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Meeting the Integration Mandate: The Implications of Olmstead for the Home Care Workforce

Journal Article Expanding Access & Cultural Competence
November 1, 2020

This Article describes the home care workforce and the drivers of growing demand for their services—in the context of the “rebalancing” trend in the long-term services and supports system—before discussing entrenched workforce challenges and policy solutions, focusing primarily on compensation, training and career development, and scope of practice.

Key Takeaways

Progress toward fulfilling Olmstead has been hindered by inadequate attention to the home care workforce.
To address the home care workforce crisis, states must improve compensation, training and scope of practice rules.
Major shifts in the health care financing and delivery landscape present new opportunities to invest in home care.

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