Consumer-Directed Care Programs
Programs allowing Medicaid consumers to hire and manage their own aides.
Market snapshot
These figures describe Personal Care & Home Aide Services (4.6.5), the segment that Consumer-Directed Care Programs sits within — not Consumer-Directed Care Programs on its own.
- Market size
- ~$129B
- Growth
- ~9.0%CAGR (2017–22, nominal)
- Companies
- ~77,800
U.S. Census Bureau 2022 CBP/Economic Census, NAICS 624120 (Services for Elderly & Disabled) + 624190 (Other Individual & Family Services — a broad category).
Business model & economics
Revenue model
Private-pay and Medicaid hourly personal-care fees
Key economics
- Recurring revenue
- High
- EBITDA margin
- 10–18%
- Capex intensity
- Low
recurring ongoing care
labor-constrained
Characteristics
- Largest and one of the fastest-growing home-care categories.
- Aging-in-place demand against direct-care workforce shortages.
- Heavy franchise and PE consolidation; tech-enabled entrants.
Geographic concentration
Personal care and home-aide services concentrate in Missouri, Delaware, Kansas, and Pennsylvania, tracking state Medicaid home-care funding and aging populations.
U.S. Census Bureau — 2022 County Business Patterns (establishments by state), NAICS 624120. Concentration shown by location quotient.
M&A deal context
Who’s acquiring
- Home-care franchise networks
- PE-backed personal-care platforms
- Tech-enabled home-care entrants
What’s driving deals
- Franchise and PE roll-up of local agencies.
- Aging-in-place demand.
- Workforce shortages shaping economics.
Find Consumer-Directed Care Programs acquisition targets
Search Acquisera’s index for companies classified under Consumer-Directed Care Programs (4.6.5.1) and build a targeted deal pipeline.
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