U.S. Home Healthcare Services Market Outlook 2025-2035: Key Trends & Forecast

U.S. Home Healthcare Services Market Outlook (2025-2035)

The U.S. home healthcare services market is witnessing strong and steady growth. Valued at USD 111.2 billion in 2024, the market is projected to rise to USD 120.1 billion in 2025 and reach approximately USD 317.9 billion by 2035, growing at a CAGR of 10.2% over the forecast period. This growth is driven by an aging population, policy shifts favoring in-home care, and rapid advancements in healthcare technology.

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Growing Demand Amid Aging Population

One of the primary drivers of this market is the aging U.S. population. By 2050, more than 88 million Americans are expected to be 65 or older. This demographic shift is significantly increasing the demand for home-based medical services such as skilled nursing, rehabilitation, and chronic disease management.

Government healthcare programs are also encouraging the shift from institutional to home care. Medicare and Medicaid are promoting home healthcare as a cost-effective alternative to hospital or nursing home care. In September 2024, the Centers for Medicare & Medicaid Services (CMS) introduced new reimbursement rates under the Patient-Driven Groupings Model (PDGM), applying a 3.2% market basket inflation factor for 2025. This is expected to support broader adoption of home-based services.

The Role of Technology in Transformation

Technology is playing a transformative role in the home healthcare space. Providers are integrating remote patient monitoring (RPM), telehealth, and AI-powered care coordination platforms to improve patient care, reduce hospital readmissions, and enhance operational efficiency.

Leading companies are investing in digital tools to meet rising patient needs. These innovations not only help manage complex health conditions at home but also allow healthcare professionals to handle a larger number of patients while maintaining high standards of care.

Segment Spotlight: Skilled Nursing Services

Among all service categories, skilled nursing services are expected to see the most significant growth, accounting for about 40% of the total market. These services include wound care, medication administration, chronic disease monitoring, and post-hospital recovery. As healthcare systems prioritize faster hospital discharges, the need for skilled nursing at home has grown rapidly.

The increasing prevalence of chronic illnesses also fuels this demand. Over 190 million Americans are living with at least one chronic condition, and many require continuous care, which skilled nurses are well-equipped to provide at home. Medicare data confirms that patients receiving skilled home health services are far less likely to be readmitted to the hospital.

Major providers such as Amedisys, Optum Home Health, and BrightSpring Health Services are responding by expanding their offerings through mergers and acquisitions. The use of telehealth and remote monitoring is also allowing nurses to serve more patients without compromising care quality.

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Regional Growth: Southeast Leads the Way

The Southeast U.S. is projected to be the fastest-growing region for home healthcare services (Services de soins à domicile). States like Florida, Texas, and North Carolina are seeing heightened demand due to their large elderly populations and increased enrollment in Medicare Advantage plans.

In Florida alone, nearly 4.6 million residents aged 65 and over represent 21% of the state's population. The state benefits from favorable Medicaid waiver programs and policies supporting aging-in-place initiatives. Meanwhile, Texas is making notable progress in improving rural healthcare access through telehealth investments and infrastructure development.

Market Challenges and Opportunities

Despite its positive trajectory, the home healthcare industry faces considerable challenges. The most pressing issue is a severe workforce shortage, particularly in nursing and therapy roles. Annual staff turnover rates average around 70%, straining service continuity and quality.

Regulatory complexities, such as CMS quality reporting requirements and variations in state licensing laws, further burden providers. Reimbursement pressure from government and private payers continues to squeeze profit margins, making operational efficiency more important than ever.

However, the outlook remains optimistic. The shift toward value-based care, combined with AI and remote monitoring tools, allows providers to serve larger populations while improving clinical outcomes. Government efforts to support aging-in-place and broader Medicare Advantage enrollment create a stable foundation for continued growth.

Market Segmentation Overview

The U.S. home healthcare market (在宅医療サービス) is segmented by service type, payer type, patient demographics, and geographic region.
• By Service Type: Key services include skilled nursing, rehabilitation, home health aide, medical social work, hospice and palliative care, specialized care, and technology-enabled services. Skilled nursing dominated in 2024 and is forecasted to grow fastest through 2035.
• By Payer Type: The market includes Medicare, Medicaid, commercial insurance, private pay, and other payers. Medicare is expected to lead future growth due to demographic shifts and reimbursement support.
• By Demographics: The geriatric population (65+ years) comprises over 65% of the market, highlighting the need for long-term and chronic care services. Adults (18-64 years) and pediatric patients (0-17 years) form smaller segments but are still important to service providers.
• By Region: Apart from the Southeast, regions such as the Northeast, Midwest, and West are also seeing growth driven by technology adoption, state policies, and local healthcare infrastructure investments.

Key Market Players and Competitive Landscape

Several major companies are leading the market with aggressive strategies focused on acquisitions, partnerships, and technology investments. Notable players include:
• Amedisys, Inc. - Operates over 500 care centers across the U.S.
• Optum (LHC Group) - Combines home healthcare with broader health services.
• BrightSpring Health Services - Specializes in chronic condition management.
• Enhabit Home Health & Hospice - Focuses on post-acute and in-home care.
• Bayada Home Health Care, AccentCare, Addus HomeCare, Elara Caring, and Gentiva are also prominent names, each contributing with tailored care models and tech-enabled solutions.

These companies are forging partnerships with hospitals, insurance providers, and technology firms to create integrated and efficient care delivery networks. Increased private equity investment is also fueling growth and innovation across the industry.

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Key Questions Answered In the Report:

1. How big is the U.S. Home Healthcare Services Market?

2. What is the current U.S. Home Healthcare Services Market size?

3. Who are the key players in the U.S. Home Healthcare Services Market?

4. Which is the fastest growing region in the U.S. Home Healthcare Services Market?

5. Which segment has the biggest share in the U.S. Home Healthcare Services Market?

6. What years does this U.S. Home Healthcare Services Market report cover, and what was the market size in 2024?

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