15 home health agencies ranked by net patient revenue
Patients who require skilled nursing, physical therapy, occupational therapy, or speech therapy may receive short-term rehabilitation from home health care agencies directly in their home.
In addition to rehabilitation and nursing care, home health patients may also receive other home health aide services such patient care education, wound care, pain management, injections, medication management, blood pressure and heart rate monitoring, and regular medical assessments.
Home health organizations are a critical aspect of many patients’ care journeys. Not only do they allow patients to recover in the comfort of their own home, but they can reduce the cost burden of an inpatient stay in a rehabilitation facility or skilled nursing facility and lower the risk of acquiring a healthcare-associated infection (HAI).
Definitive Healthcare tracks more than 17,000 active home health agencies. From this data, we’ve compiled a list of the top 15 organizations by net patient revenue (NPR) for 2021.
|Rank||Home health agency name||State||Net patient revenue||Explore dataset|
|1||Maxim Healthcare Services||MD||$1,662,328,297||Explore|
|3||Enhabit Home Health & Hospice||TX||$802,576,145||Explore|
|4||Bayada Home Health Care||NJ||$594,406,777||Explore|
|7||Southcentral Foundation Home Based Services||AK||$369,767,109||Explore|
|8||VNS Health (FKA Visiting Nurse Service of New York)||NY||$260,015,998||Explore|
|11||Trinity Health at Home||MI||$208,711,961||Explore|
|12||BrightSpring Health Services (FKA ResCare)||KY||$179,620,031||Explore|
|14||Residential Healthcare Group||MI||$157,795,238||Explore|
|15||Hartford HealthCare at Home||CT||$155,375,607||Explore|
Which home health agencies have the highest net patient revenue?
Maxim Healthcare is the home health agency with the highest net patient revenue at $1.6 billion. Based out of Columbus, Maryland, this organization provides home health services in over 40 states nationwide. Out of their total home care visits, 90% of them were non-Medicare visits. This corporation offers not only adult services but also pediatrics, autism, military, federal, and other local services. Because the demographics of Medicare beneficiaries are primarily citizens 65+ years, the difference suggests that most of their visits are serving a younger population.
Second on the list is Amedisys, Inc., based out of Baton Rouge, Louisiana, with $1.3 billion in net patient revenue. Amedisys is one of the largest homecare providers and has a presence in over 35 states. Nearly 55% of their total home health visits are for Medicare patients, suggesting a focus on providing services to the adult and aging population.
Third on the list is Enhabit Home Health & Hospice with a net patient revenue of $802 million. This corporation provides post-operative, balance and fall prevention, cardiopulmonary, and community care programs. Over 66% of their total home health visits were Medicare supported, suggesting that like Amedisys, they also are more focused on adult and elderly patients.
What home health care is covered by Medicare?
If patients have Medicare Part A and/or Medicare Part B, they may be eligible for services such as a home health nurse, physical therapy, occupational therapy, speech-language pathology, medical social services, home health aide care, injectable osteoporosis drugs for women, durable medical equipment, and medical supplies for use at home.
For Medicare patients to be eligible, they must be homebound, and a physician must be directing their care as well as developing, regularly reviewing, and certifying the care plan.
How do home health care agencies differ from other at-home care options?
Unlike other at-home care such as hospice, home health care does not provide 24-hour care to patients. Generally, Medicare will cover 28-35 hours of home health care services per week for a 60-day period.
After the 60-day “episode of care,” the care can be recertified an unlimited number of times if care is still indicated, and the patient is still demonstrating progress. Additionally, some patients living with chronic conditions can also receive home health coverage for an extended period of time.
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