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What is Private-Duty Home Care? An Industry Overview

National Private Duty Association, Wellspring Personal Care

This article examines the private-duty model of care. It explains the types of home care and reviews payment sources, and how long-term-care insurance covers private-pay home care. The article covers the various models within private-pay home care, examines how the care is directed and managed, and gives information about who provides the care within the various models. Finally, the article reviews the troubling issues within the private-duty industry and reflects on the pitfalls of home care.

Key Words: private duty • home care • private pay • private-duty agencies • registries • employment agencies • nursing registries • independent contractors • referral service • long-term care insurance • personal care • skilled nursing care services • companionship services • workers’ compensation • Medicaid • abuse • theft • exploitation

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