CareIndex
CareIndex
Post-Acute Care Intelligence
Home Health · State Market

HH State Market
Intelligence Report

Complete market landscape for any U.S. state — agency count, quality distribution, VBP performance, cost benchmarks, and concentration analysis across all Medicare-certified home health agencies.

12,251 HH agencies tracked
$139 National avg cost/visit
7,212 VBP participants
$299 Per state report
Report Price
$299
per state · instant delivery
View Sample Report →
All 50 states available
Interactive HTML delivery
CMS-sourced, fully cited data
Data vintage shown per section

What you're flying blind on today

You're entering a home health market — as an acquirer, a lender underwriting an HHA portfolio, or an operator benchmarking against the state. CMS data exists. It's scattered across five separate datasets with no cross-referencing, no benchmarks, and no narrative. CareIndex assembles the full market picture so your first conversation is informed.

Without this report

  • Manual CMS pulls across 5 separate datasets
  • No state-level quality or cost benchmarks
  • VBP performance buried in flat files
  • No market concentration or ownership view
  • Hours of reconciliation before any analysis

With this report

  • Full agency universe with grade distribution
  • State vs. national cost and quality benchmarks
  • VBP adjustment landscape across all participants
  • Market concentration by ownership type and chain
  • Ready in seconds, not days

Built for institutional buyers

Every buyer segment has a different question. This report answers all of them from the same dataset.

Buyer Their Question What They Find
PE / REIT What does the competitive landscape look like before I enter this state? Agency count, grade distribution, VBP participation rate, market concentration by ownership type
Lender / Underwriter How does this portfolio compare to the state market? State avg cost/visit, quality benchmarks, VBP adjustment range, top performer profiles
HH Operator Where do we stand relative to peers in our state? Quality score distribution, HHCAHPS percentiles, cost efficiency vs. state median
Strategic Advisor Which states have the strongest acquisition targets? Top 10 performers by quality score, VBP positive adjusters, cost-efficient outliers

7 sections. One complete market picture.

Each section addresses a distinct dimension of state HH market intelligence — from raw agency count to VBP payment dynamics.

SECTION 01
Market Overview
Total agencies, VBP participation rate, average cost per visit vs. national, average quality score. Four KPI cards with state-vs-national comparison.
SECTION 02
Quality Distribution
Full grade distribution (A through F) with agency counts and percentages. Bar chart visualization with methodology note on composite score formula.
SECTION 03
Top Performers
Top 10 agencies by CareIndex composite score with quality star, VBP adjustment, cost per visit, and ownership type. Identifies acquisition-ready standouts.
SECTION 04
VBP Landscape
CMS Value-Based Purchasing participation rate, average payment adjustment, positive vs. negative adjuster split, and top VBP performers in the state.
SECTION 05
Cost & Financial Profile
State median and average cost per visit by discipline (skilled nursing, PT, OT, SLP). HCRIS-based financial benchmarks with national comparison. Cost outlier distribution.
SECTION 06
Market Concentration
Agency count by ownership type (proprietary, non-profit, government). Top chains by state footprint. Independent vs. chain-affiliated split with strategic implications.
SECTION 07
Methodology & Data Vintage
CMS dataset citations, composite score formula, data refresh cadence, and limitations. Full data vintage table showing refresh date per source layer.
FULL REPORT
All agencies. All sections.
No blurred rows. No lock overlays. Complete market intelligence for your state, delivered as an interactive HTML file.

Five federal datasets. One report.

Every data point in this report traces directly to a government source. CMS dataset IDs are visible in the Methodology section of each report.

CMS PDC
Provider Data Catalog
Agency profiles, quality star ratings, HHCAHPS patient experience, ownership type, certification date, service area.
CMS VBP
Value-Based Purchasing
Total Performance Score, payment adjustment percentage, performance year, cohort assignment, and domain-level care points.
CMS HCRIS HHA
Cost Reports (Form 1728)
Cost per visit by discipline, net revenue, visit counts, total costs, and Medicare spending efficiency. FY2025 filings.
CMS HHCAHPS
Patient Experience Survey
Summary star ratings, recommend rate, survey completion volume, and domain-level scores for professional care, communication, and medication safety.
SENIORINDEX
Agency Score (Composite)
Proprietary composite score: Quality 35% + VBP 25% + Cost Efficiency 20% + Market Position 20%. Graded A–F. Computed from CMS inputs above.
CMS PDC
Service Area & Ownership
ZIP codes served, states covered, services offered, ownership type classification, and chain affiliation where applicable.

Common questions

The Agency Intelligence Report is a deep-dive profile of a single agency — all 7 sections focused on one CCN. The State Market Report covers the entire state universe — every agency summarized into market-level intelligence. Use the State Market Report to understand the competitive landscape before buying or entering a market. Use the Agency Report to underwrite a specific acquisition target.

Quality and HHCAHPS measures refresh from CMS Provider Data Catalog, updated monthly. VBP performance data reflects the most recent CMS performance year published. HCRIS cost report data reflects FY2025 filings. Each report includes a data vintage table showing the exact refresh date for every source layer.

Yes — each state is ordered individually at $299. If you are running regular market analysis across multiple states, IndexIQ provides credit-based access that reduces per-report cost at volume. Contact us to discuss enterprise access.

Reports are delivered as interactive HTML files — fully self-contained, no login required. They render in any browser and print cleanly to PDF. A download link is provided immediately after purchase and emailed to your address.

The composite score weights four dimensions: Quality of Care (35%, from CMS quality star ratings and HHCAHPS), Value-Based Purchasing Performance (25%, from CMS VBP TPS), Cost Efficiency (20%, from HCRIS cost reports), and Market Position (20%, from service area breadth and Medicare concentration). Scores are graded A–F. The full formula is documented in the Methodology section of each report.

IndexIQ · Institutional Data Terminal

Live agency-level screening, multi-state filtering, and on-demand report generation billed in credits. Built for analysts running repeat diligence workflows across HH and SNF markets.

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