed by many of our clients over the years. Whether you’re an industry veteran or new to the market, within these pages you’ll find insights, fresh perspectives, and a keen understanding of where the market is headed in the years to come.

The report consists of a wire-bound main document plus downloadable .pdf, 289 pages, including a 20-page executive summary. Also included as a bonus (separate download) is an 86-page supplement with all the appendices. The main report has 139 figures and tables. Subscribers will receive periodic updates in .pdf format for one year from the date of purchase.

Purchasers of either a Department or Global Site License will receive a 90-minute, in-person Q&A with Darwin Health CEO John Marchica. Please contact service@darwinhealth.net for more information.


Project Scope
Executive Summary
1. Understanding Home Health Care
Definition
Perspective
Home Health Consumers
Providers
Market Demand
Supply Chain: Supply Side
Supply Chain: Demand Side
Competitive Environment
Visiting Nurse Organizations
Integrated Health Systems
2. Financing Home Health Care
Federal Funding
Funding Sources
Reimbursed Services
Home Health and the Affordable Care Act
Future Funding
3. Company Profiles
AccentCare, Inc.
Addus HealthCare, Inc.
Almost Family, Inc.
Amedisys, Inc.
American HomePatient
Apria
BAYADA Home Health Care
HCR ManorCare
Intrepid USA
Kindred Healthcare Inc.
Lincare Holdings
Maxim Healthcare
National HealthCare Corp.
PSA Healthcare
Rotech Healthcare, Inc.
VITAS Healthcare
4. Home Care Executive Panel Survey
Methodology and Demographic Characteristics
Key Findings: Outlook
Key Findings: ACOs and Value-Based Contracting
Key Findings: Technology
June 2016 Update
5. Consumer Survey: Attitudes, Awareness and Experience
Methodology
Limitations
Demographic Characteristics
—Results: Home Health Care
Key Findings: Home Health Care
Results: Private Duty
Key Findings: Private Duty
Discussion
6. Satisfaction and Quality Measures
Data and Variables Definition
National Average Scores
Data Analysis
Correlation Analysis
Regression Analysis
Results
7. Outlook
Technology
The Affordable Care Act
Our Aging Population
Employment Outlook
Regulation
Industry Consolidation
Accountable Care Organizations
Rebasing
Consumer Awareness
Our Health
8. Conclusion
9. Notes and References
FIGURES
Figure 1.1 Medicare Part A & Part B Average Payment Per Day
Figure 1.2 Continuum of Care
Figure 1.3 How Home Health Care Is Delivered
Figure 1.4 Home Health Care Services Number of Firms and Establishments
Figure 1.5 U.S. Population Growth Projections, 2015-2050
Figure 1.6 Over-65 Population, 2012 Census Update
Figure 1.7 Over-65 Population High Growth States, 2000-2010
Figure 2.1 Trends in Persons Served, Visits per Person Served, Visit Charges
Per Person Served, Percent Change from Previous Year
Figure 2.2 Trends in National Health Expenditures, Medicare Expenditures and
Medicare Home Health Expenditures, Percent Change from Previous Year
Figure 2.3 Home Health Care Total Expenditures by Source of Funds, 2012
Figure 2.4 Distribution of Home Health Care Insurance Expenditures, 2012
Figure 2.5 FY 2013, Medicare Spending Distribution
Figure 2.5a FY 2013, Medicare Spending Distribution Part A
Figure 2.5b FY 2013, Medicare Spending Distribution Part B
Figure 2.6 Projected Medicare Expenditures on Home Health Agencies, 2015-2024
Figure 2.7 Medicaid Historical and Projected Benefit Expenditures
Figure 2.8 Distribution of Home Health Services, 2012
Figure 3.1 Addus Weekly Adjusted Closing Price, 2012 to Present
Figure 3.2 Almost Family Five-Year Weekly Share Price
Figure 3.3 Amedisys Market Penetration
Figure 3.4 Amedisys Five-Year Weekly Closing Share Price
Figure 3.5 Kindred Revenues by Payer Type
Figure 3.6 Kindred Home Health Market Penetration
Figure 3.7 Kindred Five-Year Weekly Closing Share Price
Figure 3.8 LHC Home Health Market Penetration
Figure 3.9 LHC Group Five-Year Weekly Share Price
Figure 3.10 Maxim Home Health Market Penetration
Figure 3.11 NHC Five-Year Weekly Closing Share Price
Figure 4.1 Executive Panel Composition
Figure 4.2 Annual Revenue of Participating Firms
Figure 4.3 Primary Business
Figure 4.4 12-Month Outlook: Key Indicators
Figure 4.5 Large Companies Ready for Expansion
Figure 4.6 External Forces Influencing Business Outcomes
Figure 4.7 2015 Financial Outlook
Figure 4.8 Familiarity with ACOs
Figure 4.9 Knowledge of Specific ACOs in Region
Figure 4.10 Met with an ACO
Figure 4.11 Will be a 2016 ACO Partner
Figure 4.12 Experience with ACOs, by Company Size
Figure 4.13 Experience with ACOs, Home Health vs. Private Duty
Figure 4.14 Confidence in Profitably Contracting with ACOs
Figure 4.15 Experience with Risk, by Company Size
Figure 4.16 Bundled Payment Participation
Figure 4.17 Effect on Revenues and Profit
Figure 4.18 Had Risk-Sharing Contract
Figure 4.19 Effect on Revenues and Profit
Figure 4.20a Technology Services Provided
Figure 4.20b Technology Services Provided
Figure 4.21 Percent having meetings with ACOs
Figure 4.22 Percent Preferred Provider Arrangement with ACOs
Figure 4.23 Percent with Risk-sharing Experience
Figure 4.24 Result of Risk-Sharing on Revenue
Figure 4.25 Result of Risk-Sharing on Profit
Figure 4.26 ACO Relationship Summary by Provider Type
Figure 4.27 Private Duty Contracting Activity
Figure 5.1 Education
Figure 5.2 Gender
Figure 5.3 Age
Figure 5.4 Income Distribution
Figure 5.5 Region
Figure 5.6 Familiarity with Home Health Care
Figure 5.7 Had Personal Experience With Home Health Care
Figure 5.8 Opinion Favorability of Home Health Care
Figure 5.9 Awareness of Medicare Coverage of Home Health Care
Figure 5.10 Likely to Use Home Health Care Within 12 Months
Figure 5.11 Finding a Home Health Care Provider
Figure 5.12 Familiarity With Home Care
Figure 5.13 Had Personal Experience With Home Care
Figure 5.14 Opinion Favorability of Home Care
Figure 5.15 Awareness of Medicare Coverage of Home Care
Figure 5.16 Likely to Use Home Care Within 12 Months
Figure 5.17 Finding a Home Care Provider
Figure 5.18 Awareness of Selected Companies
Figure 5.19 Long-Term Care Insurance Coverage
Figure 6.1 Period Life Expectancy at Age 65, Historical and Forecast
TABLES
Table 1.1 Common Diagnoses Upon Admission
Table 1.2 Top Private Duty Franchises by Number of Locations
Table 1.3 Most Saturated State Markets
Table 1.4 Least Saturated State Markets
Table 1.5 Buyers and Suppliers of Home Health Care
Table 1.6 Top Home Health Suppliers
Table 1.7 Integrated Health Systems with Large Home Health Programs
Table 2.1 Medicare Home Health Benefits Coverage
Table 2.2 Medicaid Enrollment Trends
Table 3.1 AccentCare Locations and Market Penetration
Table 3.2 Addus Revenue and Net Income, 2012-2016
Table 3.3 Addus Locations
Table 3.4 Almost Family Revenue and Net Income, 2011-2016
Table 3.5 Almost Family Locations and Market Penetration
Table 3.6 Almost Family Brands
Table 3.7a CHS Home Health Locations
Table 3.7b CHS Hospice Locations
Table 3.8 Almost Family Executive Contact Information and Verified Email Addresses
Table 3.9 Amedisys Revenue and Operating Income, 2011-2016
Table 3.10 Amedisys Key Performance Indicators
Table 3.11 Amedisys Locations and Market Penetration
Table 3.12 American HomePatient Locations
Table 3.13 Apria Locations
Table 3.14 BAYADA Locations and Market Penetration
Table 3.15 HCR ManorCare Locations
Table 3.16 Intrepid USA Locations and Market Penetration
Table 3.17 Kindred Revenues and Income, 2012-2016
Table 3.18 Kindred Revenues by Division, 2012-2016
Table 3.19 Other Kindred Home Care and Hospice Brands
Table 3.20 Kindred At Home Division Operating Data, 2013-2016
Table 3.21 Kindred Home Health and Hospice Locations
Table 3.22 Kindred Hospitals and Nursing Center Facilities
Table 3.23 Kindred Hospitals by Net Patient Revenue
Table 3.24 Kindred Executive Contact Information and Verified Emails
Table 3.25 LHC Revenue by Division, 2013-2016
Table 3.26 LHC Locations and Market Penetration
Table 3.27 LHC Hospital Partnerships
Table 3.28 LHC Top Performing HHAs
Table 3.29 LHC Executive Contact Information and Verified Email Addresses
Table 3.30 Lincare Locations by State
Table 3.31 Maxim Locations and Market Penetration
Table 3.32 NHC Revenue and Net Income, 2011-2016
Table 4.1 Services Offered
Table 5.1 Familiarity With Home Health Care
Table 5.2 Personal Experience With Home Health Care
Table 5.3 Favorability of Home Health Care
Table 5.4 Likely to Use Home Health Care
Table 5.5 Familiarity and Likely to Use Home Health Care
Table 5.6 Previous Experience and Likely to Use Home Health Care
Table 5.7 Finding a Home Health Care Provider
Table 5.8 Familiarity With Home Care
Table 5.9 Personal Experience With Home Care
Table 5.10 Favorability of Home Care
Table 5.12 Likely to Use Home Care
Table 5.13 Familiarity and Likely to Use Home Care
Table 5.14 Previous Experience and Likely to Use Home Care
Table 6.1 National Average Scores
Table 6.2 Correlation Matrix
Table 6.3 Regression Results
Table 6.4 Leading Agencies: Professionalism
Table 6.5 Leading Agencies: Communications
Table 6.6 Leading Agencies: Overall Experience
Table 6.7 Leading Agencies: Likely to Recommend

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