Summary

The global home medical aid market has experienced significant growth, valued at $362.1 billion in 2022 with expectations of continuing growth at a CAGR of 7.96% from 2023-2030, potentially reaching $668.2 billion. This expansion is propelled by the aging population, as well as the increasing prevalence of chronic diseases and the push for cost-effective homecare solutions by public authorities. In France, the sector for medicalized home help nearly doubled in value from 2016, reaching €4.8 billion by 2022 despite slowed growth due to the COVID-19 pandemic. Technological advancements such as connected objects and telemedicine are further driving the development of this market segment. Public and private entities, alongside non-profit organizations, make up the market players with increasing private sector participation noted. Public initiatives also seek to support this sector with financial incentives and regulatory frameworks aiming to improve the integration and effectiveness of homecare services..### Trends and Insights into the Growth of Home Medical Assistance in France Home medical aid in France is experiencing a significant surge, primarily driven by an aging population and a growing prevalence of chronic diseases. This market, part of the broader home assistance sector, is particularly focused on medical and social care, health care, and is intended to cater to vulnerable groups including the elderly, disabled, as well as those suffering from chronic illnesses. The demand for home medical aid is being fueled by societal trends and policy measures that encourage home-based care rather than institutionalization. With a substantial aging demographic, France has seen a notable increase in individuals over 65, a trend that is anticipated to grow in the coming years. The elderly population represented only about 9% of the French populace in 2022, but projections suggest this could nearly double to around 16% by 2052. This increase is becoming palpable as the number of individuals benefiting from the Personalized Autonomy Allowance (APA), a support for dependent individuals, has more than doubled between the early 2000s and 2020. The financial burden of dependency care on the public purse has skyrocketed, crossing the mark of around 60 billion euros, and the costs are anticipated to scale further if alternatives to expensive institutional care aren't bolstered. Sales figures specifically for medicalized home help have leapt from around 2.5 billion euros to just under 5 billion euros over a span of six years, emphasizing the market's robust growth. This growing demand for home medical aid is paralleled by the number of individuals supporting loved ones with disabilities, with millions of French citizens providing such assistance. The market is also seeing a surge in those with chronic illnesses and long-lasting health problems, especially among the poor and the elderly, hinting at an escalating need for medical assistance that caters directly to individuals in their homes. Digitalization is reshaping the market, with connected home devices and telemedicine emerging as pivotal aspects of modern home medical aid. A significant portion of the French population believes that connected objects have substantial potential to enhance the quality of in-home care for the elderly, from monitoring treatments to improving daily health tracking. Amidst this burgeoning demand, the landscape of service providers is diverse, ranging from public-sector entities like the Centres Communaux d'Action Sociale and Centres Intercommunaux d'Action Sociale, to private associations and an increasing number of commercial entities. Several of these organizations cater to a variety of needs from offering medical and social assistance at home.### Key Players of the Home Medical Aid Market The home medical aid market is a dynamic and essential sector, providing critical services to individuals who require medical support within the comfort of their own homes. This market has seen the participation of both public and private entities, each carving out their niche while contributing to the holistic growth of the industry. Here, we'll shine a spotlight on the main players that are shaping the home medical aid landscape. #### Public Sector Entities: Pioneers in Home Assistance Public players such as the Centres Communaux d'Action Sociale (CCAS) and Centres Intercommunaux d'Action Sociale (CIAS) carry the flag for local government involvement in medical home care. These organizations work intimately with local institutions to provide tailored, community-specific assistance to those in need. This includes coordinating with national health and social welfare organizations to ensure comprehensive and accessible services for their clients. #### Non-Profit Associations: The Backbone of Community Care Associations like ADMR (Aide à domicile en milieu rural) and UNA (Union Nationale de l'Aide, des Soins et des Services aux Domiciles) sit at the heart of the medical-social services sector. These private, non-profit groups are driven by values of social entrepreneurship and solidarity. ADMR, for instance, prioritizes areas like autonomy and family health with rural outreach, while UNA stands as France's leading home help, care, and service network. Their collective commitment to compassionate care positions them as cornerstones of the industry. #### Private For-Profit Players: Innovators and Expanding Entities The growing influence of commercial entities cannot be overlooked in the current home medical aid market. While not a majority, companies like DomusVi, Orkyn, Elivie, Asten, Zephyr Group, and Libheros are making significant strides in expanding their services and the scope of their operations. They leverage advancements in technology and embrace regulatory changes to present a more diversified array of services, often integrating modern solutions such as telemedicine and therapeutic education into their offerings. #### Major Groups: Champions of Scale and Scope Lastly, the sector has seen the emergence and growth of major groups that operate on a larger scale. Korian, a notable entity, specializes in providing care for seniors, while La Poste, traditionally a postal service, has made a pivot by investing in the home medical aid market. This diversification signifies how traditional businesses recognize the potential and importance of home medical services, leading to innovative product offerings and potentially

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Summary and extracts

1 Market overview

1.1 Market overview and definition

The home medical aid market is a sub-segment of the general home assistance market, which is a form of personal service.

Home medical assistance comprises several types of care provided in the person's own home:

  • Medical and social care: nursing, technical nursing care, etc. These are referred to as SSIAD (Services de soins infirmiers à domicile) or SPASAD (Services polyvalents d'aide et de soins à domicile).

  • Health care: everything to do with hospitalization at home.

Home medical assistance is mainly aimed at vulnerable groups, such as the elderly or disabled, who are ultimately losing their independence. But it can also concern people suffering from chronic illnesses or in need of exceptional assistance.

This market is booming, given the measures taken by the public authorities to encourage people to stay at home rather than in private or public facilities: dependency costs the public purse 63.3 billion euros. added to this is the ever-growing desire of vulnerable people and their families to remain at home. [CNSA]

Indeed, sales of medicalized home help in France were valued at2.5 billion euros in 2016 and will reach a value of4.8 billion euros in 2022, having almost doubled (+92%) in 6 years. [Les Echos]

On a global scale, the home medical aid market is also experiencing strong growth. It is valued at $362.1 billion in 2022 , and should continue to grow at a CAGR of 7.96% over the period 2023-2030, reaching$668.2 billion. The market is largely dominated by North America (42.7% market share), butAsia Pacific is expected to experience the most dynamic growth in the years ahead, due to its aging population. [Grand View Research]

All these factors make the home medical aid market a buoyant one, in which a number of players are trying to make their presence felt: players from the associative sector (ADMR, UNA.); public-sector players (EMS in particular); but also a growing number of private-sector players, such as certain leaders in the Ehpad sector who are attempting to become domiciliaries (Orpéa, Korian...).

1.2 The global homecare market

The home health care market is a sub-segment of the world's fast-growing human services market. Indeed, the latter is estimated at $***.* billion in ****, and is expected to grow at aCAGR of *.*% over the period ****-****, reaching $****.* billion [***]. It is dominated byWestern Europe, followed by Asia Pacific.

Personal assistance market size World, ...

1.3 The French homecare market

By ****, sales generated by the personal services sector are estimated at ** billion euros. Homecare accounts for **% of this market, with a value of**.** billion euros. [***]

Sales of medicalized home help, on the other hand, were valued at *.* billion euros in ****, reaching a value of *.* billion euros in ****. Even if the health ...

2 Demand analysis

2.1 The aging of the population: a favorable phenomenon for the development of this market

Home medical assistance concerns many types of people who are dependent on others for their care. The benchmark is the group of people who can be helped to live independently.

The aging population: already a reality...

Proportion of the French population aged ** or over France, ****-****, in % Source: ****

...which will ...

2.2 People with disabilities

Disabled people are the second largest group to benefit from home medical assistance .

In ****, *.* million people claimed to provide regular assistance to a loved one with a disability or loss of autonomy. [***]

According to the CNSA, if we approach the number of people with disabilities, we can count people under ** as ...

2.3 Development of chronic diseases

Visitchronic or long-term illnesses or health problemsdevelop mainly in the oldest age groups, as well as in people with "poor" living conditions.

Thus, on average, in ****, **.*% of non-poor French people in living conditions had chronic or long-lasting illnesses or health problems, compared with **. *% of poor people (***).

What's more, in ****, **.*% of the ...

2.4 A growing preference for home help

Harris Interactive carried out a survey in July **** on a sample of *** French people aged ** and over. It is entitled "Collective structures and individual solutions: perceptions and expectations of seniors and parents in the context of the Covid-** crisis". The study shows that home help is becoming increasingly popular with this ...

2.5 The housing approach supported by public authorities

The demand for home medical assistance is also supported by the public authorities, who want to reduce public spending on dependency care. This is borne out by the Cour des Comptes report to Parliament entitled "Les services de soins à domicile : une offre à développer dans une stratégie territoriorrialisée de ...

3 Market structure

3.1 The forces at work

The market for medical assistance for the frail is mainly shared between public and private not-for-profit players. However, private players are beginning to step up their presence.

Players in the medical-social services sector

Public-sector players are highly localized and include the Centres Communaux d'Action Sociale (***).

Associations are also extremely active in ...

3.2 Competition from nursing homes and other healthcare establishments

EHPADs are in direct competition with the home

The homecare market is in direct competition with retirement homes (***) in France when it comes to the elderly and dependent population.

EHPADs have been affected by the health crisis and the various revelations that have plagued the Orpéa group in particular, pointing ...

4 Offer analysis

4.1 Types of assistance available at home

Medical and social assistance at home:

Medical assistance at home is a complement or alternative to traditional hospitalization.

It offers people who need it all the services they need to follow their treatment at home, in the comfort of their own home. Of course, this care coordination is organized on the ...

4.2 Coverage of various home medical aids

Calculations for private practice nurses :

Source: ****

Coverage of home care by the Assurance Maladie :

Soure : Libheros

HAH prices

Hospitalisation at home is covered by the Assurance maladie:

**%, as for any hospitalization ; ***% in the case of a situation giving entitlement to full coverage (***).

The complementary health insurance may reimburse the difference ...

4.3 New forms of home medical assistance driven by digitalization

Connected help at home thanks to connected objects is booming

According to Odoxa, **% of French people believe that connected objects, the Internet and its applications could help improve "help and maintenance" for the elderly at home. What's more, according toBVA's "Les Français et les objets connectés" (***) survey, connected objects ...

5 Regulations

5.1 Current regulations

Definition of home medical aid services

Decree no. ****-*** of April **, **** relating to the national specifications for home help and support services and amending the Code de l'action sociale et des familles.

Home nursing care services (***) provide care services in the home or in non-medicalized establishments for the elderly and disabled ...

5.2 SAAD, SSIAD and SPASAD: setting minimum tariffs for new SADs

Decree no. ****-**** of December **, **** relating to the minimum rate applicable to hours of home assistance and to the allocation to guarantee the integrated operation of assistance and care within a home autonomy service (***).

Theorder of December **, **** relating to the minimum tariff mentioned in I of article L. ***-*-* of ...

List of charts

  • Personal services market value
  • Size of the global homecare market
  • Number of APA (Allocation Personnalisée d'Autonomie) beneficiaries
  • Population projections to 2070
  • Proportion of French population aged 65 and over
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Latest news

Domidom: Damien Cacaret aims to mature the silver economy - 22/01/2023
  • Silver Valley is a group of 300 Silver Economy professionals
  • Market estimated at 20 billion euros
  • The Domidorm network employs 6,000 people and generates sales of 50 million euros
  • Bought out in 2015 by Orpea
Korian becomes a European company and demands clear rules for nursing homes. - 23/06/2022
  • Korian has retirement homes all over the world.
  • Korian is facing fierce controversy in France over its business model in relation to quality standards for retirement homes.
  • Korian is to transform itself into a European company.
  • Korian wants to become a company with a mission.
Korian to expand its shared-rental offer for the elderly. - 08/07/2022
  • In 2018, Korian acquired a 70% stake in Ages & Vie
  • By the end of 2022, Ages & Vie will have 300 homes with 8 inhabitants in 150 towns and 500 to 600 homes by the end of 2025 with this investment agreement
  • Total housing capacity of 5,000 elderly people and 1,500 to 1,800 jobs for care assistants
  • Cost of 1,700 euros per month
  • Korian is proposing a formula adapted to independent but isolated elderly people, which will involve 330 shared homes in the Ages & Vie network

Companies quoted in this study

This study contains a complete overview of the companies in the market, with the latest figures and news for each company. :

AD Seniors
ADHAP Services
Senior Compagnie (Groupe Zephyr)
Aquarelle Service
Age d’Or Services
Petit-Fils (Korian Groupe)
Solutia Groupe
Oui Care
Domidom
Adomis (Zephyr groupe)
Adenior
ADMR

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