Home and community based services (HCBS) have steadily become a viable choice for aging and disability care after decades of campaigning to make care available in responsive environments that are grounded in peoples’ support systems. At the same time, the private equity industry, which has left a wake of destabilization in facility-based healthcare like nursing homes and hospitals, has been turning its attention to additional sectors across the care economy including HCBS. If left unchecked, private equity’s extractive business model may damage HCBS infrastructure at a moment when its stability and expansion are of the utmost importance.
July 15, 2025