Home Care

I need help! A guide to home care services

By May 2, 2019 No Comments

In-home care is a great option that allows your loved one to live independently in her home. Aging in place has many advantages and benefits compared to other senior living options.

What is Home Care?

In-home care for seniors provides basic assistance with activities of daily living (Also known as ADLs in the care community). This kind of support acknowledges an individual’s limitations while still empowering him to retain independence.

There are several ways to secure in-home care. Before selecting a particular approach,  consider these questions:

Do you need care for a short or a long period of time?

Will you hire the caregiver yourself or will you work with an agency to find someone?

Do you need care that requires medical expertise?

What are my options?

There are three main options to provide non-medical in-home care.

  1. Home Care Organizations
  2. Registry (also called a Domestic Referral Agency)
  3. Family Directed Home Care
Home Care Organizations (“HCOs”)

HCOs employ caregivers and will assign a person to your loved one. HCOs handle all taxes, insurance, and other regulatory tasks.

HCOs provide an easy-to-use and solution for in-home care; they also are the most expensive option. HCOs pay caregivers between $10-12 per hour in most regions and upwards of $15 per hour in metro areas with higher minimum wages. HCOs typically charge customers between $25-$33 per hour.  In exchange for the premium cost, HCOs handle all issues, usually have staff on call to cover emergencies, and will support you through out the progression of your loved one’s care needs. This approach may work for short term needs, but individuals who have long-term needs will find that an HCO can quickly become too expensive. There is also limited transparency with this arrangement. Family members don’t choose the caregiver who will work with a loved one. Also, family members usually find out about problems – missed shifts or late arrivals – after the fact.


Finding a caregiver through a Registry is more affordable than using a home care agency. Registries provide vetted caregivers that usually are hired as independent contractors. Registries provide a variety of additional services to alleviate stressors related to home care. Registries usually provide an easy pay solution of either a flat fee or % of wages paid to caregivers. These fees can run from 25%-35% per hour or up to $8 per hour.

Family Directed Home Care

Family Directed offers an innovative alternative that’s “just right.” Home care is more affordable and you have more control over the process.

With our Family Engagement Tools, you manage home care directly. You choose who you hire, when they work, and what care they provide. This approach requires a little more effort, but it also empowers you to hire the best caregivers in the market. You decide how to engage your caregivers as well. You can engage a caregiver as a 1099 contractor or hire them as a W2 household employee.

Our Family Engagement Tools bring mobile technology to the home care industry. First, we make it easy to find the caregiver with the right skill set. Then we make it easy for you to  manage all of the financial and legal obligations

Family Directed Home Care Makes It Easier.

Risk Free. No Commitment.