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Solving the home care quandary

The U.S. needs 740,000 more home care workers by 2034 amid rising demand and low wages; worker co-ops reduce turnover and improve pay by $2 per hour, experts say.

  • Amid surging demand, home care faces an intensifying labor shortage as the nation will need about 740,000 additional home care workers over the next decade, Madeline Sterling warns.
  • Steven Landers says jobs in paid home care remain unstable and low-paying, with a Genworth/CareScout survey showing median hourly rates at $34, while Medicaid funding gaps leave middle-class families vulnerable.
  • The ICA Group reports worker-owned home care cooperatives have half the turnover, retain clients twice as long, and pay owner-employees $2 more an hour, with 26 co-ops now and plans for 50 within five years and 1600 by 2040.
  • Registries now allow independent providers and clients who receive Medicaid-funded care to connect directly, with wages starting at $20 and a mobile app reducing emergency visits in Oregon and Washington, Carina's CEO Nidhi Mirani says.
  • Despite promising pilots, a 90-minute virtual training involving 102 aides at VNS Health boosted their skills, but small-scale efforts cannot overcome home care's central cost problem.
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37 Articles

The TrentonianThe Trentonian
+36 Reposted by 36 other sources
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Solving the home care quandary

By Paula Span, KFF Health News You’re ready to leave the hospital, but you don’t feel able to care for yourself at home yet. Or, you’ve completed a couple of weeks in rehab. Can you handle your complicated medication regimen, along with shopping and cooking? Perhaps you fell in the shower, and now your family wants you to arrange help with bathing and getting dressed. There are facilities that provide such help, of course, but most older people …

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Boston Herald broke the news in Boston, United States on Sunday, January 18, 2026.
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