Ambulatory Health Care Services
Companies in this industry, which include physicians, dentists, outpatient care centers, and imaging and diagnostic facilities, provide health care services to ambulatory patients. Major companies include Apria Healthcare, DaVita, and LabCorp (all based in the US), as well as Bayshore HealthCare (Canada), Fresenius (Germany), and Sonic Healthcare (Australia).
The global spending on health care, including ambulatory care, reached about $9 trillion in 2020, or about 11% of the world's gross domestic product (GDP), according to the World Health Organization (WHO). Spending on ambulatory care services in industrialized countries vary by nation. Health spending in the 29 countries classified as high income, public funding sources account for the largest share, while out-of-pocket spending declined.
The ambulatory health care services industry in the US comprises about 625,000 establishments (single-location companies and units of multi-location companies) with combined annual revenue of more than $1 trillion.
Competitive Landscape
Pressure on the health care industry to drive down costs is pushing more care into lower-cost ambulatory settings and away from hospitals and nursing homes. Payments are increasingly based on whether providers meet quality standards. Demand for health care services is driven by demographics and advances in medical care and technology. The profitability of individual companies depends on efficiency, reputation, and expertise.
Large companies have advantages in buying supplies and in negotiating contracts with health insurers. Small companies can compete successfully by serving a limited geographical area, offering specialized services, or building a local reputation for quality care. The US ambulatory health care industry is?highly?fragmented: the top 50 companies generate only about 20% of revenue.
Products, Operations & Technology
Major services of ambulatory health care companies include care provided by physicians (65% of industry revenue), dentists (10%), and home health care
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