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What is Private Duty In-Home Care, Skilled In-Home Care, and Home Based Primary Care?

Private Duty in-home care and Skilled in-home care are two types of home care services that offer assistance to individuals who require support in their own homes. While they share similarities in providing care at home, there are differences in terms of the level of care and the qualifications of the caregivers involved.

Home Based Primary Care involves a team of healthcare professionals who visit patients at their homes to deliver primary care services.  To understand who can benefit from these services, details are below.

Private Duty Home Care Provider


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Private Duty In-Home Care

Private duty in- home care, also referred to as non-medical home care or custodial care, focuses on providing assistance with activities of daily living (ADLs) and companionship. Private Duty can range from a few hours a week to 24-hour care. It can be provided on a short-term or long-term basis depending on the needs of the senior.  Private duty caregivers are typically certified nursing assistants (CNAs) or home health aides (HHAs). They can assist with tasks like bathing, dressing, grooming, toileting, meal preparation, light housekeeping, medication reminders, and transportation.

Any Senior can elect to use private duty in-home care, but it is important to note that it is usually paid for out-of-pocket, although some long-term care insurance policies and Veterans benefits may cover private duty hours. Depending on you location, care can range from $24 to $38 per hour.  Based on income, there are also community organizations that will cover private duty hours. Contact your Community Organizations for more information.

What are the benefits of using Private Duty In-Home care?

Personalized assistance: Private duty home care provides personalized care tailored to the specific needs and preferences of each individual. Caregivers work closely with clients and their families to develop a customized care plan that addresses their unique requirements and promotes independence.
Assistance with activities of daily living: Private duty caregivers can help with various activities of daily living (ADLs), including bathing, dressing, grooming, toileting, mobility assistance, meal preparation, and medication reminders. This support enables individuals to maintain their personal hygiene, nutrition, and overall well-being.
Companionship and emotional support: Loneliness and social isolation can have a significant impact on a person’s mental and emotional well-being. Private duty caregivers offer companionship and emotional support, engaging in conversation, accompanying individuals on outings or activities, and providing social interaction and stimulation.
Safety and fall prevention: Private duty caregivers can help create a safe living environment for individuals by identifying potential hazards, implementing fall prevention measures, and providing assistance with mobility. This can reduce the risk of accidents and promote a safer living space.
Respite for family caregivers: Private duty home care can provide much-needed respite for family caregivers who may be responsible for the primary care of their loved ones. Having a trained caregiver come in and assist with caregiving tasks allows family members to take a break, tend to their own needs, and prevent caregiver burnout.
Flexible scheduling: Private duty home care offers flexibility in terms of scheduling and the level of care needed. Caregivers can be arranged for a few hours a day, overnight, or 24/7, depending on the individual’s requirements and preferences. This flexibility allows for personalized care plans that can adapt to changing needs.
Aging in place: Private duty home care enables individuals to age in place and maintain their independence and familiar surroundings for as long as possible. Being able to stay in the comfort of their own home can contribute to a sense of security, well-being, and a higher quality of life.
Cost-effectiveness: Private duty home care is often more cost-effective compared to institutional care options such as nursing homes or assisted living facilities. It allows individuals to receive the necessary assistance and support at a lower cost, as they only pay for the services they require.

Private Duty Services include:

⦁ Meal preparation
⦁ Housekeeping
⦁ Personal grooming
⦁ Grocery shopping
⦁ Hygiene
⦁ Laundry
⦁ Minor home modifications
⦁ Medication reminders
⦁ Companionship
⦁ Transportation
⦁ Respite care (help to relieve family members who typically care for their loved ones).

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Skilled In-Home Care

Skilled in-home care, also known as medical home care or Medicare-certified home health care, is provided by licensed healthcare professionals, such as registered nurses (RNs), licensed practical nurses (LPNs), and therapists. These professionals have advanced medical training and can administer medical treatments, monitor health conditions, manage medications, provide wound care, and assist with rehabilitation services. Skilled in-home care is often prescribed by a doctor and is covered by Medicare and many private health insurances.

What are the benefits of using Skilled In-Home Care?

Medical expertise: Skilled in-home care provides access to licensed healthcare professionals, such as registered nurses and therapists, who have advanced medical training and expertise. They can provide specialized medical care, administer medications, monitor vital signs, and manage complex health conditions.
Personalized care: Skilled in-home care focuses on individualized care plans tailored to the specific needs of each patient. Healthcare professionals work closely with patients, their families, and their physicians to develop a comprehensive care plan that addresses their unique medical requirements and goals.
Continuity of care: Skilled in-home care enables patients to receive consistent and continuous care in the familiar surroundings of their own homes. This can contribute to better health outcomes, as caregivers can closely monitor progress, detect changes in health conditions, and adjust the care plan accordingly.
Faster recovery and rehabilitation: For individuals who have undergone surgery, experienced an injury, or are recovering from an illness, skilled in-home care can facilitate a faster and more effective recovery process. Healthcare professionals can provide rehabilitation services, such as physical therapy, occupational therapy, and speech therapy, to support the recovery and enhance functional independence.
Preventing hospital readmissions: Skilled in-home care aims to prevent unnecessary hospital readmissions by providing proactive medical care and monitoring. Healthcare professionals can identify potential complications, manage chronic conditions, and provide timely interventions, reducing the risk of hospitalization and promoting overall well-being.
Convenience and comfort: Skilled in-home care allows individuals to receive necessary medical care without the need for hospitalization or frequent visits to healthcare facilities. It provides a more comfortable and familiar environment, reducing stress and promoting emotional well-being.
Cost-effectiveness: In many cases, skilled in-home care can be a cost-effective alternative to hospital or institutional care. It can help prevent or shorten hospital stays, which can be expensive, while still delivering necessary medical care and support.

Skilled in home care offers a range of benefits that contribute to improved health outcomes, enhanced quality of life, and greater independence for individuals in need of medical care or rehabilitation services.

Home Care Compare Website

The Centers for Medicare and Medicaid Services (CMS) is sharing information about home care providers to permit the public to compare providers on measures of care quality.

Click on the link below to find Medicare-certified skilled home care providers that serve your area and compare them based on the quality of care they provide.

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Browse the logos below to find other vetted, trusted, senior care partners and click their logo to visit their website. Otherwise, click here to schedule a consultation our team can help.

What is Home Based Primary Care?

Home Based Primary Care refers to a healthcare model in which primary care services are provided to individuals in their homes. This type of care is typically offered to elderly individuals who have difficulty traveling to a healthcare facility or who have complex health conditions requiring frequent medical attention.

Home Based Primary Care involves a team of healthcare professionals, including doctors, nurses, nurse practitioners, and social workers, who visit patients at their homes to deliver comprehensive primary care services. This can include routine check-ups, medication management, laboratory tests, wound care, preventive care, and chronic disease management.

The goal of Home Based Primary Care is to provide personalized and coordinated care to patients in their familiar and comfortable environments, promoting their overall well-being and preventing unnecessary hospitalizations or emergency room visits. This type of care also includes caregiver support and education, as many patients receiving home-based care have family members or hired caregivers involved in their daily care.

Home Based Primary Care can improve access to healthcare for individuals who face barriers to visiting traditional healthcare settings and can help to reduce healthcare costs by preventing or minimizing the need for hospitalizations.

If any Senior experiences any of the following you may want to consider Home Based Primary Care.

⦁ Have difficulty getting to the doctor
⦁ Have multiple chronic conditions
⦁ Have been recently hospitalized
⦁ Take several medications
⦁ Frequently visit the emergency room


  • Must be confined to the home for services to be covered.
  • The physician must document the medical necessity of the home visit made in lieu of an office or outpatient visit.
  • The services cannot be for the convenience of the patient, the patient’s family, or the physician.
  • The provider must be able to prove that the home visit was based on the patient’s inability to come to the office.

Benefits of Home Based Care

⦁ Reduced stress of getting to and from the doctor’s office
⦁ Lessens the anxiety faced by families caring for elderly relatives
⦁ Evaluation of the home situation
⦁ Better communication with family members/caregivers
⦁ Reduced dependence on emergency services

 *Landmark Health is similar to Home Based Primary Care, but does have differences that should be mentioned.

Landmark Health is a mobile medical care program serving the Greater Michigan area.

  • Available 24/7-365 days working to keep chronically ill patients healthier at home.
  • In-home routine, urgent and post-hospital visits with 24/7 provider-staffed call center.
  • Landmark works collaboratively with primary care physicians and does not replace.
  • Patient eligibility is determined by the health plan (BCBS or UHC) based on the number and severity of chronic conditions.
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