Changing home care aides: Differences between family and non-family care in California Medicaid home and community-based services

Michelle Ko, Robert J. Newcomer, Andrew B. Bindman, Taewoon Kang, Denis Hulett, Joanne Spetz

Research output: Contribution to journalArticle

Abstract

In California Medicaid home-and-community-based services (HCBS), recipients’ family members receive payment as home care aides (HCAs). We analyzed data on first-time HCBS recipients to examine factors associated with the likelihood of switching HCAs within the first year of services. Those with family HCAs were less than half as likely to change than those with non-family HCAs and racial/ethnic minorities with non-family HCAs had the highest switching rates. Lower wages and local unemployment were associated with switching of non-family HCAs but not family HCAs. Policymakers can foster continuity of home care by paying family members for home care and raising worker wages.

Original languageEnglish (US)
JournalHome health care services quarterly
DOIs
StateAccepted/In press - Jan 1 2019

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Home Health Aides
Social Welfare
Medicaid
Salaries and Fringe Benefits
Continuity of Patient Care
Foster Home Care
Unemployment
Home Care Services

Keywords

  • caregiving: filial
  • Community and home care: staff roles
  • Medicare/Medicaid
  • policies/policy analysis
  • staff responsibilities
  • staffing patterns
  • work issues

ASJC Scopus subject areas

  • Health Policy
  • Community and Home Care
  • Public Health, Environmental and Occupational Health

Cite this

Changing home care aides : Differences between family and non-family care in California Medicaid home and community-based services. / Ko, Michelle; Newcomer, Robert J.; Bindman, Andrew B.; Kang, Taewoon; Hulett, Denis; Spetz, Joanne.

In: Home health care services quarterly, 01.01.2019.

Research output: Contribution to journalArticle

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