Home healthcare market global revenue, trends, growth, share, size and forecast to 2021 by Clients

Home Healthcare Market, by Products (Patient Diagnosis/Treatment Devices, Assistive Technology Based Devices and Enteral Feeding Devices), Services (Rehabilitation, Home Respiratory Therapy, Home Infusion Therapy, Telehealth and Unskilled Home Healthcare Services) â&#x20AC;&#x201C; Global Revenue, Trends, Growth, Share, Size & Forecast to 2021

October 2016

Table of Contents 1

Global Home Healthcare Market Overview .............................................................................. 12 1.1

Definitions ....................................................................................................................... 12

1.2

Research Methodology .................................................................................................... 13

1.2.1 1.3

Segmentation................................................................................................................... 14

1.3.1 2

Global Home Healthcare Market Research Methodology.......................................... 14

Global Home Healthcare Market Segmentation ........................................................ 14

Executive Summary ................................................................................................................. 15 2.1

Market Summary: Global Home Healthcare Market ......................................................... 15

Waterfall Representation: Global Home Healthcare Market, By Services, 2015 (US$ million) ........................................................................................................................................ 17

2.4

Comparative Analysis: Global Home Healthcare Market, by Geography, 2015 (Value %) .. 18

2.3

3.1

Introduction ..................................................................................................................... 19

3.1.1 3.2

Global Home Healthcare Market Dynamics .............................................................................. 19

Market Dynamics: Global Home Healthcare Market ................................................. 20

2.2 Waterfall Representation: Global Home Healthcare Market, By Products, 2015 (US$ million) ........................................................................................................................................ 17

Drivers ............................................................................................................................. 20

3.2.1

Favorable government initiatives.............................................................................. 20

3.2.2

Increasing incidence of chronic diseases ................................................................... 21

3.2.3

Aging population globally ......................................................................................... 21

3.2.3.1 3.3

Market Drivers: Impact Analysis............................................................................ 22

Restraints ......................................................................................................................... 22

3.3.1

Stringent reimbursement policies ............................................................................. 22

3.3.2

Inaccuracy issues with respect to the home care medical devices ............................. 22

3.3.2.1 3.4

Market Restraints: Impact Analysis ....................................................................... 23

Opportunities ................................................................................................................... 23

3.4.1 Increase investment in emerging geographies will provide a good opportunity to record high revenue ................................................................................................................ 23 3.5

Trends .............................................................................................................................. 24 2

3.5.1

Industry Analysis...................................................................................................................... 25 4.1

Value Chain Analysis: Global Home Healthcare Market, By Products ................................ 25

4.1.1 4.2

Average Selling Price Analysis ........................................................................................... 25

4.2.1 4.3

Average Selling Price Analysis: Global Home Healthcare Market ............................... 26

New Technology/Service Roadmap .................................................................................. 26

Global Home Healthcare Market, By Products ......................................................................... 28 5.1

Introduction ..................................................................................................................... 28

5.1.1 5.2

Global Home Healthcare Market Size (US$ million), By Segments (2013 – 2021) ....... 28

Patient Diagnosis/Treatment Devices ............................................................................... 29

Blood Glucose Monitors ........................................................................................... 30

5.2.2

5.2.1 Global Home Healthcare for Patient Diagnosis/Treatment Devices Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021), by Products ............................. 29

5.2.2.1 Global Blood Glucose Monitors Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021) .................................................................................................. 31 5.2.3

Heart Rate Monitors ................................................................................................. 32

Value Chain Analysis: Global Home Healthcare Market ............................................. 25

5.2.3.1 Global Heart Rate Monitors Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021) .................................................................................................. 32 5.2.4

Shifting trend towards telehealth and telemonitoring services ................................. 24

Sleep Apnea Monitors .............................................................................................. 33

5.2.4.1 Global Sleep Apnea Monitors Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021) .................................................................................................. 34 5.2.5

Pedometers .............................................................................................................. 34

5.2.5.1 Global Pedometers Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021) ............................................................................................................... 35 5.2.6

Pregnancy Test Kits................................................................................................... 35

5.2.6.1 Global Pregnancy Test Kits Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021) .................................................................................................. 36 5.2.7

Insulin Delivery Devices ............................................................................................ 36

5.2.7.1 Global Insulin Delivery Devices Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021) .................................................................................................. 37 5.2.8

Dialysis Devices ........................................................................................................ 38

5.2.8.1 Global Dialysis Devices Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021) ............................................................................................................... 39 3

5.2.9

Blood Pressure Monitors .......................................................................................... 39

5.2.9.1 Global Blood Pressure Monitors Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021) .................................................................................................. 40 5.2.10

Pulse Oximeters ....................................................................................................... 41

5.2.10.1 Global Pulse Oximeters Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021) .................................................................................................. 41 5.2.11

Others ...................................................................................................................... 42

5.2.11.1 Global Others Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021). ...................................................................................................................... 42 5.3

Assistive Technology Based Devices ................................................................................. 43

5.3.1 Global Home Healthcare for Assistive Technology Based Devices Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021) ................................................. 43 5.3.2

Wheelchairs ............................................................................................................. 43

5.3.3

5.3.2.1 Global Wheelchairs Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021) ............................................................................................................... 44 Walkers and Rollators............................................................................................... 44

5.3.3.1 Global Walkers and Rollators Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021) .................................................................................................. 45 Cranes and Crutches ................................................................................................. 45

5.3.4

5.4

5.3.4.1 Global Cranes and Crutches Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021) .................................................................................................. 46 Enteral Feeding Devices ................................................................................................... 46

5.4.1 Global Home Healthcare for Enteral Feeding Devices Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021) .................................................................... 47 6

Global Home Healthcare Market, By Services........................................................................... 48 6.1

Introduction ..................................................................................................................... 48

6.1.1 6.2

Global Home Healthcare Market Size (US$ million), By Services (2013 – 2021) ......... 48

Home Rehabilitation Services ........................................................................................... 49 6.2.1.1 Global Home Rehabilitation Services Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021) ...................................................................................... 51

6.3

Home Respiratory Therapy Services ................................................................................. 51 6.3.1.1 Global Home Respiratory Therapy Services Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021) ................................................................ 52

6.4

Home Infusion Therapy Services....................................................................................... 52 4

6.4.1.1 Global Home Infusion Therapy Services Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021) ...................................................................................... 53 6.5

Telehealth Services .......................................................................................................... 53 6.5.1.1 Global Telehealth Services Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021) .................................................................................................. 54

6.6

Unskilled Home Healthcare Services................................................................................. 55 6.6.1.1 Global Unskilled Home Healthcare Services Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021) ................................................................ 57

Global Home Healthcare Market, Geographic Analysis............................................................. 58 7.1

Introduction ..................................................................................................................... 58

7.1.1 7.2

Global Home Healthcare Market Size (US$ million), By Regions (2013 – 2021) .......... 58

North America.................................................................................................................. 58

7.2.1 North America Home Healthcare Market; Market Size (US$ million), By Country (2013 – 2021) ................................................................................................................................. 59

7.2.2 North America Home Healthcare Market; Market Size (US$ million) and Growth Rate (2013 – 2021) .......................................................................................................................... 59 7.2.3 North America Home Healthcare Market; Market Size (US$ million), By Products (2013 – 2021) .......................................................................................................................... 60

7.3

7.2.4 North America Home Healthcare Market; Market Size (US$ million), By Services (2013 – 2021) ................................................................................................................................. 61 Europe ............................................................................................................................. 61

7.3.1

Europe Home Healthcare Market; Market Size (US$ million), By Country (2013 – 2021) ................................................................................................................................. 62

7.3.2 2021)

Europe Home Healthcare Market; Market Size (US$ million) and Growth Rate (2013 – ................................................................................................................................. 62

7.3.3 2021)

Europe Home Healthcare Market; Market Size (US$ million), By Products (2013 – ......................................................................................................................................63

7.3.4

Europe Home Healthcare Market; Market Size (US$ million), By Services (2013 – 2021) ......................................................................................................................................63

7.4

Asia-Pacific ....................................................................................................................... 64

7.4.1 2021)

Asia-Pacific Home Healthcare Market; Market Size (US$ million), By Country (2013 – ................................................................................................................................. 64

7.4.2 Asia-Pacific Home Healthcare Market; Market Size (US$ million) and Growth Rate (2013 – 2021) .......................................................................................................................... 65 7.4.3 2021)

Asia-Pacific Home Healthcare Market; Market Size (US$ million), By Products (2013 – ................................................................................................................................. 65 5

7.4.4 2021) 7.5

Asia-Pacific Home Healthcare Market; Market Size (US$ million), By Services (2013 – ................................................................................................................................. 66

Rest of the World ............................................................................................................. 66

7.5.1 Rest of the World Home Healthcare Market; Market Size (US$ million), By Country (2013 – 2021) .......................................................................................................................... 67 7.5.2 Rest of the World Home Healthcare Market; Market Size (US$ million) and Growth Rate (2013 – 2021)................................................................................................................... 68 7.5.3 Rest of the World Home Healthcare Market; Market Size (US$ million), By Products (2013 – 2021) .......................................................................................................................... 69 7.5.4 Rest of the World Home Healthcare Market; Market Size (US$ million), By Services (2013 – 2021) .......................................................................................................................... 69 Competitive Landscape ............................................................................................................ 71 Market Share Analysis, by Key Players: Global Home Healthcare Market, by Products ...... 71

8.1.1

9.1

Company Profile ...................................................................................................................... 73 Koninklijke Philips N.V. .................................................................................................... 73

9.1.1

Company Overview .................................................................................................. 73

9.1.2

Financial Overview ................................................................................................... 73

9.1.3

Business Strategy...................................................................................................... 74

9.2

Market Share Analysis: Global Home Healthcare Market, by Key Players .................. 71

8.1

9.1.3.1

Strength and Weakness ........................................................................................ 74

9.1.3.2

Research and Development Expenses ................................................................... 74

9.1.3.3

Merger and Acquisitions ....................................................................................... 74

9.1.3.4

Product Approval and Development ..................................................................... 75

Medtronic ........................................................................................................................ 76

9.2.1

Company Overview .................................................................................................. 76

9.2.2

Financial Overview ................................................................................................... 76

9.2.3

Business Strategy...................................................................................................... 77

9.3

9.2.3.1

Strength and Weakness ........................................................................................ 77

9.2.3.2

Research and Development Expenses ................................................................... 77

9.2.3.3

Merger and Acquisitions ....................................................................................... 77

Kindred Healthcare, Inc. . ................................................................................................. 78

9.3.1

Company Overview .................................................................................................. 78

9.3.2

Financial Overview ................................................................................................... 78 6

9.3.3

9.4

Business Strategy...................................................................................................... 78

9.3.3.1

Strength and Weakness ........................................................................................ 78

9.3.3.2

Merger and Acquisitions ....................................................................................... 79

Johnson & Johnson Private Limited .................................................................................. 80

9.4.1

Company Overview .................................................................................................. 80

9.4.2

Financial Overview ................................................................................................... 80

9.4.3

Business Strategy...................................................................................................... 81 Strength and Weakness ........................................................................................ 81

9.4.3.2

Research and Development Expenses ................................................................... 81

9.4.3.3

Merger and Acquisitions ....................................................................................... 81

9.4.3.4

Product Approval and Development ..................................................................... 82

Invacare Corporation ....................................................................................................... 83

9.5

9.4.3.1

Company Overview .................................................................................................. 83

9.5.2

Financial Overview ................................................................................................... 83

9.5.3

Business Strategy...................................................................................................... 83 Strength and Weakness ........................................................................................ 83

9.5.3.2

Research and Development Expenses ................................................................... 84

9.5.3.3

Product Approval and Development ..................................................................... 84

9.5.3.1

9.6

9.5.1

Bayer AG .......................................................................................................................... 85

9.6.1

Company Overview .................................................................................................. 85

9.6.2

Financial Overview ................................................................................................... 85

9.6.3

Business Strategy...................................................................................................... 85

9.7

9.6.3.1

Strength and Weakness ........................................................................................ 85

9.6.3.2

Research and Development Expenses ................................................................... 86

9.6.3.3

Merger and Acquisitions ....................................................................................... 86

9.6.3.4

Product Approval and Development ..................................................................... 86

Abbott ............................................................................................................................. 87

9.7.1

Company Overview .................................................................................................. 87

9.7.2

Financial Overview ................................................................................................... 87

9.7.3

Business Strategy...................................................................................................... 88

9.7.3.1

Strength and Weakness ........................................................................................ 88 7

9.8

9.7.3.2

Research and Development Expenses ................................................................... 88

9.7.3.3

Merger and Acquisitions ....................................................................................... 88

Fresenius SE & Co KGaA ................................................................................................... 89

9.8.1

Company Overview .................................................................................................. 89

9.8.2

Financial Overview ................................................................................................... 89

9.8.3

Business Strategy...................................................................................................... 89

9.8.3.1

Strength and Weakness ........................................................................................ 89

9.8.3.2

Research and Development Expenses ................................................................... 90

9.8.3.3

Product Approval and Development ..................................................................... 90

10 SCALAR 360 Degree Market Perspective .................................................................................. 91 10.1

National Healthcare Expenditure, 2014 (in billion)............................................................ 92

List of Acronyms ....................................................................................................... 93

11.1.1

11 Appendix ................................................................................................................................. 93

List of Tables Table 1.

Market Summary: Global Home Healthcare Market ..................................................... 15

Table 2.

Market Drivers: Impact Analysis ................................................................................... 22

Table 3.

Market Restraints: Impact Analysis ............................................................................... 23

Table 4.

Average Selling Price Analysis: Global Home Healthcare Market ................................... 26

Table 5.

Global Home Healthcare Market Size (US$ million), By Segments (2013 – 2021)........... 28

Table 6. Global Home Healthcare for Patient Diagnosis/Treatment Devices Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021), By Products .................................... 29 Table 7. Global Home Healthcare for Assistive Technology Based Devices Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021)......................................................... 43 Global Home Healthcare Market Size (US$ million), By Services (2013 – 2021) ............. 48

Table 9.

Global Home Healthcare Market Size (US$ million), By Regions (2013 – 2021).............. 58

Table 10. 2021)

North America Home Healthcare Market; Market Size (US$ million), By Country (2013 – .................................................................................................................................... 59

Table 11. –2021)

North America Home Healthcare Market; Market Size (US$ million), By Products (2013 .................................................................................................................................... 60

Table 12. 2021)

North America Home Healthcare Market; Market Size (US$ million), By Services (2013 – .................................................................................................................................... 61

Table 13.

Europe Home Healthcare Market; Market Size (US$ million), By Country (2013 – 2021) 62

Table 14.

Europe Home Healthcare Market; Market Size (US$ million), By Products (2013 – 2021) .. .................................................................................................................................... 63

Table 15.

Europe Home Healthcare Market; Market Size (US$ million), By Services (2013 – 2021)63

Table 16. 2021)

Table 17. 2021)

Table 18. 2021)

Table 19. – 2021)

Rest of the World Home Healthcare Market; Market Size (US$ million), By Country (2013 .................................................................................................................................... 67

Table 8.

Table 20. Rest of the World Home Healthcare Market; Market Size (US$ million), By Products (2013 – 2021). ................................................................................................................................. 69 Table 21. – 2021)

Rest of the World Home Healthcare Market; Market Size (US$ million), By Services (2013 .................................................................................................................................... 69

Table 22.

List of Acronyms ........................................................................................................... 93 9

List of Figures Figure 1.

Global Home Healthcare Market Research Methodology ............................................. 14

Figure 2.

Global Home Healthcare Market Segmentation ............................................................ 14

Figure 3. million)

Global Home Healthcare Market Size Waterfall Representation, By Products, 2015 (US$ .................................................................................................................................... 17

Figure 4. million)

Global Home Healthcare Market Size Waterfall Representation, By Services, 2015 (US$ .................................................................................................................................... 17

Figure 5.

Comparative Analysis, Global Home Healthcare Market, by Geography, 2015 (Value %) ... .................................................................................................................................... 18

Figure 6.

Market Dynamic: Global Home Healthcare Market ....................................................... 20

Figure 7.

Value Chain Analysis: Global Home Healthcare Market................................................. 25

Figure 8. Global Blood Glucose Monitors Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021).............................................................................................................. 31

Figure 9. Global Heart Rate Monitors Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021) .......................................................................................................................... 32

Figure 10. Global Sleep Apnea Monitors Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021).............................................................................................................. 34

Figure 11. Global Pedometers Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021) ................................................................................................................................. 35

Figure 12. Global Pregnancy Test Kits Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021).............................................................................................................. 36 Figure 13. Global Insulin Delivery Devices Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021).............................................................................................................. 37 Figure 14. Global Dialysis Devices Market Size (US$ million) and Compounded Annual Growth Rate (2013 - 2021) ......................................................................................................................... 39 Figure 15. Global Blood Pressure Monitors Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021).............................................................................................................. 40 Figure 16. Global Pulse Oximeters Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021) .......................................................................................................................... 41 Figure 17. – 2021)

Global Others Market Size (US$ million) and Compounded Annual Growth Rate (2013 ................................................................................................................................. 42

Figure 18. Global Wheelchairs Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021) ................................................................................................................................. 44 Figure 19. Global Walkers and Rollators Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021).............................................................................................................. 45 Figure 20. Global Cranes and Crutches Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021).............................................................................................................. 46 10

Figure 21. Global Home Healthcare for Enteral Feeding Devices Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021) ............................................................................ 47 Figure 22. Global Home Rehabilitation Services Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021) .................................................................................................. 51 Figure 23. Global Home Respiratory Therapy Services Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021) ............................................................................ 52 Figure 24. Global Home Infusion Therapy Services Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021) .................................................................................................. 53 Figure 25. Global Telehealth Services Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021) .......................................................................................................................... 54 Figure 26. Global Unskilled Home Healthcare Services Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021) ............................................................................ 57 Figure 27. North America Home Healthcare Market; Market Size (US$ million) and Growth Rate (2013 – 2021) ................................................................................................................................. 59 Europe Home Healthcare Market; Market Size (US$ million) and Growth Rate (2013 – ................................................................................................................................. 62

Figure 28. 2021)

Figure 29. Asia-Pacific Home Healthcare Market; Market Size (US$ million) and Growth Rate (2013 – 2021) ................................................................................................................................. 65

Figure 30. Rest of the World Home Healthcare Market; Market Size (US$ million) and Growth Rate (2013 – 2021) .......................................................................................................................... 68 Market Share Analysis: Global Home Healthcare Market, by Key Players .................. 71

Figure 32.

Koninklijke Philips N.V. Revenue, 2013 – 2015 (US$ million) ..................................... 73

Figure 33.

Medtronic Revenue, 2013 – 2015 (US$ million) ........................................................ 76

Figure 34.

Kindred Healthcare, Inc. Revenue, 2013 – 2015 (US$ million) ................................... 78

Figure 35.

Johnson & Johnson Private Limited, Revenue, 2013 – 2015 (US$ million).................. 80

Figure 36.

Invacare Corporation Revenue, 2013 – 2015 (US$ million) ........................................ 83

Figure 37.

Bayer AG. Revenue, 2013 – 2015 (US$ million) ......................................................... 85

Figure 38.

Abbot Revenue, 2013 – 2015 (US$ million) ............................................................... 87

Figure 39.

Fresenius SE & Co KGaA Revenue, 2013 – 2015 (US$ million).................................... 89

Figure 31.

Figure 40. Global Unskilled Home Healthcare Services Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021) ............................................................................ 92

1 Global Home Healthcare Market Overview 1.1 Definitions Home healthcare market involves the market study for wide range of home medical devices and services that help patients to treat or diagnose a variety of chronic diseases. Home healthcare offers lucrative business opportunities to the companies due to increased acceptance of home healthcare, technological advancements, and cost-effective alternatives compared to hospital visits. The 'Global Home Healthcare Market – Industry Analysis, Market Size and Forecast (2013 – 2021)' report includes market size and forecast, estimated for the period of 2016 to 2021. This report encompasses a detailed study of various home medical devices and home healthcare services for geographies such as North America, Europe, Asia, and the

Product

segment

the

market

Rest of the World. primarily

categorized

into

patient

feeding

devices.

These

diagnosis/treatment devices, assistive technology based devices, and enteral segments

are

further

divided

into:

patient

diagnosis/treatment devices — blood glucose monitors, heart rate monitors, sleep

apnea monitors, pedometers, pregnancy test kits, insulin delivery devices, dialysis devices, sleep apnea monitors, pulse oximeters, and others (coagulation monitors,

nebulizers etc.), and assistive technology based devices — wheelchairs, walkers and rollators, cranes, and crutches products. The market size and forecast for each product type has been provided for the period 2013 – 2021, considering 2014 as the base year. The report also provides the compounded annual growth rate and due to (% CAGR) for the forecast period 2016 – 2021, for each segment. Services segment categorized as rehabilitation services, home respiratory therapy services, telehealth services, home infusion therapy services, and unskilled home healthcare services. The market size (US$ million) and forecast for the segment has been provided for the period 2013 – 2021, where 2016 – 2021 is the forecast period. Based on geography, the market is segmented as North America, Europe, Asia, and the Rest of the World (RoW). The market size and forecast for geography has been estimated for the period of 2013 – 2021, in terms of revenue (US$ million). The

report also estimates the compounded annual growth rate (CAGR%) during the forecast period from 2016 to 2021, for all the geographies mentioned above.

1.2 Research methodology The research methodology for market research reports at Scalar Market Research includes a combination of top-down and bottom-up research formats. Continuous market tracking, rigorous fact-checking, data-triangulation, and multiple layers of quality control ensure high-quality data that can be leveraged for actionable insights. Scalar Market Research methodology starts with extensive secondary research. Secondary research represents the analysis of SEC filings, annual reports, financial reports, investor presentations, and technical & industry publications. This secondary research is supplemented by primary research in order to validate the data and

estimations. A process of primary research involves in-depth interviews with a wide

range of eminent industry participants and key opinion leaders operating in this market. These interactions helped us to understand several facets of the market with respect to manufacturersâ&#x20AC;&#x2122; and buyersâ&#x20AC;&#x2122; perspective. Also, data synthesis and

triangulation techniques are used to develop the market model. The model represents current consensus market opinion. The market estimates from the model the market.

are used to generate reports that include qualitative and quantitative insights about

1.2.1 Global Home Healthcare Market Research Methodology Figure 1. Global Home Healthcare Market Research Methodology

Top-down

Global

Global Market Size

Market Size Market-specific Revenues of Key Market Players

Segment-specific Market Size

Regional Revenues of Key Market Players

Market Size

Bottom-up

1.3 Segmentation

1.3.1 Global Home Healthcare Market Segmentation Figure 2. Global Home Healthcare Market Segmentation

Home Healthcare Market

Enteral Feeding Devices

Assistive Technology based Devices

Patient Diagnosis

Blood Glucose Monitors

Heart Rate Monitors

Dialysis Devices

Sleep Apnea Monitors

Pedometers

Pregnancy Test Kits

Pulse Oximeters

Blood Pressure Monitors

Insulin Delivery Devices

Others

Assistive Technology based Devices

Wheel Chairs

Walker & Rollators

Cranes & Crutches

2 Executive Summary Home healthcare comprise of home medical devices and home healthcare services that aid in curing and management of chronic diseases such as diabetes, cardiac disorder, and respiratory diseases. The prevalence/incidence of these chronic diseases is increasing worldwide for which home healthcare market serve as prominent alternative for the diagnosis and mitigation of these diseases. These devices and services enable patients to monitor vital signs and chronic health conditions on day-to-day basis at home facility. Increasing number of people affecting with these chronic diseases coupled with growing geriatric population globally drives the market growth. Furthermore, advancement in technologies is further stimulating the utilization of homecare devices and services, leading to the market growth. On other side, unfavorable reimbursement schemes coupled with the

high cost of some medical devices hampers the market growth to some extent.

Table 1.

2.1 Market Summary: Global Home Healthcare Market Market Summary: Global Home Healthcare Market 2013

Global Home Healthcare Market (US$ million)

135,261.7

Global Home Healthcare Market, By Products (US$ million)

Factors

Largest Revenue Generating Market, By Products (US$ million) Lowest Revenue Generating Market, By Products (US$ million) Segment with Highest Growth Rate, By Products (US$ million) Global Home Healthcare Market, By Services (US$ million) Largest Revenue Generating Market, By Services (US$ million) Lowest Revenue Generating Market, By Services (US$ million) Segment with Highest Growth Rate, By Services (US$ million)

2021 257,339.1

Global Home Healthcare Market, By Geography (US$ million) Largest Revenue Generating Market, By Regions (US$ million) Lowest Revenue Generating Market, By Regions (US$ million) Segment with Highest Growth Rate, By Regions (US$ million) Key Market Players Source: Annual Report, Press Releases, Investor Presentation, Primary Interviews & Scalar Market Research Analysis

Global home healthcare market is primarily categorized as product and services segment.

Among

the

different

category

product

segment,

patient

diagnosis/treatment devices accounted for the largest product segment, accounted

for the XX% share of the total product segment market revenue in 2015. Increasing demand for blood glucose monitors, insulin delivery devices, and pregnancy test kits

drives the overall market growth. However, enteral feeding devices recorded lowest revenue as feeding devices such as enteral tubes and enteral pumps are commonly preferred to use in hospital settings with the help of skilled healthcare professionals.

Home healthcare services segment divided into rehabilitation services, home respiratory therapy, home infusion therapy, telehealth, and unskilled home

healthcare services. Among which, unskilled home healthcare captured largest revenue of the total services market (US$ XX million in 2015) due to high demand of this service in developing regions of Middle East and North Africa. On the contrary, increasing acceptance of telehealth services due to its cost-effectiveness have made this service segment as the fastest-growing service segment with XX% CAGR from 2016 â&#x20AC;&#x201C; 2021.

3 Global Home Healthcare Market Dynamics 3.1 Introduction Globally, healthcare model is witnessing major shift from hospital-based treatment to the increase in use of home healthcare products and services. Home healthcare represents wide range of medical devices and community based services to support patients from chronic disease conditions such as blood pressure, diabetes, cancer, cardiovascular disorder, and others. Home-based medical devices and services play an important role in providing personal care to patients in managing and curing these diseases. It helps patients in maintaining personal health with the use of various types of home healthcare devices and services such as blood glucose monitors, blood pressure monitors, rehabilitation services, etc. Increasing patient population

diagnosed with chronic diseases such as diabetes, blood pressure and cardiovascular conditions would drive the demand for home-based medical devices

and services. These diseases demands continuous monitoring of vital parameters which can be done by home devices. Thus, home healthcare is being rapidly adopted by consumers in order to measure vital parameters on a regular basis and

to cut down medical costs. In addition, demand for self-medication and home-based treatment is increasing, as more patients are opting for diagnosis and treatment of

specific diseases at the comfort of their homes. Rising awareness about lifestyle disorders and rapid technological developments in home medical devices have further accelerated the growth of the home healthcare market globally. However, high cost of some home devices such as heart rate monitors and dialysis devices, stringent reimbursement policies coupled with inaccuracy of home medical devices hampers the overall home healthcare market growth. Market dynamics comprise of market drivers, market restrains, market opportunities, and market trends that affects the growth of the global home healthcare market.

3.1.1 Market Dynamics: Global Home Healthcare Market Figure 6. Market Dynamics: Global Home Healthcare Market

Market Dynamics Drivers

Restrains  Stringent reimbursement policies  Inaccuracy issues with respect to the home care medical devices

 Shifting trend towards telehealth and telemonitoring services

Source: Scalar Market Research Analysis

3.2 Drivers

 Increase investment in emerging geographies will provide a good opportunity to record high revenue

Trends

 Favourable government initiatives  Increase incidence of chronic diseases  Development of technology enabled home health care products & service  Ageing population globally

Opportunities

3.2.1 Favorable government initiatives

Government of various developing or developed regions is increasingly spending their healthcare expenditure for home healthcare services due to continuous increase in demand for home healthcare among end-users. For example, in the U.S., home care accounts for approximately 3% (US$ 68 billion/year) of national health spending which is projected to increase by around 9% annually. Furthermore, government organizations are also engaged in organizing awareness programs for home healthcare services/products, which would stimulate the uptake of home healthcare across the globe. For example, National Home Health Care Foundation is engaged in organizing awareness program for home healthcare. The organization is promoting home health awareness among patients and their families in order to support governmental efforts through its “Health Awareness Program”. Thus, these type of initiatives, would in turn, encourage end-users to opt for home healthcare, leading to the market growth. 20

4 Industry Analysis 4.1 Value Chain Analysis: Global Home Healthcare Market, By Products 4.1.1 Value Chain Analysis: Global Home Healthcare Market Figure 7. Value Chain Analysis: Global Home Healthcare Market

Home Healthcare Products Goble Value Chain

 Prototype  Process Development  Regulatory Approvals  Sustain Engineering

 Software Development  Electrical / Electronic Components  Precision Metal Parts / Works  Plastic Extrusion And Moulding  Weaving / Knitting

Acquiring, Storing & Preparing raw material inputs

Inventory Management & Distribution

Marketing And Sales

Customer Fulfilment

Managing and Distributing Product to be sold

Managing the point of sales

Delivering product to customer

Purchasing or Building Inventory

And Assembling

Design

Manufacturing

 Assembly  Packaging  Sterilization

Sourcing And Development

 Final Product  Distributor  Mail Order Distributor

 Campaign  Advertisement  Product Display  Sales

 Training  Consulting  Repair & Maintenance  Customer Feedback & Queries

New Product Development

Source: Scalar Market Research Analysis

4.2 Average Selling Price Analysis The home healthcare market is fragmented in nature, where large number of key companies are offering variety of different products/services at different price range. Thus, in order to estimate the average selling price for each home healthcare product, we have considered parameters such as consumption pattern, demand and supply ratio, technological up-gradation, and market saturation. Furthermore, manufacturing costs play an essential role in the pricing of these homecare products. Considering the demand-pricing scenario in different regions such as North America, Europe and Asia-Pacific, we have arrived at the following average pricing:

5 Global Home Healthcare Market, by Products 5.1 Introduction Home healthcare devices is defined as the group of medical equipments that can be used at home settings for the diagnosis, treatment and mitigation of the chronic diseases such as diabetes, hypertension, sleep disorder, mobility disorders and others. According to the official U.S. Government Site for Medicare, home healthcare is usually less expensive and more convenient treatment option as compared to the hospital or skilled nursing facility therapy. The market for home healthcare products is driven by various factors such as increasing incidences of chronic diseases, consistent rise in geriatric population, positive government initiatives, introduction of advanced technology based home devices and others. However, high cost of some

home healthcare devices such as dialysis devices and sleep apnea products hampers the market growth to some extent. In addition, strict reimbursement policies

and accuracy issues would further hamper the growth of the home healthcare products market.

Global Home Healthcare Market Size (US$ million), By Segments (2013 – 2021)

Segments

Patient Diagnosis/Treatment Devices

Table 5.

5.1.1 Global Home Healthcare Market Size (US$ million), By Segments (2013 – 2021)

2013

2014

2015

2016

2017

2018

2019

2020

2021

CAGR% (2016 – 2021)

Assistive Technology based Devices Enteral Feeding Devices

521.0

Total Source: Annual Report, Press Releases, Investor Presentation, Primary Interviews & Scalar Market Research Analysis

The global market for home healthcare, by products is majorly categorized as patient’s diagnosis/treatment devices, assistive technology based devices and enteral feeding devices market. Among which, patient diagnosis/treatment devices were the largest product segment in 2015, and is expected to be the fastest-growing 28

segment during the forecast period. Consistent rise in chronic diseases globally coupled with increasing patient preference for home devices such as blood glucose monitors and blood pressure monitors drives the market growth of this segment. The global home healthcare grew from US$ XX million in 2013 to US$ XX million in 2021. This market is expected to grow at a compounded annual growth rate of XX% in the forecast period.

5.2 Patient Diagnosis/Treatment Devices Patient diagnosis/treatment devices were the largest product segment in 2015, accounting for the XX% share of the total market during the same year. This segment includes a wide range of medical equipment that can be used for the diagnosis or treatment of chronic diseases such as hypertension, diabetes,

cardiovascular disorders, asthma, kidney problems, sleep disorders, and many others. The global market for home patient diagnosis/treatment device is segmented

into blood glucose monitors, heart rate monitors, sleep apnea monitors, pedometers, pregnancy test kits, insulin delivery devices, dialysis devices, sleep apnea monitors,

pulse oximeters, and others (coagulation monitors, nebulizers, etc.).

Table 6.

Products

5.2.1 Global Home Healthcare for Patient Diagnosis/Treatment Devices Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021), By Products Global Home Healthcare for Patient Diagnosis/Treatment Devices Market Size (US$ million) and Compounded Annual Growth Rate (2013 – 2021), By Products 2013

2014

2015

2016

2017

Blood Glucose Monitors Heart Rate Monitors

580.8

Sleep Apnea Monitors Pedometer Pregnancy Test Kits Insulin 29

2018

2019

2020

2021

CAGR% (2016 – 2021)

Devices Dialysis Devices Sleep Apnea Monitors Pulse Oximeters Others Total Source: Annual Report, Press Releases, Investor Presentation, Primary Interviews & Scalar Market Research Analysis

The global home healthcare for patient diagnosis/treatment devices market grew from US$ XX million in 2013 to US$ XX million in 2021. The market is expected to grow at a compounded annual growth rate of XX% in the forecast period.

5.2.2 Blood Glucose Monitors

Home blood glucose monitors market recorded US$ XX million in 2015, XX% share of the total patient diagnosis/treatment devices market. Home blood glucose monitors are used to measure and regulate glucose levels of a patient. These

glucose monitors are small electronic devices that can be used to determine approximate concentration of glucose in the blood. Home blood glucose monitors

comprise a meter and a strip that helps to measure the glucose level. High growth of this segment is primarily attributed to consistent rise in diabetic population globally. According to the World Health Organization (WHO), the number of diabetic patients worldwide estimated to be 347 million in 2013, and is likely to reach 380 million by 2025. As per International Diabetes Federation (IDF) estimates, around 366 million people were diagnosed with diabetes globally in 2011, and the number is expected to reach 552 million (rise of 9.9%) by 2030. This rise in diabetic patients is expected to accelerate the growth of the home blood glucose monitors market.

6 Global Home Healthcare Market, by Services 6.1 Introduction Home healthcare services comprise of treatment services for disabled or ill patients who have short-term or long-term need of medical care for diseases such as cardiovascular, diabetes and obstructive pulmonary diseases. This treatment services includes skilled nursing services, medication services, medical equipment, personal care services (such as bathing and transportation), and therapeutic services such as respiratory and physical therapy services. Home healthcare services market is majorly driven by the presence of large number of players who provide variety of services. For example, Maxim Healthcare Services, Inc. offers both skilled medical care and non-medical services for adults and pediatric patients in the

comfort of the home. In addition, the company offers variety of home healthcare services such as therapy services, companion care, disabled people care, skilled

medical care and other services. Thus, these offerings would in turn attract large number of patients to avail home healthcare services, thereby enhancing market

growth.

6.1.1 Global Home Healthcare Market Size (US$ million), By Services (2013 – 2021)

Services

Global Home Healthcare Market Size (US$ million), By Services (2013 – 2021) 2013

Table 8.

2014

2015

2016

2017

2018

2019

2020

2021

CAGR% (2016 – 2021)

Rehabilitation Services Respiratory Services Infusion Services Telehealth Services

5,615.1

Unskilled Services Total Source: Annual Report, Press Releases, Investor Presentation, Primary Interviews & Scalar Market Research Analysis

The home healthcare services market is also expected to grow at a steady rate as several organizations have started offering accreditation programs that help key 48

companies to improve the home business operation and quality of patient care. For example, the Accreditation Commission for Health Care (ACHC) is a non-profit national healthcare accrediting organization. This organization is dedicated to deliver accreditation standard for in-home aide services. The ACHC is actively engaged in partnering with companies that seek accreditation and related services. These efforts by private and government organizations would build a healthy platform to develop the healthcare services market, which would drive the overall market. In addition, increasing Medicare approved home healthcare services, cost effectiveness and high comfort with home healthcare services would boost market growth. However, limited geographic presence of home healthcare services providers would hamper the market growth. For example, key players such as Maxim Healthcare Services, Inc. and Lincare, Inc. dominate the U.S. and Europe markets, whereas these

companies do not have significant presence in the emerging economies in AsiaPacific and the Rest of the World. This factor would in turn hamper the growth of the

home healthcare services market to a certain extent.

The home healthcare services market is segmented into rehabilitation services,

telehealth and telemedicine services, infusion therapy services, respiratory therapy services, and unskilled home healthcare services. Of these, rehabilitation services

and unskilled home healthcare services captured large chunk of the home healthcare services revenue in 2015. The prime reason for the growth of these segments is the growing demand for rehab services in developed regions coupled with high acceptance of unskilled home healthcare services in developing regions. The global home healthcare is expected to grow from US$ XX million in 2013 to US$ XX million in 2021. This market is expected to grow at a compounded annual growth rate of XX% in the forecast period, 2016 â&#x20AC;&#x201C; 2021.

6.2 Home Rehabilitation Services Home rehabilitation services comprise of physical therapy services, occupational services and speech therapy services. These services help patients to recover from acute or chronic injury and illness such as Parkinsonâ&#x20AC;&#x2122;s disease, cancer, arthritis, neurological disorders, and others. Among the different types of rehab services, physical home rehabilitation services includes back-to-work training program to 49

7 Global Home Healthcare Market, Geographic Analysis 7.1 Introduction The regional segments of the home healthcare market included in this report are North America, Europe, Asia, and the Rest of the World (RoW). North America was the largest regional segment in 2015, while Asia is expected to be the fastestgrowing regional segment in the forecast period. 7.1.1 Global Home Healthcare Market Size (US$ million), By Regions (2013 – 2021) Table 9. 2021)

2013

2014

2015

2016

2017

2018

2019

Regions

Global Home Healthcare Market Size (US$ million), By Regions (2013 –

North America Europe Asia

2021

9.9%

RoW

2020

CAGR % (2016 – 2021)

Total

Source: Annual Report, Press Releases, Investor Presentation, Primary Interviews & Scalar Market Research Analysis

7.2 North America

North America accounted for the largest share of the global home healthcare market with US$ XX million of market revenue in 2015. Factors such as rising incidences of chronic diseases (i.e. hypertension, cardiovascular, diabetes and respiratory infections), positive government initiatives and technological advancements are considered as the major driving factors for the growth of the home healthcare market in North America.

7.2.1 North America Home Healthcare Market; Market Size (US$ million), By Country (2013 – 2021) Table 10. North America Home Healthcare Market; Market Size (US$ million), By Country (2013 – 2021) Country

2013

2014

2015

2016

2017

2018

2019

2020

2021

CAGR% (2016 – 2021)

U.S. Canada Total

8.9%

Source: Annual Report, Press Releases, Investor Presentation, Primary Interviews & Scalar Market Research Analysis

7.2.2 North America Home Healthcare Market; Market Size (US$ million) and Growth Rate (2013 – 2021)

2015

2016

2018

86,252.9

79,234.9

PL 2017

2019

1,02,678.3

2014

72,847.8

67,036.9

61,831.8

2013

57,130.8

52,914.4

North America Home Healthcare Market Trend. 2013-2021

94,056.3

Figure 27. North America Home Healthcare Market; Market Size (US$ million) and Growth Rate (2013 – 2021)

2020

2021

Source: Scalar Market Research Analysis.

The growth of this region is majorly attributed to the increasing incidence of chronic diseases such as diabetes hypertension, sleep disorders and others. For example, in 2014, According to National Diabetic report, 29.1 million people or 9.3% of the population have diabetes in U.S. In addition, sedentary lifestyle and poor dietary habits increase the risk of these chronic diseases in North America. Thus, high incidence rate of chronic diseases would increase the use of home healthcare equipment, which would boost market growth. Moreover, patients prefer home healthcare compared to hospital stay, as home healthcare reduces frequent visits to clinics and hospitals and offer convenient and cost-effective option with respect to hospital treatment. Shift in patient preference from hospital treatment to home 59

healthcare also contributes to the growth of the home healthcare market in North America. Furthermore, consistent rise in healthcare expenditure by the U.S. government for the disease management boost the market growth. Based on Centres for Disease control and Prevention statistics, per capita national health expenditure was $9,523 in 2014, thus, rising healthcare expenditure increase the patient’s spending on home healthcare devices, leading to the market growth to an extent. 7.2.3 North America Home Healthcare Market; Market Size (US$ million), By Products (2013 – 2021) Table 11. North America Home Healthcare Market; Market Size (US$ million), By Products (2013 – 2021) 2013

2014

2015

2016

2017

2018

2019

2020

2021

Products

Diagnosis Devices

9.4%

Assistive Devices

CAGR% (2016 – 2021)

Enteral Feeding Devices Total

Source: Annual Report, Press Releases, Investor Presentation, Primary Interviews & Scalar Market Research Analysis

On other side, strong merger and acquisition strategies adopted by local or global

healthcare services companies domiciled in North America augments the home healthcare services market growth in this region. In 2014, Kindred, Inc. acquired Gentiva Health Service. This acquisition would help Kindred, Inc. to strengthen its market position in Louisiana, thus, acquisition strategy would help expand the geographical presence in the region. Moreover, participation of the National Association for home care in framing Medicare’s payment policies would positively affect the reimbursement policies, which would boost the growth of the home healthcare market. Other factors such as highly structured healthcare industry, availability of various reimbursement policies from public and private health insurance firms and rising hospital cost would accelerate the growth of the home healthcare market in North America. Key players such as Medtronic, Inc., Abbott Laboratories, and Johnson & Johnson are operating in North America market.

8 Competitive Landscape 8.1 Market Share Analysis, by Key Players: Global Home Healthcare Market, by Products The market share analysis studies the market share of the leading players operating in the home healthcare products market. This market share analysis is exclusively focused on home healthcare products market and is estimated based on considering the global home healthcare products market revenue for the year 2015. The value percentage for each company is based on the analysis of companyâ&#x20AC;&#x2122;s investor presentations, annual reports, press releases, product offering particular to home healthcare product segment, and opinion of primary respondents. The below market share diagram represents the revenue in terms of value percentage for 2015 for

each leading players operating in this market. 8.1.1 Market Share Analysis: Global Home Healthcare Market, by Key Players

Figure 31. Market Share Analysis: Global Home Healthcare Market, by Key Players

11.2%

8.2%

7.3%

4.9%

61.9%

Medtronic Koninklijke Philips N.V Johnson & Johnson Private Limited Others

4.1% 2.4%

Abbott Invacare Corporation Bayer AG

Source: Annual Reports, Press Releases & Scalar Market Research Analysis

In 2015, Medtronic emerged as the leader of the global home healthcare products market, accounting for XX% share of the global market revenue. Strong product offering in diabetes management devices helped the company to record high revenue. The company operates through three business units into Intensive Insulin Management, Non-Intensive Diabetes Therapies and Diabetes Services and 71

9 Company Profile

9.1 Koninklijke Philips N.V. 9.1.1 Company Overview Philips is a diversified technology company, focused on improving people’s health through newness and innovations. Company's major business segments are Healthcare, Consumer lifestyle and Lighting. The company has strong work force of 112,959 employees worldwide. It also employed approximately 40,000 people in healthcare sector. 9.1.2 Financial Overview Koninklijke Philips N.V. Revenue, 2013 – 2015 (US$ million)

Figure 32.

27,318.6

24,799.2

24,123.7

2013

2014

2015

Source: Company’s Annual Report

In 2015, the company generated US$ 27,318.6 million, 13.24% increase compared to the previous year. Increase in sales revenue majorly attributes to increase in sales in healthcare products.

9.1.3 Business Strategy 9.1.3.1 Strengths and Weakness

Strengths – 1. Strong focus on healthcare business which contributes about 40% of total revenue. Healthcare products include broad range of specialized; medical diagnostic instruments and tests kits. 2. Strong employee force of 112,959, of which about 40,000 are in healthcare divisions provides healthy platform to grow in healthcare division of the company.

Weaknesses –

Limited geographic presence of company reduces the product reach into developing

regions such as Middle East and African countries

1. Unilateral focus on machinery and best engineering is also considered as a weak point for the growth of company’s revenue.

2. Focus on too many products at a time.

9.1.3.2 Research and Development Expenses

Phillips believes in introducing new and innovative healthcare products. Thereby, the company is aggressively increasing its research and development expenses since last couple of years. In 2015, the company spent around US$ 2,138 million for research and development activities. The company aims to develop novel healthcare devices or to update existing product offering through high spending on research activities. 9.1.3.3 Mergers and Acquisitions

In 2015, Philips acquired Volcano Corporation, an image guided company based in U.S.A and Blue Jay consulting. The company aims to expand its product offering through these types of merger and acquisition strategies.

9.1.3.4 Product Approval and Development

In 2015, the company expanded its green product portfolio with 11 new products.

These products improve patient compliance.

11 Appendix 11.1.1 List of Acronyms Table 22.

List of Acronyms Acronym

Extended Name

WHO

World Health Organization

CSIS

Center for Strategic & International Studies

IDF

International Diabetes Federation

ECHO

European Confederation of Care-Home Organizations

IoT

Internet of Things

EVV

Electronic Visit Verification

HIPAA

Health Insurance Portability and Accountability Act

OSA

Obstructive Sleep Apnea

ESRD

10.

CKD

11.

CDSCO

12.

COPD

13.

DPI

14.

ACHC

15.

ATA

Sr. No.

End Stage Renal Disease

Chronic Kidney Disease

Centres for Disease Control and Prevention

Chronic Obstructive Pulmonary Disease

Disabled People's International

Accreditation Commission for Health Care American Telemedicine Association