PHI report shows home care workforce doubled from 1.4 million to 3.2 million workers over the past decade, with most employed as independent providers through Medicaid-funded consumer direction programs. Despite adding 681,000 new jobs by 2034, over 6.1 million total openings will result from turnover. Home care workers earn median wages of $16.77/hour and annual income of $22,429, with 60% receiving public assistance. Medicaid payments constitute 68% of the $312.9 billion spent on HCBS annually.

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