Medicare, Medicaid and other managed care insurance companies continue to look for a setting whereby the aged population can receive health care services most cost efficiently. Home health care has evolved as the acceptable and most preferred alternative in this continuum. Continuing economic pressures within the home health care industry and the changes to Medicare reimbursement have forced providers to modify the manner in which they provide home health care services. The home health care industry has traditionally been highly fragmented, comprised of not-for profit and for profit smaller local home health agencies offering limited services. These smaller agencies do not generally have the necessary capital to expand their operations or services and are often unable to achieve the cost efficiencies to compete effectively. The implementation of the Medicare Prospective Payment system and other legislation at the state levels has created major industry consolidation. Home health care services include: home health nursing services, infusion therapy, respiratory therapy and, home medical equipment. Knowledge Source's Home Health Care Market Overview identifies the issues and trends affecting the market. Knowledge Source's Home Health Care Market Overview (225 pgs.) also identifies 50 of the leading home health care organizations and provides a brief profile on each company which includes (when available): company background, company strategy, financial information, services, and recent activities.