Home Health Care - Selecting the Right Type Of Agency
Hiring a caregiver to come into your home to care for a loved one can be a very scary prospect. The thought of leaving a vulnerable senior or disabled adult alone with a stranger can add extra stress to an already difficult situation. Selecting a person or agency to provide these services takes research and time. There are really two ways to bring in home health care services, hire a person you find on your own, or work with a professional agency.
With the employee based model, the agency does a similar type of screening; however, instead of referring the caregiver to the consumer, the agency employs them.
Each model has its‘ pros and cons.
Pros of the registry model include:
• Cost of the service is generally lower than agency model.
• Caregivers usually earn more, which tend to attract a higher
quality of caregiver.
• Consumer is in total control. They decide what gets done, when it gets done and how it gets done. They decide if the caregiver stays on the job or needs to be replaced.
Cons of the registry model include:
• Person is not supervised by agency nurse.
• Caregiver is not covered by WC insurance.
• Family may be the employer and need to take out payroll taxes.
Pros of the agency model include:
• Caregivers are covered by workers comp and bonded by the agency.
• Caregivers are supervised by agency nurse.
• Agency is always the employer and deducts all appropriate taxes.
Cons of the agency model include:
• Cost tends to be higher.
• Caregivers do not earn as much as those on the registry side.
• Agency has control over when and where caregiver performs their duty. Agency can pull a caregiver if they need that person for a different case.
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