Summary of our market study

In France, the homecare market is valued at 4.8 billion euros.

The global homecare market is valued at over $360 billion, and is growing at an average annual rate of 8%.

This expansion is driven by an ageing population, an increase in chronic illnesses, and public authorities' demand for cost-effective homecare solutions.

Homecare in France is booming, mainly due to the aging of the population and the rise in chronic illnesses. The medical homecare sector has almost doubled in size in just a few years. The elderly population represents around 9% of the French population.

Market players include public and private entities, as well as non-profit organizations and the private sector.

Demand for home medical assistance is fuelled by societal trends and political measures that encourage home care rather than institutionalization.

The number of people benefiting from the Allocation personnalisée d'autonomie (APA), an aid for dependent people, has more than doubled since the early 2020s.

The financial burden of dependency care on public finances is in excess of 60 billion euros.

Sales of home medical assistance have risen from around 2.5 billion euros to just under 5 billion euros in the space of six years.

Digitization is reshaping the market, with connected home appliances and telemedicine becoming essential aspects of modern home medical aid.

Key players in the homecare market

  • public sector entities:
    • Centers Communaux d'Action Sociale (CCAS)
    • Intercommunal Social Action Centers (CIAS)
  • Non-profit associations:
    • ADMR (Home help in rural areas)
    • UNA (Union Nationale de l'Aide, des Soins et des Services aux Domiciles)
  • Private for-profit players:
    • DomusVi, Orkyn, Elivie, Asten, Zephyr Group and Libheros
  • Major groups:
    • Korian
    • La Poste has turned the corner by investing in the home medical assistance market.
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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 ...

6 Positioning the players

6.1 Market segmentation

  • 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
  • UNA
  • DomusVi
  • Orkyn (Air liquide)
  • Homeperf
  • Korian Clariane
  • Bestens umsorgt (KORIAN Group)
  • Zephyr Groupe
  • Elivie (Groupe Santé Cie)
  • Asten Santé (La Poste)
  • La Poste
  • Air Liquide Santé
  • Dinno Santé

List of charts presented in this market study

  • 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

50 million euros to be cut from local postal services - 29/09/2024
  • - Budget cut for La Poste: €50 million out of €160 million
  • - Duration of territorial postal presence contract: 2023-2025
  • - Initial annual appropriations for the contract: 177 million euros
  • - Number of La Poste outlets covered by the contract: 17,000
  • - Population coverage by the postal network: over 97% of the population within 5 km or 20 minutes of a postal outlet
  • - Investments in territories since 2008: over 2.4 billion euros
Meal delivery, La Poste's future main business within 10 years - 15/04/2024
  • In 1990, mail accounted for 70% of La Poste's sales, but this figure will fall to 15% by the end of 2024.
  • - The decline in mail over the last ten years has caused a loss of more than 6 billion euros in La Poste's sales.
  • - La Poste has a 67% share of the domestic parcel delivery market in France, thanks to services such as Colissimo, Chronopost and DPD.
  • - La Poste delivers over 15,000 meals a day in a market of 150,000 daily meals, making it the leading home delivery operator.
  • - In 2023, La Poste delivered 5 million meals and plans to double this figure in 2024.
  • - Currently, there are 7,000 post offices, with fewer than 5 customers a day in 40% of communal postal agencies, particularly in rural areas.
  • - La Poste's mandate as postal operator expires at the end of 2025, and it intends to run for its own succession.
Orange, Free and Bouygues Telecom bid to acquire La Poste Mobile - 16/02/2024
  • La Poste Mobile is France's 5th largest mobile operator, with around 2 million customers.
  • - The total value of the operator is estimated at between 600 and 750 million euros.
  • - La Poste Mobile has been in existence since 2011, distributing low-cost packages in around 7,000 post offices.
  • - The operator has enjoyed strong growth, with an average increase of 8% per year.
  • - SFR owns 49% of La Poste Mobile and leases its network to the operator.
  • - La Poste Mobile is interested in using the networks of Orange, Bouygues or Free, instead of SFR.
  • - La Poste wants the brand to continue to exist and be distributed in its 7,000 post offices.
La Poste Mobile - 17/01/2024
  • La Poste Mobile was launched in 2011 by La Poste (with a 51% stake) and SFR (with a 49% stake).
  • In the space of thirteen years, La Poste Mobile has become France's fifth-largest mobile telecoms operator, with over 2.3 million customers, or 4% of the French market.
  • La Poste Mobile is distributed in some 7,000 post offices.
  • Since its launch, La Poste Mobile has grown by 8% each year, outperforming the market.
  • La Poste Mobile will be profitable in 2022. In 2024, its EBITDA is expected to reach 48 million euros, on sales of 336 million euros.
  • Bouygues Telecom, another operator, has 15.4 million mobile customers.
  • SFR lost 118,000 mobile subscribers in the third quarter, bringing its total to 20.4 million.
  • Orange, France's leading operator, has 35.5 million mobile customers.
Philippe Wahl: "La Poste, multi-functional" | Philippe Wahl: "La Poste, multi-functional" - 04/12/2023
  • The number of letters sent in 2023 will be six billion, compared with 18 billion fifteen years ago.
  • La Poste employs some 240,000 people, including 65,000 letter carriers.
  • La Poste's plan calls for the delivery of five million meals by 2023, in over 200 towns and cities.
  • la Poste, which specializes in parcels in France and abroad, accounts for 52% of La Poste group's sales
  • La Poste develops a digital safe service with Docaposte.
Ehpad: Clariane (ex-Korian) refinances to avoid defaulting on payments - 14/11/2023
  • Clariane refinancing plan: 1.5 billion euros Real estate partnership with Crédit Agricole Assurances (CAA) for : 140 million euros
  • Negotiations for a second real estate partnership concerning assets in the United Kingdom: 90 million euros
  • Asset disposal program planned for the following year: around 1 billion euros
  • Proposed capital increase to raise: 300 million euros
  • Fall in Clariane share price between October 24 and 26: 35.9%
  • Capital increase announced by competitor Orpea: approx. 3.9 billion euros.

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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