Insurer, Genworth Financial Home-based services released their 2017 Cost of Care Survey that noted some interesting changes in payments for long-term services and support providers:

  • The national median cost of home health aide services shot up 6.17% to $21.50 per hour, or $4,099 per month, from 2016 to 2017—the most pronounced increase among other care settings, according to the survey.
  • The cost of homemaker or home care services, including household tasks such as cooking and cleaning, reached a median of $21 per hour, or $3,994 per month, a 4.75% increase from last year.
  • Over five years, the median cost growth rate was 2.50% for home health aide services and 3.08% for homemaker services.
  • The national median daily rate for Adult Day Health Care was $70, a 2.94% increase since 2016.

It was noted in the report that U.S. Dept. of Labor regulatory changes in minimum wage and overtime protections could have impacted the home care rates.

The report includes a monthly expense for home care, home health and adult day health care by state. The highest median monthly payment for adult day health was in the following states:

Alaska  $3642

Maine $2340

Idaho $2185

Indiana $1842

Minnesota $1788

It is important to note the survey of adult day services only captures the full private pay rates, or where applicable, the community subsidy rates. The survey does not include government subsidy payments through Medicaid and Medicaid waiver. The inclusion of government subsidy payments would have dramatically reduced the rates for Adult Day Health noted in the survey.