Diversify Home condition - Home Care and Hospice Services to obtain Your Agency's Financial time to come

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Have you ever heard the guidance to not put all your eggs in one basket? Well the guidance is good, especially if you are a Home Health, Home Care or Hospice agency. "Putting all your eggs in one basket" in the Home Health, Home Care or Hospice business means having only one line of business. In today's environment, one line of business is a risky path to walk. Already we have seen repeated cuts to the Home health reimbursement formula, and Hospice is under scrutiny and will probably see some rather dramatic cuts in the future. Some Home Care (Private Pay) agencies are seeing a decline in both clients and hours, as well. Just as the chant "location, location, location" is cited for a business success, diversification is the same for agencies in the Home Health, Home Care and Hospice industry.

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As a Home health or Hospice agency, you may be asking how you can diversify. You already take secret insurance, much of which doesn't even cover your expenses. Where can you diversify?

Years ago, many Home health agencies invested in secret duty services. Unfortunately, many of them tried to run these agencies the same way they ran the Medicare-Certified agencies. This turned out to be a less than a financial success for them and, as a result, most of the agencies ended their secret Pay agencies or sold them. I was one of those administrators running both types of agencies. Fortunately, the corporation that owned the agency I managed understood the differences required to successfully control these two very definite businesses. As a result, the internal structures and systems for secret Pay were run with entirely distinct staff and procedures. Fortunately, the secret Pay agency was a financial success and a great partner for the Medicare business.

In today's environment, it may be wise for Medicare agencies to look again at the secret Pay business and spend in another line of business that will not be subject to the changes of Cms. This holds true for both Medicare Home health and the Hospice agencies. The opportunities in a secret Pay agency are endless. The services offered are as open and vast as the community served will support. By using the lessons learned from the former attempts to diversify into secret Pay, the new line of business makes the contrast in the middle of surviving and thriving.

For secret Pay (Home Care) agencies, diversification is just as important. By having only one or two lines of business, you will very likely have some down times with loss of revenues. Diversification of services helps to diminish the effects of the decline on your personal care or live-in services. There are so many opportunities in the secret Pay arena, it no ifs ands or buts is a matter of seeing out what your marketplace will reserve and then developing it in such a manner that your customers will see value and buy.

Over the years I have seen some very creative and innovative secret Pay agency owners create truly unique services that were well received by their communities. One agency had a very viable service line in cruise companions. They had a high end senior population that were used to cruises, but because of declines in health and abilities, many of the seniors could no longer travel. The agency advanced a ageement with a major cruise line where they in case,granted the personal care workers or aides that accompanied the senior on the cruise. The client paid for all the related cruise expenses as well as the daily live-in rate for the aide. Reportedly a great time was had by all.

Another agency advanced a Mom and Babe program that catered to the large whole of young, educated families in their geographic area. The program retained the services of an Ob-Gyn Rn, who made the first visit to the home the day after the mum was discharged from the hospital. The aide, who was a trained doula, also accompanied the Rn on the first visit. The services were bundled into either 5- or 7-day, 12 hour/day packages that included the Rn visit and the 5 or 7 days of the specialty aide. The aide not only cared for the mum and baby, but tended to the home and other children, allowing the new mum and baby to have bonding time. The aide planned and cooked the meals and did the laundry and light housekeeping so that the mum could rest. The program, as mentioned, was sold as a package and made great shower gifts. The aide was ready on an hourly rate to continue services beyond the package if the house wished, or her services could be bought by the house directly for any way long they were needed.

As you can see, there is no limit to what your agency can provide. With suitable due diligence and an quality to listen to what your community is seeking and willing to pay for, you can do anything.

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