CareIndex
SeniorIndex
Post-Acute Care Intelligence
Home Health · County Intelligence

Every home health agency
in your target county.

County-level market intelligence built from CMS, HCRIS, and Census ACS data. Agency universe, quality distribution, VBP performance, cost benchmarks, competitive density by ZIP, and senior population demand signal — in a single report.

Order Report — $199 →
12,251 HHAs tracked 3,221 counties covered CMS · HCRIS · Census ACS Refreshed monthly
12,251
HHAs tracked & scored
CMS PDC · May 2026
3,221
Counties with HH coverage
Census crosswalk · 99.6% match
4,323
HHAs with zero CMS quality rating
CMS VBP · May 2026
7
Federal data sources per report
CMS · HCRIS · Census ACS
Who uses it

Built for market entry
and competitive intelligence.

One county FIPS code. Eight sections of primary-source intelligence. Built for the teams that need to understand a local HH market before they enter it, acquire in it, or staff into it.

🏠
Home Health Operators
Scope new markets before you open.
Understand the competitive landscape, quality distribution, and senior population density before committing to a new county. See how many agencies operate per ZIP and where white space exists.
💼
Private Equity & M&A
Size the market around a target.
Contextualize an acquisition target within its local competitive environment. Understand VBP participation rates, quality distribution, and financial profiles of all agencies in the county.
👥
Healthcare Staffing Agencies
Target counties by demand signal.
Use senior population density, agency count per ZIP, and quality gaps to identify high-opportunity counties for clinical staff placement and territory expansion.
🏦
Lenders & Underwriters
Benchmark a borrower's market position.
Understand where a home health borrower sits within its local competitive set — quality ranking, VBP standing, and cost position relative to county peers.
📊
Consultants & Advisors
Deliver market analysis at county level.
Support strategic planning, board presentations, and market feasibility studies with primary-source data traceable to federal government datasets.
🏛️
REITs & Real Estate
Validate demand in target geographies.
Confirm senior population density, income levels, and agency penetration before acquiring or developing senior-focused real estate assets in a target county.
Report Contents

Eight sections.
One county FIPS code.

Every section traces to a named primary federal source. No survey data. No editorial opinion. Derived metrics are labeled as CareIndex analysis with government inputs listed.

01
Market Overview
HQ agency count vs. agencies serving the county, VBP participation rate, ZIP code coverage, ownership composition by type. Four headline KPIs at the top.
02
CMS Quality Star Distribution
Star-by-star bar chart for all rated agencies in the county, benchmarked against state and national averages. HHCAHPS patient survey stars. Unrated agency count with explanation.
03
Top Performers by CMS Quality Stars
Top 15 agencies ranked by CMS quality stars, then VBP Total Performance Score. Includes patient survey stars and VBP payment adjustment for each agency.
04
Value-Based Purchasing Landscape
VBP participant count, average TPS, payment adjustment distribution (positive / negative / neutral), and top-performing agencies by TPS score.
05
Cost & Financial Profile
Average and median cost per visit benchmarked against state and national averages. HCRIS revenue mix bar (Medicare / Medicaid / Private Pay) for agencies with cost reports on file.
06
Senior Population & Demand Signal
Census ACS data: total population, 65+, 75+, 85+ cohorts, 5-year projection, agencies-per-10K-seniors penetration metric, median household income, and poverty rate vs. state and national benchmarks.
07
Competitive Density by ZIP Code
Total ZIPs served, average agencies per ZIP, maximum competition ZIP. Table of the highest-competition ZIP codes with agency counts — identify where competition is most intense and where white space exists.
08
Methodology & Data Sources
Full source attribution for every data point. CMS PDC, CMS VBP, HCRIS, Census ACS, and ZIP-to-county crosswalk. Vintage dates, match rates, and known limitations disclosed.
Sample Findings

What the data shows
in three U.S. markets.

From actual CareIndex county reports generated from live CMS, HCRIS, and Census ACS data. May 2026 vintage.

Maricopa County, AZ (Phoenix)
109
HHAs headquartered in county
120
Agencies serving the county
$121.53
Avg cost per visit (HCRIS)
135
ZIP codes served
CMS PDC · HCRIS · Census ACS · May 2026
Denver County, CO
89
HHAs headquartered in county
134
Agencies serving the county
$110.60
Avg cost per visit (HCRIS)
38
ZIP codes served
CMS PDC · HCRIS · Census ACS · May 2026
Dallas County, TX
402
HHAs headquartered in county
643
Agencies serving the county
$172.20
Avg cost per visit (HCRIS)
93
ZIP codes served
CMS PDC · HCRIS · Census ACS · May 2026
Data Methodology

Government data.
Nothing else.

Every data point in a CareIndex county report is directly traceable to a primary federal source. Derived metrics are labeled as CareIndex analysis with government inputs listed.

County boundaries are resolved using the Census Bureau ZCTA-to-county crosswalk (2010 vintage). Match rate: 99.6% of HHA ZIP codes resolve to a county FIPS. Agencies are attributed to counties based on their CMS-registered ZIP code.

Read full methodology →
01 CMS Provider Data Catalog Quality measures, certifications, ownership, survey stars FEDERAL
02 CMS Home Health VBP Total Performance Score, payment adjustments, cohort data FEDERAL
03 HCRIS Cost Reports Cost per visit, revenue mix, total visits, operating data FEDERAL
04 Census ACS County Data 65+ population, income, poverty rate, 5-year projections FEDERAL
05 CMS Home Health Compare HHCAHPS patient survey stars, visit frequency FEDERAL
Pricing

One report.
No subscription.

Pay per county. No account required for direct purchase. Volume users access via IndexIQ credit bundles.

● County Market Intelligence
HH County Market Intelligence Report
Full 8-section county-level home health market analysis. Delivered as a formatted HTML report immediately on generation.
$199
per county report
Complete agency universe — HQ and serving agencies
CMS quality star distribution with state & national benchmarks
Top 15 performers ranked by CMS stars and VBP TPS
Full VBP landscape — TPS, payment adjustments, top performers
Cost per visit vs. state and national averages (HCRIS)
Senior population demand signal — 65+, 75+, 85+ cohorts, 5-yr projection
Competitive density by ZIP — agencies per ZIP, white space analysis
Full methodology & data source attribution
Order Report — $199 →
No subscription · Instant delivery · Data vintage May 2026