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Gray Warnings: Challenges in the Direct Care Workforce

January 1, 2018

This report examines the impact of the Chapter 224 cost containment legislation on the Massachusetts health care workforce. With an emphasis on the direct care industry, this report examines demographic changes, and rising health care expenditures, among other areas.

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Key Takeaways

Home health agencies compete with one another and with hospitals, nursing homes, and assisted living centers.
In 2014, total expenditures on long-term care in Massachusetts totaled $9.6 billion.
Health care support and direct care employment in MA is concentrated among African American and Hispanic workers.

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