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Cost-of-care study: consultants say infant/toddler care is most expensive and current subsidies and wages undermine sustainability
Summary
Brodsky Research told Montgomery County council members that provider costs (estimated at roughly $21,000 per infant/toddler in the model and about $14,000 for preschoolers) exceed many current subsidy rates, creating pressure to keep wages low and driving providers to prefer older children.
Montgomery County’s cost‑of‑care presentation at the Nov. 7 joint committee meeting showed that delivering high‑quality infant and toddler care is significantly more expensive than preschool care, and that current revenue mixes and market wages make it difficult for providers to sustain higher quality while paying competitive wages.
"For a baby or a toddler at the middle level of quality, it's $26,000 a year," Andrew Brodsky, president of Brodsky Research and Consulting, told the committee in an illustrative example. He said a typical center‑model example averaged roughly $21,000…
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