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Pulse brief · 1 cited source · July 23, 2026

Home care CEO warns dementia's family burden could drain the paid workforce

Dementia and Alzheimer's disease are projected to cost the United States $818 billion in 2026.

Dementia and Alzheimer's disease are projected to cost the United States $818 billion in 2026, and a new study in Alzheimer's & Dementia estimates that families and individuals shoulder more than 80% of dementia's societal costs through unpaid caregiving, lost earnings, out-of-pocket expenses, and quality-of-life losses. Faris Flournoy III, CEO of Georgia-based home care management company Flournoy Health Systems, told Home Health Care News he expects that burden to shrink the paid workforce as workers exit health care — and the workforce altogether — to become family caregivers. The home health workforce shrank by more than 3.4% in the pandemic's first year, and 800,000 more workers could leave by 2027, the outlet has previously reported. Flournoy said low Medicaid reimbursement is already pushing workers toward higher-paying jobs and some providers out of Medicaid entirely, and he projects dementia's cost could exceed a trillion dollars over the next decade.

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Dementia Trends Could Shrink Home Health Workforce, Flournoy Health Systems CEO WarnsAdditional source · homehealthcarenews.com · Jul 9
  • Flournoy warns that dementia's growing burden could shrink the home health workforce as workers exit health care — and the workforce altogether — to become family caregivers.
  • Dementia and Alzheimer's disease are projected to cost the United States $818 billion in 2026.
  • A new study in Alzheimer's & Dementia estimates that families and individuals shoulder more than 80% of dementia's societal costs through unpaid caregiving, lost earnings, out-of-pocket expenses, and quality-of-life losses.
  • Faris Flournoy III is CEO of Flournoy Health Systems, a home care management company based in Milledgeville, Georgia.
  • The home health workforce shrank by more than 3.4% in the pandemic's first year, and 800,000 more workers could leave by 2027, Home Health Care News previously reported.
  • Flournoy said low Medicaid reimbursement is pushing workers toward higher-paying jobs.
  • Flournoy said some home and community-based service providers are exiting the Medicaid systems and going private.
  • Flournoy projects dementia's economic burden could exceed a trillion dollars over the next decade.