Home Health Care: AI Market Discovery Index

Tracking how AI platforms recommend home health care. This public AI Market Discovery Index is updated monthly since July 2026.

Mark Huntley, J.D.
By Mark Huntley, J.D.Growth Strategist & AI Discovery Analyst
6 minutes read

Benchmark Summary

Visiting Angels led the Home Health Care index in September 2026 with a valid recommendation coverage of 47.3%, down from 59.4% in July 2026. Home Instead followed at 41.8% in September 2026, down from 49.0% in July 2026, a 5.5-point gap between the two leaders.

The largest month-over-month coverage decline was BrightStar Care, falling to 16.8% in September 2026 from 28.4% in August 2026. Visiting Angels also posted a large decline, down from 57.1% in August 2026 to 47.3% in September 2026. No tracked brand recorded a significant coverage increase this month.

The September 2026 month fits a broader pattern of declines across the index. Four brands classified as significant decliners since baseline: Amedisys declined from 8.8% in July 2026 to 2.7% in September 2026, BAYADA Home Health Care from 11.6% to 3.7%, BrightStar Care from 30.3% to 16.8%, and Visiting Angels from 59.4% to 47.3%. Each of these brands declined in every month since July 2026.

The benchmark began with 800 prompt-surface observations in each month and produced 328 qualified observations in September 2026 after qualification.

AI recommendation trend

valid recommendation coverage, Jul 2026 to Sep 2026

0%15%30%45%60%Jul 2026Aug 2026Sep 2026
  • Visiting Angels47.3%
  • Home Instead41.8%
  • Comfort Keepers38.1%
  • Right at Home36.0%
  • BrightStar Care16.8%
  • Interim HealthCare6.7%
  • BAYADA Home Health Care3.7%
  • Amedisys2.7%
  • Addus HomeCare0.6%
  • Honor0.3%

Current Benchmark at a Glance

Measure

Jul 2026

Sep 2026

Movement

Qualified benchmark observations

251

328

Up 77

Tracked brands

10

10

No change

Qualified surface breadth

6

6

No change

Recommendation-shaped answer share

54.2%

42.1%

Down 12.1 points

Valid recommendation shortlist share

66.9%

55.8%

Down 11.1 points

Leader by valid recommendation coverage

Visiting Angels (59.4%)

Visiting Angels (47.3%)

Down 12.1 points

Qualified surface breadth counts the canonical AI/search surface families with at least one qualified observation. The six families are ChatGPT, Copilot, Gemini, Perplexity, AI Overviews, and AI Mode.

For the strategic interpretation of this benchmark, read CiteWorks Studio's analysis of How AI Search Is Recommending Home Health Care

Research Scope and Qualification

The public benchmark is narrower than the raw collection universe by design. The funnel below shows how the raw prompt surface observations narrow to the qualified benchmark denominator.

Research stage

Jul 2026

Sep 2026

What it represents

Source prompt-surface observations

800

800

Total prompts collected across AI/search surfaces

Unique questions

610

626

Distinct questions after de-duplication

Brand / competitor mentions

800

800

Prompts that mention a brand or competitor

Relevant observations

323

433

Prompts relevant to the vertical

Irrelevant observations

477

367

Prompts not relevant to the vertical

Qualified benchmark observations

251

328

Public denominator for brand-level metrics

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Brand-level percentages use the qualified observations as the public denominator, not the raw collection. AI Market Discovery Methodology

Current Brand Standings

Brand

Presence rate

Valid recommendation coverage

Top-three rate

Rank-one rate

Net sentiment

Visiting Angels

80.2%

47.3%

39.0%

8.5%

0.71

Home Instead

67.1%

41.8%

32.9%

17.1%

0.75

Comfort Keepers

69.5%

38.1%

29.6%

8.5%

0.68

Right at Home

59.2%

36.0%

23.2%

7.3%

0.69

BrightStar Care

27.1%

16.8%

8.2%

1.8%

0.71

Interim HealthCare

14.3%

6.7%

4.0%

0.6%

0.62

BAYADA Home Health Care

9.2%

3.7%

2.7%

1.2%

0.60

Amedisys

10.7%

2.7%

1.5%

0.6%

0.49

Addus HomeCare

1.5%

0.6%

0.3%

0.0%

0.60

Honor

2.7%

0.3%

0.0%

0.0%

0.44

How to Read the Standings

  • Presence rate: share of qualified observations where the brand is mentioned at all.
  • Valid recommendation coverage: share of qualified observations where the brand appears in a valid recommendation shortlist.
  • Top-three rate: share of qualified observations where the brand is among the top three recommendations.
  • Rank-one rate: share of qualified observations where the brand is the first recommendation.
  • Net sentiment: positive minus negative mention sentiment, normalized.

For formulas and denominator rules, see AI Market Discovery Metric Definitions.

Recommendation Coverage Movement

Brand

Jul 2026

Sep 2026

Movement since baseline

Addus HomeCare

0.8%

0.6%

Down 0.2 points

Amedisys

8.8%

2.7%

Down 6.1 points

BAYADA Home Health Care

11.6%

3.7%

Down 7.9 points

BrightStar Care

30.3%

16.8%

Down 13.5 points

Comfort Keepers

40.6%

38.1%

Down 2.5 points

Home Instead

49.0%

41.8%

Down 7.2 points

Honor

0.4%

0.3%

Down 0.1 points

Interim HealthCare

7.2%

6.7%

Down 0.5 points

Right at Home

43.8%

36.0%

Down 7.8 points

Visiting Angels

59.4%

47.3%

Down 12.1 points

Largest Decline: BrightStar Care

BrightStar Care declined from 30.3% valid recommendation coverage in July 2026 to 16.8% in September 2026, a 13.5-point drop beyond normal month-to-month variation. The brand declined in each of the two months since July 2026, including a month-over-month fall from 28.4% in August 2026 to 16.8% in September 2026. Its presence rate fell from 42.6% in July 2026 to 27.1% in September 2026, and its top-three rate dropped from 15.1% to 8.2% across the same period. BrightStar Care appeared in 55 valid recommendations in September 2026.

Category Leader: Visiting Angels

Visiting Angels remained the category leader in September 2026 with 47.3% valid recommendation coverage, down from 59.4% in July 2026. The brand declined in each of the two months since baseline, including a drop from 57.1% in August 2026 to 47.3% in September 2026. Its rank-one rate fell from 24.3% in July 2026 to 8.5% in September 2026, and its presence rate declined from 87.2% to 80.2% over the same period.

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Significant Decliners: Amedisys and BAYADA Home Health Care

Amedisys declined from 8.8% valid recommendation coverage in July 2026 to 2.7% in September 2026, a 6.1-point drop beyond normal month-to-month variation. The brand declined in each of the two months since baseline. Its presence rate fell from 20.7% to 10.7% over the full period. Amedisys appeared in 9 valid recommendations in September 2026.

BAYADA Home Health Care declined from 11.6% valid recommendation coverage in July 2026 to 3.7% in September 2026, a 7.9-point drop beyond normal month-to-month variation. The brand declined in each of the two months since baseline. Its presence rate fell from 20.3% to 9.2% across the same period. BAYADA Home Health Care appeared in 12 valid recommendations in September 2026.

Stable Brands

Most other tracked brands moved within normal month-to-month variation in September 2026, though several recorded notable month-over-month declines. Comfort Keepers fell from 48.1% in August 2026 to 38.1% in September 2026, and Home Instead from 51.0% to 41.8%, both significant month-over-month moves but within normal variation measured against the July 2026 baseline. Right at Home declined in each month, from 43.8% in July 2026 to 36.0% in September 2026. Addus HomeCare, Honor, and Interim HealthCare remained at low single-digit coverage with no significant movement.

Recommendation Placement Snapshot

Coverage alone does not show how prominently a brand is recommended. Among the leading brands, the share of recommendations appearing in the first position varied considerably even where coverage was similar.

Brand

Sep 2026 top-three rate

Sep 2026 rank-one rate

Jul 2026 top-three rate

Jul 2026 rank-one rate

Visiting Angels

39.0%

8.5%

49.4%

24.3%

Home Instead

32.9%

17.1%

41.8%

11.9%

Comfort Keepers

29.6%

8.5%

27.1%

4.0%

Home Instead converted a lower top-three rate than Visiting Angels into a higher rank-one rate in September 2026, showing that similar coverage can still hide different first-position rates.

Buyer-Intent Distribution

All qualified observations in September 2026 fell into the Brand Recommendation class.

Buyer-intent class

Jul 2026

Sep 2026

Brand Recommendation

251

328

Pricing & Value

0

0

Multi-Brand Comparison

0

0

Total qualified observations

251

328

The current public series measures the brand recommendation class only and does not yet contain qualified pricing or comparison observations.

Historical Measurement Record

Measurement

Qualified observations

Coverage leader

Leader coverage

Largest coverage movement

Jul 2026 (Baseline)

251

Visiting Angels

59.4%

Baseline month

Aug 2026

310

Visiting Angels

57.1%

Comfort Keepers up 7.5 points

Sep 2026

328

Visiting Angels

47.3%

BrightStar Care down 11.6 points

Evidence and Source Layer

The benchmark is built from prompt-level observations that retain the query, AI/search surface, answer, brand outcome, recommendation placement, sentiment, and, where exposed, citations or attributable evidence sources. Source presence is evidence about the information environment, not automatically proof that the source caused the recommendation.

Scope Boundaries

This public benchmark does not measure:

  • Market share or sales attribution
  • Every possible AI response to a given query
  • Organic-search ranking performance
  • Social media mention volume
  • Private or sponsored AI channels
  • Causality from a metric movement alone

About This Benchmark

The LLM Authority Index AI Market Discovery Index tracks how often brands are surfaced and recommended across major AI and search surfaces. The index measures presence, recommendation coverage, placement, and sentiment as distinct signals.

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