National Health Expenditures


$3.2 trillion

Source for expenditure data:
Centers for Medicare & Medicaid.
CMS National Health Expenditure Data, Table 10.

Home Health Expenditures

$88.8 billion

2016 projected
$94.1 billion

Includes all U.S. home health expenditures.

Between 2014 and 2015,
Medicare spending on
home health care
increased by 2.3% to
$18.1 billion

Medicare spending on
hospice was $15.9 billion.


Home Health Agencies

The number of Home health agencies grew from 7,057 in 2002 to 12,346 in 2015


The number of Hospice agencies grew from 2,323 in 2002 to 4,199 in 2015
The U.S. Census Bureau
reports 30,139
establishments providing
home health
care services, and
1,101 of those as

Medicare Beneficiaries

In 2016, Medicare
home health served
3.7 million persons and
hospice served
1.4 million persons.

Nearly half, 45.2% of
home health users had a
diagnosis of diabetes,
and 37.9% had a diagnosis
of depression.

96.4% of home health
users needed assistance
with bathing.

Source: CDC/NCHS: National Study of Long-Term Care
 Providers, 2013-2014.


98.2 million
The projected population of people
age 65 and older in 2060. 
Nearly one in four Americans will be
in that age group.

One in four Americans will be age 65 or older in 2060

19.7 million
Persons in the above age group
that will be age 85 or older in 2060.

Source: U.S. Census Bureau.  Profile America Facts
for Features: CB17-FF.08. April 10, 2017.

Marginal profit for freestanding
home health agencies averaged
18.1%.  MedPAC projects
Medicare margins for
2017 will equal 13.7%.

Aggregate Medicare margin for
hospices in 2014 was 8.2%. 
MedPAC projects an aggregate
Medicare margin of 7.7% for 2017.

Medicare Home Health

Medicare Home Health Use

Medicare Hospice

Medicare Hospice Use

Medicare Home Health and Hospice

Medicare Agency Types

Source: Fazzi analysis of Medicare claims data.

Home Health Visits by Discipline

Home Health Visits by Discipline: Nursing, 9.6; Therapy, 7.1; HHA, 2.0; Social Worker, 0.1

Source: Fazzi analysis of Medicare claims data.

Hospice LOS by Diagnosis

Hospice Diagnosis by LOS: Cancer, 53 days; Neurological, 147; Heart, 91; COPD, 116; Other, 51

Source: Fazzi analysis of Medicare claims data.

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