Home Care

The home care market is (still) a booming business opportunity.  Home care of various types now augments and even enhances services that not long ago may have been provided by senior housing. Pre-pandemic forecasts indicate 34% annual job growth from 2019-2029, much faster than average, and demand has no doubt been exacerbated during 2020.  Home care workers are also among the lowest paying and least trained occupations. Frail patients, according to insiders, are increasingly being discharged from hospitals directly to home, bypassing rehab nursing homes. At home, these individuals likely still require assistance with activities of dressing, bathing, medication management, food preparation and household tasks.  And many already at home and in assisted living need the same care.

Aging in place – it’s emerged (again) during these Covid-19 times. Déjà vu all over again. But ‘aging in place’ is still a challenge and maybe a pipe dream for seniors in their late 70’s or 80’s.  Consider a few issues for starters:  chronic health conditions, mobility limitations, stairs, snow/ice, driving, dangerous hills for walking, cognitive issues, and social isolation.  You get the idea.  Then there is the cost of 24x7 home care, same as assisted living (which is $67K/year in Massachusetts, for example) or even Genworth’s 44-hours of home care ($53-54K annual).  That may work for the most well-to-do seniors.  But families are still in a position of finding and then managing the care workers, even with agency assistance. So Mom or Dad stays at home as long as feasible and even beyond – and that’s why the home care industry today is booming. And competing for the same workers as senior living firms pay their CNAs. 

What’s up with investing in home care and technology?  Some recent announcements offer almost the same frothy level of investment that characterized the 2016 investor spending spree, neatly noted in a 2016 Forbes article. The Forbes list included the $157 million poured into Care.com, unfortunately revealing a shocking lack of company oversight of care workers in 2019.  Home Care Assistance received $100 million in 2016. In fact, 2013-2017 saw the rise, rise, and then fall of Home Hero – which raised $18 million (closing in 2017) and Hometeam’s $40 million in 2016.