Genworth’s 2024 Cost of Care Report shows that most long-term care services are rising faster than inflation. The national median hourly cost of homemaker services is now $33, while a home health aide averages $34/hour. By comparison, assisted living and nursing home care have risen more steeply. In-home care remains one of the most affordable options for families.
Rising Costs of Long-Term Care (Genworth 2024 Cost of Care Survey)
Home Care Market Growth and Industry Outlook (BusinessWire 2024 Report)
According to a new market analysis, the U.S. home care industry reached $286 billion in 2024 and is projected to grow by 22% through 2034. Driving forces include an aging population, value-based care initiatives, and surging demand for in-home healthcare such as infusion therapy and durable medical equipment.
Regional Spotlight: California Care Costs (Genworth Data)
Genworth’s California report highlights how costs in some states are outpacing national averages. In 2024, annual costs for homemaker services rose to $86,944 (+6%) and for home health aides to $89,232 (+5%). These increases, well above the national median, underscore how local inflation and labor shortages impact affordability.
Strengthening the Home Care Workforce (ASPE Issue Brief, April 2024)
The U.S. Department of Health and Human Services and Department of Labor issued new recommendations to improve workforce data for Home and Community-Based Services (HCBS). The report emphasizes the urgent need to recruit and retain direct care workers as demand continues to grow.
The Value of Unpaid Family Caregiving (ASPE Research)
Unpaid caregiving remains the cornerstone of long-term care in the U.S. ASPE research estimates that family caregivers provide care worth over $200,000 per older adult with significant disabilities, a figure that exceeds the value of paid care. As the population ages, reliance on family caregivers will remain a critical issue.
Reviews from Our Clients

The professionalism and warmth of the administrative staff as well as the caregivers at Assisting Hands have been a great comfort to our family. The staff is genuinely committed to providing an array of supportive services to families managing dementia. My family feels very fortunate to have discovered Assisting Hands and recommend this compassionate agency without hesitation.

We are so grateful for the care and support Assisting Hands home care agency provides. The entire team is responsive, caring, and always willing to answer questions and address concerns. The caregivers are wonderful, compassionate, and truly give us peace of mind knowing our family is well cared for. The owner is amazing to work with – professional, supportive, and genuinely cares. We highly recommend this agency!

Assisting Hands provides reliable, professional and personal service. Dad had great care from the whole team. Lashanti fit so easily with Dad and our dog it made a difficult time much easier.
