12,251 Medicare-certified home health agencies across quality, patient experience, value-based purchasing, cost per visit, and service area coverage. Refreshed from primary federal sources.
Home health is a $120B+ market serving over 3 million Medicare beneficiaries annually. Unlike skilled nursing, it is structurally fragmented — 12,251 agencies, the majority independent or small chain, operating across geographically defined service areas. The top 10 chains by agency count control less than 15% of the market.
CY 2026 marks the fourth consecutive year of aggregate Medicare payment cuts. The base rate sits at $2,038.22 per 30-day episode after a −1.3% aggregate reduction. Value-Based Purchasing now adjusts payments by ±5% based on Total Performance Score — making VBP a material factor in acquisition due diligence and operator benchmarking, not just a quality metric.
35% of the agencies we track scored D or lower on the CareIndex Agency Score. Most of these have CMS-suppressed star ratings due to low episode volume — a structural feature of the market, not an anomaly. Understanding which agencies are suppressed vs. genuinely poor performers requires data beyond the public star rating.
Every HHA in our database is built from seven federal data tables, all sourced directly from CMS. No modeled data, no estimates.
Name, address, ownership type, certification date, services offered, Medicare participation status, quality star ratings, 15+ OASIS-based outcome measures.
OASIS-based clinical outcomes: timely care initiation, patient improvement rates, hospitalization, discharge to community, PPR/PPH risk-standardized rates, Medicare spending per episode.
Summary star rating, professional care, communication, medication/safety, overall rating, recommend %, survey volume and response rate per agency.
Total Performance Score, adjusted payment percentage (±5%), per-measure care points, cohort assignment (larger/smaller volume), achievement vs. improvement scoring.
Total revenue, total expenses, operating margin, cost per visit by discipline (SN, PT, OT), total visits, revenue per episode — from CMS Healthcare Cost Report filings.
ZIP code to agency mapping — every ZIP code served by each agency. Used for market density analysis, access desert mapping, and competitive overlap scoring.
CareIndex composite score: 50% quality of care, 30% patient experience, 20% VBP performance. Letter grades A+ through F. Non-participants receive national median VBP, not zero.
Institutional reports generated from our home health database. Delivered as interactive HTML files with all data cited to source.
A complete operational and financial profile for any of the 12,251 Medicare-certified home health agencies in the U.S.
State-level home health market analysis covering quality distribution, VBP participation rates, cost per visit benchmarks, top performers, and market concentration.
Top 25 home health acquisition targets per state scored on quality, VBP adjustment, Medicare concentration, cost efficiency, and service area defensibility.
County-level home health market intelligence covering the full agency universe, quality distribution, VBP performance, cost benchmarks, competitive density by ZIP, and senior population demand signal.
Looking for Skilled Nursing intelligence? CareIndex tracks 14,710 SNFs across staffing, compliance, ownership, and financials. Five report products available — from facility-level dossiers to multi-state deployment analysis.
Skilled Nursing Reports →Every data point is traceable to a government source. CareIndex does not model, estimate, or impute data.
Live agency-level screening, on-demand report generation, and multi-state filtering billed in credits. Home health and skilled nursing in one terminal.
12,251 home health agencies • 14,710 SNFs • 583,047 HH records • 50 states
