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The Home Care Workforce Has Not Kept Pace with Growth In Home and Community-Based Services

Journal Article Data Collection & Quality
April 1, 2023

This study looked at the rate of growth in those who were eligible for home and community based services through Medicaid in comparison to the rate of growth of home care workers from 2008 to 2020. The home care workforce increased substantially between 2008 and 2013, but then growth was sluggish from 2013-2020. However, the growth in the number of Medicaid home and community based participants remained steady and sped up from 2013 to 2020. To see the original source, click here.

Key Takeaways

There are not enough home care workers to meet the demand for participants in Medicaid's home and community-based services.
More public investment in the home care workforce is needed to make up for worker shortages, as Medicaid is the primary payer for these services.
Improvements to wages and compensation for home care workers should be policy priorities to attract more workers to the field.

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