Skip to main content
eScholarship
Open Access Publications from the University of California

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

  • Author(s): Ko, Michelle
  • Newcomer, Robert J
  • Bindman, Andrew B
  • Kang, Taewoon
  • Hulett, Denis
  • Spetz, Joanne
  • et al.
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.

Many UC-authored scholarly publications are freely available on this site because of the UC's open access policies. Let us know how this access is important for you.

Main Content
Current View