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Financialization and Structural Racism in Home Care: The Intersection of Quality Work and Quality Care

A research project funded by the Robert Wood Johnson Foundation examining working conditions and quality of care in private-equity-owned home care agencies in New York State.

Study Background

The home health and home care sectors are rapidly growing, making them key targets for private equity firms and large insurance companies to purchase in order to consolidate their market share. Researchers from the ILR Worker Institute at Cornell University are researching how these large financial actors may affect workers’ wages and working conditions and the subsequent quality of care they provide their clients. With New York State one of the largest markets for home care in the United States, our research takes place in New York City and Buffalo, New York. We are interviewing home care workers, schedulers, supervisors and managers to understand the worker experience, including working conditions, hours and scheduling, pay, benefits, job security, occupational health and safety and how these intersect with the quality of care provided.
 

Study Timeline

The study will run from July 15, 2024, to January 2026, with most of the data gathering taking place from January to May 2025. 

The data will be analyzed from May to August 2025. The report detailing the findings with key recommendations will be published in January 2026.

It is important to note that all reporting of the findings from the study will be anonymous and confidential. There will be no reporting on individual respondents’ responses.

Study Team

Anne Marie Brady

  • Research Director, Worker Rights and Equity, ILR Worker Institute

Zoë West

  • Senior Researcher, Worker Rights and Equity, ILR Worker Institute

Michael Lenmark

  • Senior Research Support Specialist, ILR Worker Institute

Rosemary Batt

  • Alice H. Cook Prof of Women and Work

Sanjay Pinto

  • Research Fellow, ILR Worker Institute

Robyn Rowe

  • Project Researcher, ILR School
  • Adjunct Professor, Hunter College and City College CUNY

Contact

Please contact Anne Marie Brady with any questions at homecareresearch@cornell.edu