HEALTH AFFAIRS: The Home Care Workforce Has Not Kept Pace With Growth In Home And Community-Based Services
This research compares trends in the size of the home care workforce with data on Medicaid home and community-based services (HCBS) participation between 2008 and 2020. The number of home care workers per 100 HCBS participants declined by 11.6 percent between 2013 and 2019, with preliminary estimates suggesting that further declines occurred in 2020. Improving access to HCBS will require not just expanded insurance coverage but also new workforce investments.
