Data & research

The fiscal imperative for home care

With proposals to eliminate Ohio's state income tax — roughly $9 billion a year — home and community-based services are a high-impact cost-containment strategy.

Cost by care setting

Nursing Facility (Semi-Private)

Avg. annual cost
$103,997
Budget impact
$4.15B
Covered lives
40,000

Home Care (PASSPORT)

Avg. annual cost
$33,400
Budget impact
$718M
Covered lives
21,500

Home Health Care (Managed Medicaid, State Plan & Waiver) – Skilled

Avg. annual cost
$56,292
Budget impact
$4.3B
Covered lives
77,500

$12–$16/hr

Typical home care caregiver wage, capped by stagnant rates

$22–$28/hr

Nursing facility wages competing for the same workers

$18–$19/hr

Wage floor that stabilized Ohio's DODD workforce

Sources