Nonagency Service
Nonagency workers, or independent contractors, are hired by either a family member or the person needing help. While this may appear less expensive, it could involve some hidden costs and risks:
• Whoever hires an independent contractor must pay all appropriate payroll taxes because, technically, that person is the employer.
• If the independent contractor is injured on the job, the person who hires the individual is responsible for medical bills and any other expenses.
• If the independent contractor is sick or goes on vacation, he or she is not obligated to find a replacement.
• Because people often hire an independent contractor without first conducting the proper background checks, they may be leaving themselves or their loved ones open to theft, fraud and-in rare cases-even abuse.
Agency Service
Companies such as Interim HealthCare employ individuals to provide specific services that help with activities of daily living such as preparing meals, light housework, bathing and companionship. The agency can alleviate consumers of many of the problems they may face if they hire an independent contractor because it is responsible for taxes, insurance, bonding and workers' compensation. Also, if an employee is sick or goes on vacation, the agency provides another employee to perform the needed services.
The home care agency provides training for its employees and ongoing supervision as well. This helps the agency monitor and respond to the changing needs of clients, ensuring that the appropriate level/skill of caregiver is assigned. The agency also conducts background checks according to state law.
In addition, the agency is often licensed to provide a higher level of home care (skilled nursing, for example) for individuals. That means that as a person's needs change, he does not need to work with more than one company. Working with one company can make it easier to access formal payer sources such as Medicare.
