Colorado Gerontological Society

The demographics for homecare in the United States are staggering. Between 2000 and 2030 the over-65 population is projected to more than double; to 70 million people. Retiring baby-boomers will live longer, though not necessarily healthier, lives. The demand for homecare, non-medical and skilled care, is poised to rise dramatically.Two business models exist to respond to the demand for non-medical home care services. In simple terms, these models can be described as a home care agency and a home care placement agency. A home care agency delivers agency-directed care, and a home care placement agency delivers consumer-directed care. In addition to these two models, consumers may choose to arrange care totally on their own. In this situation the consumer bears the burden of finding quality caregivers and properly screening them. The consumer is also responsible for all scheduling and replacing of caregivers if they quit, have emergencies or simply do not work out. Most seniors in need of home care choose to help from one of these two agency models of care.There are several fundamental differences in the two models of business. The most important to understand is the employment status of the caregiver. In a home care agency, the caregivers are employed by the home care agency and the agency assumes all payroll taxes and workers compensation insurance for the caregiver. In a home care placement agency, the caregiver is self-employed and responsible for applicable taxes and insurance.In 2008, the Colorado Department of Public Health and Environment passed legislation to protect Colorado consumers who utilize home care agencies and home care placement agencies. All home care agencies are required to be licensed as of January 1st, 2010. Licensure ensures that home care agencies adhere to guidelines and minimum standards of operation which are meant to increase safety to seniors who utilize these services. The same legislation required home care placement agencies to register with the state. Registered placement agencies must adhere to minimum standards and guidelines, as well. For a complete list of licensed home care agencies and registered home care placement agencies, visit www.healthfacilities.info or call 303-333-3482.Co-authored by Karen Moorehead, member of Colorado Gerontological Society and President, Elderlink Home Care and Eileen Doherty, Executive Director, Colorado Gerontological Society. The Society provides information, education and training, research, public policy and service for and on behalf of older adults and their families.