Home health and hospice care services play a pivotal role in the US healthcare system, enabling patients—particularly the elderly and those with chronic or end-of-life conditions—to receive skilled nursing, therapy, and comfort care within their own homes or community settings. As hospital capacity remains strained and value-based care models gain traction, these services are poised for sustained expansion.
From skilled nursing (post-acute rehabilitation, wound care) to hospice (pain management, palliative support) and personal care (meal prep, companionship), the market spans a wide range of offerings—often under Medicare, Medicaid, or private insurance coverage. Recent policy shifts, expanded telehealth capabilities, and a cultural push toward aging in place have all amplified demand for home-based services. This pre-release overview details our preliminary findings on market size, key segments, and growth potential in the US home health and hospice sector.
Target Release: Q3 2025
Based on current interview data, our best estimates place the US home health & hospice care services market at $112.0 billion in 2023, with an anticipated CAGR of ~7% through 2028. This figure consolidates skilled home health, hospice care, and a subset of personal/companion care services that fall under Medicare or private reimbursement structures.
Revenue Breakdown (2023)
Key Growth Drivers:
(All figures subject to refinement upon final data validation.)
1. Surging “Aging in Place” Demand & Value-Based Pressures
An unprecedented demographic shift—with the US population of adults over 65 rapidly expanding—fuels intense demand for home-based services that keep patients out of facilities. At the same time, value-based care incentives drive acute care providers and payers alike to mitigate hospital readmissions, pushing more post-acute rehab, chronic disease management, and end-of-life support into the home. This has led to a strategic pivot toward higher-acuity home health solutions (e.g., skilled nursing, infusion therapy) and broader acceptance of hospice care as a cost-effective, patient-centered alternative.
Despite strong tailwinds, many agencies wrestle with staff shortages and rising wage costs—factors that can temper service expansion unless mitigated by operational innovations and legislative support. As a result, technology-enabled “hospital at home” models and telehealth expansions are becoming integral in meeting both clinical quality and financial expectations, especially as payers tie reimbursements to outcome metrics (e.g., reduced ER visits, improved pain management).
2. Industry Consolidation & Tech-Driven Differentiation
The market sees ongoing consolidation as larger agencies (some backed by private equity or insurer ownership) acquire regional operators to scale service lines and coordinate care across wide geographies. With bigger footprints, these larger entities can invest in remote monitoring devices, AI-enabled scheduling, and care coordination platforms—helping to differentiate services and reduce avoidable readmissions. Meanwhile, smaller or niche-focused providers strive to stand out by offering specialized palliative programs, culturally tailored care, or advanced chronic disease protocols.
This dual dynamic of mergers and tech-based differentiation underscores the market’s complexity—home health and hospice agencies must blend patient-centric approaches with efficient workflows to remain competitive under pay-for-performance models. Regulatory shifts (e.g., CMS home health payment adjustments, hospice cap rules) also push providers to optimize care pathways, weigh telehealth expansions, and refine staffing strategies, ensuring continued market growth despite reimbursement uncertainties and an evolving policy environment.
(Note: All observations above reflect current intelligence and may be refined in the final Markintel Horizon report, once additional stakeholder interviews and data validations are completed.)
Large National Operators
Regional / Mid-Sized Agencies
Technology & Telehealth Solutions
DISTRIBUTION OF PAYMENT SOURCES
ANNUAL PATIENT VOLUME & GROWTH
| Title | US Market for Home Health & Hospice Care Services — Pre-Release Overview |
| Type | Markintel Horizon (Flagship, In-Depth) |
| Estimated Publication | Q3 2025 (Ongoing interviews & data compilation) |
| Number of Pages | ~175 (Subject to refinement with final data) |
| Format | PDF (digital download, direct purchase) |
| Geographical Coverage | US (regional breakdown: Northeast, Midwest, South, West) |
| Market Segmentation | – By Service Type (Home Health, Hospice, Personal Care)
– By Payer (Medicare, Medicaid, Private) – By Care Intensity (skilled vs. non-skilled) |
| Key Topics | – Market Sizing & Forecasts (2023–2032)
– Competitive Landscape & M&A – Technology/Telehealth Adoption – Regulatory & Reimbursement (ARC Index) – Strategic Recommendations & Markintel Framework Applications |
| Methodology | – Primary Interview sources (Home health agencies, payers, policy experts)
– Secondary Data (CMS, AHA, etc.) – Markintel Frameworks: TEM, ARC, M³, TDIT, GTM Growth Maturity, Opportunity Canvas, MSP |
| Price & Licensing | Individual, Team, Enterprise License |
Disclaimer
All figures and segment analyses herein reflect best current estimates based on ongoing research. Final segmentation definitions, CAGR assumptions, and payer-mix splits may be refined before official publication in Q3 2025.
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