The expense and reduced length of acute care hospital stays, the availability and evolution of new healthcare technologies, the aging of the U.S. population, and the fact that most patients prefer to be treated in their homes rather than in hospitals or skilled nursing facilities, are all driving forces in the expansion of the U.S. home healthcare products and services market. 

In addition to the services of home healthcare agencies, the home-based treatment of patients who are chronically ill, elderly, or recovering from acute medical conditions may involve dialysis, enteral nutrition therapy, infusion therapy, and/or respiratory therapy.  In 2003, home healthcare automated peritoneal dialysis therapy products generated approximately $156.6 million in sales; enteral nutrition pumps, disposables kits, and gravity sets generated $53.8 million; intravenous infusion therapy devices including peripherally inserted central catheters, ambulatory infusion pumps/administration sets, and disposable infusion pumps generated $217.1 million, and respiratory therapy products including mechanical ventilators, oxygen therapy equipment, nebulizers, and obstructive sleep apnea therapy products generated $1.1 billion. 

This dynamic report from Medtech Insight includes analyses of products, technologies, current and forecast markets, competitors, and opportunities in the U.S. market for home healthcare products and services.  Covered topics in this report include ambulatory infusion pumps/administration sets, automated peritoneal dialysis cyclers and cycler disposables; bi-level positive airway pressure devices; continuous positive airway pressure devices; diseases/disorders frequently treated in the home; disposable infusion pumps; enteral nutrition gravity sets; enteral nutrition pumps and disposables; home healthcare agencies and services; home healthcare expenditures, payers, and reimbursement; liquid oxygen systems; nebulizer compressors and ultrasound devices; noninvasive ventilators; oxygen concentrators; peripherally inserted central catheters; portable ventilators; obstructive sleep apnea therapy accessories and supplies; and standard and specialty nebulizers.

TABLE OF CONTENTS

EXECUTIVE SUMMARY

i.   Home Healthcare Delivery Overview

ii.   Home Healthcare Respiratory Therapy Products Market

a. Ventilators

b. Oxygen Therapy Equipment

c. Nebulizers

d. Obstructive Sleep Apnea Therapy Products

iii.  Home Healthcare Intravenous Infusion Therapy Devices Market

a. Peripherally Inserted Central Catheters

b. Infusion Pumps/Administration Sets

i.   Volumetric Infusion Pumps/Administration Sets

ii.   Syringe Infusion Pumps/Administration Sets

iii. Ambulatory Infusion Pumps/Administration Sets

iv. Disposable Infusion Pumps

iv. Home Healthcare Enteral Nutrition Delivery Devices Market

v. Home Healthcare Dialysis Therapy Products Market

1. HOME HEALTHCARE DELIVERY OVERVIEW

1.1 Home Healthcare Expenditures and Reimbursement

1.1.1 Home Healthcare Payers

1.1.1.1 Private Payers

1.1.1.1.1 Private Insurance

1.1.1.1.2 Medigap

1.1.1.1.3 Long-Term Care Insurance

1.1.1.1.4 Managed Care Insurance

1.1.1.2 Public Payers

1.1.1.2.1 Medicare

1.1.1.2.2 Medicaid

1.1.1.2.3 Veterans Benefits

1.1.2 Home Healthcare Reimbursement Challenges

1.2 Chronic Diseases/Disorders Frequently Treated in the Home

1.2.1 Cancer

1.2.2 Cardiovascular Diseases/Disorders

1.2.3 Diabetes

1.2.4 Musculoskeletal Diseases/Disorders

1.2.5 Respiratory Diseases/Disorders

1.3 Healthcare Services Frequently Provided in the Home

1.3.1 Infusion Therapy

1.3.2 Nutrition Therapy

1.3.3 Occupational Therapy

1.3.4 Pain Management

1.3.5 Pharmacy Services

1.3.6 Physical Therapy

1.3.7 Rehabilitation Therapy

1.3.8 Respiratory Therapy

1.3.9 Speech Therapy

1.4 Home Healthcare Providers

1.4.1 Family and Informal Caregivers

1.4.2 Home Healthcare Agencies

1.4.2.1 Homemaker and Homecare Aide Agencies

1.4.2.2 Hospital-Based Agencies

1.4.2.2.1 Sentara Healthcare

1.4.2.3 Independent Providers

1.4.2.4 Proprietary Agencies

1.4.2.4.1 Air Products Healthcare/Air Products and Chemicals

1.4.2.4.2 American HomePatient

1.4.2.4.3 Apria Healthcare

1.4.2.4.4 Auxi Health

1.4.2.4.5 Gentiva Health Services

1.4.2.4.6 InfuRx/Priority Healthcare

1.4.2.4.7 Lincare Holdings

1.4.2.4.8 Option Care

1.4.2.5 Staffing Registries/Private-Duty Agencies

1.4.2.6 Visiting Nurse Associations

1.4.3 Hospices

1.5 Home Healthcare Services, Market Analysis

1.6 Telemedicine and Home Healthcare

2. HOME HEALTHCARE RESPIRATORY THERAPY PRODUCTS MARKET

2.1 Mechanical Ventilators

2.1.1 Products/Technologies

2.1.1.1 BREAS/Vital Signs

2.1.1.2 Impact Instrumentation

2.1.1.3 Newport Medical Instruments

2.1.1.4 Pulmonetic Systems

2.1.1.5 Puritan Bennett/Tyco International

2.1.1.6 Respironics

2.1.1.7 VIASYS Healthcare

2.1.1.8 Others

2.1.2 Market Forecast

2.1.3 Competitive Analysis

2.2 Oxygen Therapy Equipment

2.2.1 Products/Technologies

2.2.1.1 AirSep

2.2.1.2 Caire/Chart Industries

2.2.1.3 CHAD Therapeutics

2.2.1.4 Invacare

2.2.1.5 Nidek Medical Products

2.2.1.6 OxLife

2.2.1.7 Puritan Bennett/Tyco International

2.2.1.8 The Respiratory Group

2.2.1.9 Respironics

2.2.1.10 Sunrise Medical

2.2.1.11 Others

2.2.2 Market Forecast

2.2.3 Competitive Analysis

2.3 Nebulizers

2.3.1 Products/Technologies

2.3.1.1 Allied Healthcare Products

2.3.1.2 Lumiscope

2.3.1.3 MABIS Healthcare

2.3.1.4 Medical Industries America

2.3.1.5 OMRON Healthcare/OMRON

2.3.1.6 PARI Respiratory Equipment

2.3.1.7 Respironics

2.3.1.8 Sunrise Medical

2.3.1.9 Others

2.3.2 Market Analysis

2.3.3 Competitive Analysis

2.4 Obstructive Sleep Apnea Therapy Products

2.4.1 Products/Technologies

2.4.1.1 BREAS/Vital Signs

2.4.1.2 Fisher & Paykel Healthcare

2.4.1.3 Invacare

2.4.1.4 Puritan Bennett/Tyco International

2.4.1.5 ResMed

2.4.1.6 Respironics

2.4.1.7 Sunrise Medical

2.4.1.8 VIASYS Healthcare

2.4.1.9 Others

2.4.2 Market Forecast

2.4.3 Competitive Analysis

3. HOME HEALTHCARE INTRAVENOUS INFUSION THERAPY DEVICES MARKET

3.1 Drug/Fluid Delivery and Infusion Therapy

3.2 Types of Intravenous Infusion Therapy Devices Used in the Delivery of Home Healthcare

3.3 Vascular Access Devices

3.3.1 Peripherally Inserted Central Catheters

3.3.1.1 Products/Technologies

3.3.1.1.1 C.R. Bard

3.3.1.1.2 Becton Dickinson

3.3.1.1.3 HDC

3.3.1.1.4 Smiths Medical/Smiths Group

3.3.1.1.5 Others

3.3.1.2 Market Forecast

3.3.1.3 Competitive Analysis

3.4 Infusion Pumps/Administration Sets

3.4.1 Volumetric Infusion Pumps/Administration Sets

3.4.1.1 Products/Technologies

3.4.1.1.1 ALARIS Medical Systems/Cardinal Health

3.4.1.1.2 Baxter Healthcare/Baxter International

3.4.1.1.3 B. Braun/B. Braun Melsungen

3.4.1.1.4 Hospira

3.4.1.1.5 Medex/MedVest Holdings

3.4.1.1.6 Smiths Medical/Smiths Group

3.4.1.2 Market Analysis

3.4.2 Syringe Infusion Pumps/Administration Sets

3.4.2.1 Products/Technologies

3.4.2.1.1 Baxa

3.4.2.1.2 Baxter Healthcare/Baxter International

3.4.2.1.3 B. Braun/B. Braun Melsungen

3.4.2.1.4 Excelsior Medical

3.4.2.1.5 Harvard Clinical Technology

3.4.2.1.6 Hospira

3.4.2.1.7 I-Flow

3.4.2.1.8 Medex/MedVest Holdings

3.4.2.1.9 Smiths Medical/Smiths Group

3.4.2.2 Market Analysis

3.4.3 Ambulatory Infusion Pumps/Administration Sets

3.4.3.1 Products/Technologies

3.4.3.1.1 Baxter Healthcare/Baxter International

3.4.3.1.2 Curlin Medical

3.4.3.1.3 I-Flow

3.4.3.1.4 McKinley Medical/Broe

3.4.3.1.5 Smiths Medical/Smiths Group

3.4.3.1.6 Sorenson Medical

3.4.3.2 Market Forecast

3.4.3.3 Competitive Analysis

3.4.4 Disposable Infusion Pumps

3.4.4.1 Products/Technologies

3.4.4.1.1 ALARIS Medical Systems/Cardinal Health

3.4.4.1.2 Baxter Healthcare/Baxter International

3.4.4.1.3 I-Flow

3.4.4.1.4 McKinley Medical/Broe

3.4.4.2 Market Forecast

3.4.4.3 Competitive Analysis

4. HOME HEALTHCARE ENTERAL NUTRITION DELIVERY DEVICES MARKET

4.1 Enteral Nutrition Delivery Devices

4.1.1 Enteral Nutrition Pumps and Disposables Kits

4.1.1.1 Products/Technologies

4.1.1.1.1 Kendall Healthcare/Tyco International

4.1.1.1.2 Novartis Nutrition/Novartis

4.1.1.1.3 Ross Products/Abbott Laboratories

4.1.1.1.4 VIASYS MedSystems/VIASYS Healthcare

4.1.1.1.5 Others

4.1.2 Enteral Nutrition Gravity Sets

4.1.2.1 Products/Technologies

4.1.2.1.1 Kendall Healthcare/Tyco International

4.1.2.1.2 Novartis Nutrition/Novartis

4.1.2.1.3 Ross Products/Abbott Laboratories

4.1.2.1.4 Welcon

4.1.2.1.5 ZEVEX International

4.2 Market Forecast

4.3 Competitive Analysis

5. HOME HEALTHCARE DIALYSIS THERAPY PRODUCTS MARKET

5.1 Dialysis Techniques

5.1.1 Types of Peritoneal Dialysis

5.1.1.1 Continuous Ambulatory Peritoneal Dialysis

5.1.1.2 Automated Peritoneal Dialysis

5.1.2 Products/Technologies

5.1.2.1 Aksys

5.1.2.2 Baxter International

5.1.2.3 Fresenius Medical Care

5.1.2.4 Others

5.1.3 Market Forecast

5.1.4 Competitive Analysis

6. COMPANY PROFILES

6.1   Abbott Laboratories

6.2   Air Products and Chemicals, Inc.

6.3   ALARIS Medical Systems, Inc.

6.4   Apria Healthcare Group, Inc.

6.5   C.R. Bard, Inc.

6.6   Baxter Healthcare Corporation/Baxter International, Inc.

6.7   Becton, Dickinson and Company

6.8   Fresenius Medical Care AG

6.9   I-Flow Corporation

6.10 Invacare Corporation

6.11 Lincare Holdings, Inc.

6.12 Option Care, Inc.

6.13 ResMed, Inc.

6.14 Respironics, Inc.

6.15 Smiths Medical, Inc./Smiths Group PLC

6.16 Sunrise Medical, Inc.

6.17 Tyco International LTD

APPENDIX:  COMPANY LISTING

LIST OF EXHIBITS

Exhibit ES-1:    United States, Resident Population, by Age Group, Selected Years, 1990-2050

Exhibit ES-2:    Home Healthcare Medicare Charges versus Hospital and Skilled Nursing Facility Charges for the Years 1998, 1999, and 2000

Exhibit ES-3:    Selected Home Healthcare Services, Market Forecast, 2003-2012

Exhibit ES-4:    Home Healthcare Respiratory Therapy Products, Market Forecast, 2003-2007

Exhibit ES-5:    Home Healthcare Ventilators, Market Forecast, by Type, 2003-2007

Exhibit ES-6:    Home Healthcare Oxygen Therapy Systems, Market Forecast, 2003-2007

Exhibit ES-7:    Home Healthcare Nebulizer Compressors/Ultrasound Devices, Market Forecast, 2003-2007

Exhibit ES-8:    Home Healthcare Small-Volume Reusable Specialty and Standard Nebulizers, Market Forecast, 2003-2007

Exhibit ES-9:    Home Healthcare Positive Airway Pressure Devices Used in the Treatment of Obstructive Sleep Apnea, Market Forecast, 2003-2007

Exhibit ES-10:   Home Healthcare Positive Airway Pressure Accessories and Supplies Used in the Treatment of Obstructive Sleep Apnea, Market Forecast, 2003-2007

Exhibit ES-11:   Home Healthcare Intravenous Infusion Therapy Devices, Market Forecast, by Type, 2003-2007

Exhibit ES-12:   Home Healthcare Peripherally Inserted Catheters, Market Forecast, 2003-2007

Exhibit ES-13:   Home Healthcare Ambulatory Infusion Pumps, Market Forecast, 2003-2007

Exhibit ES-14:   Home Healthcare Ambulatory Infusion Pump Administration Sets, Market Forecast, 2003-2007

Exhibit ES-15:   Home Healthcare Disposable Infusion Pumps, Market Forecast, 2003-2007

Exhibit ES-16:   Home Healthcare Enteral Nutrition Delivery Devices, Market Forecast, 2003-2007

Exhibit ES-17:   Home Healthcare Enteral Nutrition Pumps, Market Forecast, 2003-2007

Exhibit ES-18:   Home Healthcare Enteral Nutrition Disposables Kits, Market Forecast, 2003-2007

Exhibit ES-19:   Home Healthcare Enteral Nutrition Gravity Sets, Market Forecast, 2003-2007

Exhibit ES-20:   Home Healthcare Automated Peritoneal Dialysis Therapy Products, Market Forecast, 2003-2007

Exhibit ES-21:   Home Healthcare Automated Peritoneal Dialysis Cyclers, Market Forecast, 2003-2007

Exhibit ES-22:   Home Healthcare Automated Peritoneal Dialysis Cycler Disposables, Market Forecast, 2003-2007

Exhibit 1-1:      United States, Resident Population, by Age Group, Selected Years, 1990-2050

Exhibit 1-2:      Home Healthcare Medicare Charges versus Hospital and Skilled Nursing Facility Charges for the Years 1998, 1999, and 2000

Exhibit 1-3:      Home Healthcare Delivery Expenditures, Selected Years, 2002-2010

Exhibit 1-4:      2001, Funds Expended by Home Healthcare Payers

Exhibit 1-5:      2001, Selected Publicly Traded Home Healthcare Agencies, Percentage of Revenues Derived from Government Sources

Exhibit 1-6:      2001, Selected Publicly Traded Respiratory/Infusion Services Companies, Percentage of Revenues Derived from Government Sources

Exhibit 1-7:      Medicare-Approved Home Healthcare Agencies in the United States, Selected Years, 1992-2003

Exhibit 1-8:      2001, Medicare Home Healthcare Enrollment, by Principal Diagnosis

Exhibit 1-9:      Percentage of Medicare Beneficiaries Discharged to Home Healthcare, by Diagnosis-Related Group, 1997 and 2001

Exhibit 1-10:     2002, Cancer Incidence, Prevalence, and Mortality, by Site

Exhibit 1-11:     2001, Incidence and Prevalence Statistics for Selected Myocardial and Vascular Diseases/Disorders and Cardiac Dysrhythmias

Exhibit 1-12:     2002, Selected Diabetes Prevalence Statistics

Exhibit 1-13:     Selected Pulmonary Diseases Requiring Respiratory Therapy

Exhibit 1-14:     2001, Home Healthcare Services Revenues

Exhibit 1-15:     Medicare-Certified, Freestanding Home Healthcare Agencies, 1995-2000

Exhibit 1-16:     Medicare-Certified, Facility-Based Home Healthcare Agencies, 1995-2000

Exhibit 1-17:     2000, Hospice, Payment Sources

Exhibit 1-18:     Selected Home Healthcare Services, Market Forecast, 2003-2012

Exhibit 2-1:      Home Healthcare Respiratory Therapy Products, Market Forecast, 2003-2007

Exhibit 2-2:      Advantages and Disadvantages of Common Ventilator Breath Sequences

Exhibit 2-3:      Advantages and Disadvantages of Common Ventilator Operation Modes

Exhibit 2-4:      2004, Selected Home Healthcare Ventilators

Exhibit 2-5:      Home Healthcare Ventilators, Market Forecast, by Type, 2003-2007

Exhibit 2-6:      2003, Home Healthcare Ventilators Market, Share by Supplier

Exhibit 2-7:      2004, Selected Home Healthcare Oxygen Concentrators

Exhibit 2-8:      2004, Selected Home Healthcare Liquid Oxygen Systems

Exhibit 2-9:      Home Healthcare Oxygen Therapy Systems, Market Forecast, 2003-2007

Exhibit 2-10:     2003, Oxygen Therapy Systems Market, Share by Supplier

Exhibit 2-11:     2004, Selected Home Healthcare Nebulizer Products

Exhibit 2-12:     Home Healthcare Nebulizer Compressors/Ultrasound Devices, Market Forecast, 2003-2007

Exhibit 2-13:     Home Healthcare Small-Volume Reusable Specialty and Standard Nebulizers, Market Forecast, 2003-2007

Exhibit 2-14:     2003, Home Healthcare Nebulizer Compressors/Ultrasound Devices Market, Share by Supplier

Exhibit 2-15:     2003, Home Healthcare Small-Volume Reusable Standard and Specialty Nebulizers Market, Share by Supplier

Exhibit 2-16:     2004, Selected Home Healthcare Positive Airway Pressure Devices

Exhibit 2-17:     Home Healthcare Positive Airway Pressure Devices Used in the Treatment of Obstructive Sleep Apnea, Market Forecast, 2003-2007

Exhibit 2-18:     Home Healthcare Positive Airway Pressure Accessories and Supplies Used in the Treatment of Obstructive Sleep Apnea, Market Forecast, 2003-2007

Exhibit 2-19:     2003, Home Healthcare Positive Airway Pressure Products Market, Share by Supplier

Exhibit 3-1:      Home Healthcare Intravenous Infusion Therapy Devices, Market Forecast, by Type, 2003-2007

Exhibit 3-2:      2004, Selected Peripherally Inserted Central Catheters

Exhibit 3-3:      Home Healthcare Peripherally Inserted Catheters, Market Forecast, 2003-2007

Exhibit 3-4:      2003, Home Healthcare Peripherally Inserted Central Catheters Market, Share by Supplier

Exhibit 3-5:      2004, Selected Volumetric Infusion Pumps

Exhibit 3-6:      2004, Selected Syringe Infusion Pumps

Exhibit 3-7:      2004, Selected Ambulatory Infusion Pumps

Exhibit 3-8:      Home Healthcare Ambulatory Infusion Pumps, Market Forecast, 2003-2007

Exhibit 3-9:      Home Healthcare Ambulatory Infusion Pump Administration Sets, Market Forecast, 2003-2007

Exhibit 3-10:     2003, Home Healthcare Ambulatory Infusion Pumps Market, Share by Supplier

Exhibit 3-11:     2004, Selected Disposable Infusion Pumps

Exhibit 3-12:     Home Healthcare Disposable Infusion Pumps, Market Forecast, 2003-2007

Exhibit 3-13:     2003, Home Healthcare Disposable Infusion Pumps Market, Share by Supplier

Exhibit 4-1:      Home Healthcare Enteral Nutrition Therapy, Caseload Forecast, 2003-2007

Exhibit 4-2:      2004, Selected Enteral Nutrition Pumps

Exhibit 4-3:      2004, Selected Enteral Nutrition Gravity Sets

Exhibit 4-4:      Home Healthcare Enteral Nutrition Delivery Devices, Market Forecast, 2003-2007

Exhibit 4-5:      Home Healthcare Enteral Nutrition Pumps, Market Forecast, 2003-2007

Exhibit 4-6:      Home Healthcare Enteral Nutrition Disposables Kits, Market Forecast, 2003-2007

Exhibit 4-7:      Home Healthcare Enteral Nutrition Gravity Sets, Market Forecast, 2003-2007

Exhibit 4-8:      2003, Home Healthcare Enteral Nutrition Delivery Devices Market, Share by Supplier

Exhibit 5-1:      2004, Selected Home Healthcare Dialysis Products

Exhibit 5-2:      Home Healthcare Automated Peritoneal Dialysis Therapy Products, Market Forecast, 2003-2007

Exhibit 5-3:      Home Healthcare Automated Peritoneal Dialysis Cyclers, Market Forecast, 2003-2007

Exhibit 5-4:      Home Healthcare Automated Peritoneal Dialysis Cycler Disposables, Market Forecast, 2003-2007

Exhibit 5-5:      2003, Home Healthcare Automated Peritoneal Dialysis Therapy Products Market, Share by Supplier

Copyright 2004, Medtech Insight, LLC