Reports & Multimedia
We produce studies, policy reports, and multimedia resources on today's long-term care topics.
The Path Forward: Direct Care Workforce Policy Priorities
In a dramatically changing policy environment, direct care workforce-focused investments and innovations are more important than ever—to improve the quality and efficiency of care, bolster…
Direct Care Workers in the United States: Key Facts
This report provides a new annual snapshot of the direct care workforce for 2025.
Briefs
PHI Midterm Policy Brief Series | Restore Medicaid
As federal and state policymakers make decisions that will reshape Medicaid for years to come, the stakes for direct care workers and the people they…
PHI Midterm Policy Brief Series: Support Immigrants
Congress and the states must act to protect immigrants, who are a cornerstone of the direct care workforce and our long-term care system.
The Union Effect for Direct Care Workers
Direct care workers drive our nation’s long-term services and supports system, yet this workforce faces persistently low pay, few benefits, and often hazardous employment conditions.…
Reports
Exploring the Risk of Benefits Cliffs Among Direct Care Workers
A new study explores the "benefits cliff" for Virginia's direct care workers, analyzing how modest pay raises can lead to a net financial loss when…
Advancing Care, Advancing Careers: Evaluation of the CISA Role
PHI's Care Integration Senior Aide program in Wisconsin demonstrates how advanced roles for home care workers simultaneously improve care quality, address social determinants of health,…
Building Skills, Building Careers in Care
This report examines Wisconsin’s training and credentialing landscape for direct care workers, particularly spotlighting personal care aides, who play a vital role in HCBS and…
Visualizations
The 5 Pillars of Direct Care Job Quality
PHI's new framework for direct care job quality spans five pillars and 29 elements.
Creating a Strong Direct Support Workforce
Direct support professionals support people with disabilities to lead self-directed lives.
Fact Sheets
Competitive Disadvantage—2024 Update
This fact sheet compares direct care wages to similar or lower entry-level occupations.
Direct Care Workers: Equity (Executive Order Series)
This fact sheet explores the possibilities related to equity for direct care workers in President Biden's April 2023 executive order.
