State & County Trends
See how many Medicare patients live in a state or county, and how home health care is delivered to them, with trends going back eight years.
Getting more from these metrics
- Watch the trend lines. Is a number rising or falling? A sharp change is often a sign something is happening in that market.
- Compare age, gender, and ethnicity groups. Which group is largest in this territory? Is that mix changing over time?
- Watch the “% Medicare Advantage Enrollees” trend. As it rises, more of your referral base is shifting from fee-for-service to managed care.
- Compare your own numbers to the market. If you track your length of stay, visits per patient, or average daily census, compare them to the county or state averages here.
- Use the quarterly columns to spot seasonal patterns in admissions and discharges.
- Export to Excel to compare locations side by side, especially across state lines.
QUICK ANSWER Go to Reports > State & County Trends. Pick a state (and, if you want, a county) using the filters on the left. Then set “items per page” to 50, so you see every metric for that location on one page. |
Where to find it
- Click Reports in the left navigation.
- Click the State & County Trends tab.
This opens two tables: County Trends and State Trends.
What this page shows
Both tables show the same four types of information, for the state or county you pick:
- Medicare enrollee counts, for Medicare Fee-for-Service (FFS) and Medicare Advantage
- Patient counts by age, gender, and ethnicity
- Home health metrics, like visits, patient days, admissions, discharges, and cost
- Trends over the last 8 years (yearly) and the last 8 quarters (quarterly)
Use these tables to see where patients live, how their needs differ by county, and how care is changing over time. This helps you plan territories, size up markets, and decide where to focus your resources.
How to filter and read the tables
1. Choose a state and county
- Click the State filter and select one state. (You can only select one at a time, even though it shows checkboxes.)
- Optional: Click the County filter to narrow the County Trends table to one county. If you skip this step, the table shows every county in the state.
Wait a few seconds after picking a state before you open the County filter. The list of counties takes a moment to update.
2. See every metric for a location
Each location has more than 40 metrics. The table shows only 25 rows per page by default. Set “items per page” to 50 so every metric for one location shows on the same page. You'll still need to scroll to see them all.
3. Look up a term
Not sure what a metric means? Check the glossary below — no need to leave the page.
4. Export to Excel
Click the Excel icon at the top right of either table to download its data. This is the easiest way to compare counties or states side by side, especially if your territory covers more than one state.
Metric glossary
These definitions apply to both tables, unless noted otherwise.
| Metric | What it means |
| Total Medicare Enrollees | The number of unique patients enrolled in either Medicare Fee-for-Service (FFS) or Medicare Advantage during the selected period. |
| Medicare FFS Enrollees | The number of unique patients enrolled in a Medicare Fee-for-Service (FFS) plan for at least one month during the selected period. |
| Medicare Advantage Enrollees | The number of unique patients enrolled in a Medicare Advantage plan for at least one month during the selected period. |
| Dual-Eligible Enrollees | The number of unique Medicare enrollees who also qualified for Medicaid during the selected period. |
| % Medicare Advantage Enrollees | The share of Total Medicare Enrollees who were enrolled in Medicare Advantage. |
| HHA Patients | The number of unique patients who received home health care at any point during the year. |
| HHA Patients Per 1,000 (county table only) | A rate that makes counties easier to compare, no matter their population size. Calculated as: (HHA Patients ÷ Medicare FFS Enrollees) × 1,000. |
| HHA Visits | The total number of home health visits during the selected period. |
| HHA Visits Per Patient | The average number of home health visits per patient during the selected period. |
| HHA Patient Days | The total number of days patients spent enrolled in home health during the selected period. |
| HHA Average Patient Days | The average number of days a patient spent enrolled in home health during the selected period. |
| HHA Median Patient Days | The midpoint number of days spent in home health across all enrolled patients during the selected period. |
| HHA Admissions | The number of unique home health admissions during the selected period. |
| HHA Discharges | The number of unique home health discharges during the selected period. |
| HHA ALOS (Average Length of Stay) | The average number of days spent in home health for patients discharged during the selected period. |
| HHA MLOS (Median Length of Stay) | The midpoint length of stay for all patients discharged during the selected period. |
| HHA ADC (Average Daily Census) | The average number of home health patients on any given day. Calculated as Patient Days ÷ Calendar Days. |
| Medicare FFS HHA Payments | The total Medicare FFS reimbursement paid for home health care during the selected period. |
| Medicare FFS HHA Payments Per Patient | The average Medicare FFS reimbursement per home health patient during the selected period. |
| Gender | Enrollee counts broken out by gender, for both Medicare FFS and Medicare Advantage patients. |
| Age | Enrollee counts broken out by age group, for both Medicare FFS and Medicare Advantage patients. |
| Ethnicity | Enrollee counts broken out by ethnicity, for both Medicare FFS and Medicare Advantage patients. |
Related tools
- Market Share tab (Reports page) — see which home health agencies serve your territory.
- Explore page — compare providers in the same territory.
- Analyze page — take a closer look at one provider.
- Trella CRM — check your active accounts and contacts in that territory.
Still need help? Reach out to your Trella Health Customer Success Manager, chat live with support, or email Support@TrellaHealth.com — we're always happy to help. |