The Wall Street Takeover of In-Home Care

In the growing in-home health care sector, big insurance and private equity firms are buying up agencies and fighting needed reforms at the expense of both patients and workers.

Home Hospice Healthcare

As the home care industry booms, the nation’s largest health insurance companies and private equity firms are looking to cash in by buying up a growing share of what has historically been a highly fragmented and competitive field.(LPETTET / Getty Images)


Big insurers and private equity funds are snapping up the companies that provide in-home care for elderly and disabled Americans across the country. Their goal: to wring ever-greater profits from a largely government-funded industry already at war with the Biden administration’s plan to raise wages for its notoriously underpaid home-care workforce.

In-home health care and personal care services provide an invaluable lifeline for millions of the nation’s most vulnerable citizens who want to remain in their own homes or with family — and the number of people in need is expected to keep growing as baby boomers age into elder-care services.

As the industry booms, the nation’s largest health insurance companies and private equity firms are looking to cash in by buying up a growing share of what has historically been a highly fragmented and competitive field. The result of this consolidation is rapid price inflation, even as worker pay stagnates. The Bureau of Labor Statistics reported in early May that despite a slowing inflation rate nationwide, prices for in-home care rose nearly 14 percent over the past year, trailing only auto insurance prices among all major categories.

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