Hospital-Based Home Care Agencies

An Emerging and Evolving Industry

By Dr. David Edward Marcinko; MBA, CPHQ™, CMP™

By Thomas A. Muldowney; MSFS, CLU, ChFC, CFP® CMP™

By Hope Rachel Hetico; RN, MHA, CPHQ™, CMP™ho-journal8

Over the past decade, the home care industry has evolved away from agencies that are affiliated with hospitals and toward independent, non-facility-based agencies.


The Numbers

The number of home care agencies in the U.S. fell nearly 10% in this period, to 13,313 in 2006 from 14,670 in 1996. But, as the total number of home care agencies slipped over these 10 years, the number of agencies that were hospital-based plunged by more than one-third, to 1,636 from 2,563 in 1997.


And, hospital-based home care agencies accounted for just 12.3% of all agencies in 2007-08, down notably from 17.0% in 1997.



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