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Leading Home Care

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Lyndon, KY
Leading Home Care

Leading Home Care is a consulting and publishing company serving in-home personal care companies.

Leading Home Care is a boutique consulting and publishing company serving home health care, hospice, and private duty home care across the US and Canada. We work with CEOs and C-suite leaders who want to grow their businesses and get ready for the future. Our services including keynote speeches, strategic advisory services, and leadership development.

06/03/2025

Here's a new article on scheduling and schedulers that I wrote for AxisCare. They are doing a series of articles and videos on scheduler frustration, burnout, and turnover.

https://axiscare.com/blog/solving-scheduling-challenges-in-home-care/?utm_campaign=13024833-Scheduling%20June%202025&utm_source=StephenTweed&utm_medium=Link&utm_term=Scheduling

05/06/2025

Today, May 6, 2025 is National Nurses Day. Please join me in celebrating all the nurses you know. Encourage them with gratitude for all they do.

04/08/2025

Home Care Industry Leader Spotlight: Stephen Tweed

From Martha's Hands Home Care

No person has had as much positive impact on the Home Care Industry as Stephen. He has offered, whether directly or indirectly, guidance, advice and counsel to almost all the franchises, major national/regional operators and small/mid-sized agencies.

While he can lean on his own personal & professional experiences in Home Care, Stephen remains a student of our industry. Whether it is conducting polling, researching or just talking with successful agency owners, Stephen has a comprehensive grasp of what is happening, what is working and why things don't work in Home Care.

As Founder of Leading Home Care, we first met Stephen at industry conferences, first the NPDA, and now the Home Care Association of America. We would connect with him during this time, eventually getting him to Missouri for our Private Duty Conference through the Missouri Alliance for Home Care.

Our relationship continued over the years. We are fortunate to have been a part of his first HOMECAREceo Forum Mastermind Group, the Top 5% Group, in 2012. We not only respect your advice but cherish your friendship!

If you are a Home Care Agency Owner/Leader, we strongly encourage you to join one of their Mastermind Groups. It will help you grow to the next level.

Stephen - the Home Care Industry thanks you! This includes others that are or have been a part of your Mastermind Groups in the past: Andy Tysinger, Krystal Wilkinson, Kyle Bossung, John Bennett, Richard Hargrove, Gabrielle Hoing, Andrea Cohen, Shelley Wilson, Jeffrey Wiberg, and Jake Fackrell.

02/25/2025

What do Artificial Intelligence, Remote Patient Monitoring, Telehealth, Tablet Based Communication, and Virtual Reality Training have in common?

According to the 2025 Future of Home Care study conducted by Leading Home Care and Sponsored by AxisCare, these are the top five trends shaping the future of technology in Home Care.

Admittedly, the Home Care industry is a few years behind other industries in adapting new technology to the business. However, this survey of over 250 leaders of Home Care companies at the top of our industry showed that they are very much interested in the development of new technologies, and the application of those technologies to the business of caring for older adults at home.

Just over 54% of the respondents said that they see AI as very important or extremely important to the future of the Home Care industry. There are many ways leaders are using AI in Home Care, but the top three are:

1. Assisting in Marketing, writing and crafting messages for email marketing, blog posts, and SEO
2. Improving Caregiver and Client Scheduling, assisting with client/caregiver matching, filling unscheduled shifts, and analyzing data to monitor alarm triggers.
3. Fine tuning Caregiver Recruiting and Retention by writing improved job ads, improving the effectiveness of Social Media, and evaluating results.

How do you see AI and these other technologies affecting the future of your business?

How are you applying these technologies to grow your business and get ready for the future?

02/06/2025

Here is a personal invitation to all owners, CEOs, and leadership team members from Home Care companies who want to grow your business and get ready for the future.

Leading Home Care, and AxisCare, have just released the final report for the 2025 Future of Home Care Study. We will be conducting an open webinar for any home care leaders who want to know more about the factors that will be affecting the future of our industry.

Join me, and the team from AxisCare, on Wednesday, February 12, 2025 at 4:00 pm eastern time for all the data and information from this survey of 250 Home Care Leaders. We will also give you our analysis of this data, and what we think it means to you for the future of your company.

See the link to register and receive a login for the webinar in the comment below. See you then.

05/21/2024

A recent Rule from the U.S. Center for Medicare and Medicaid Services (CMS) requires Home Care companies serving Medicaid beneficiaries to pay 80% of their Medicaid reimbursement revenue to Direct Care Workers.

Specifically, the "Ensuring Access to Medicaid Services Final Rule" (CMS - 2442-F) "Requires that, in six years, states generally ensure a minimum of 80% of Medicaid payments for homemaker, home health aide, and personal care services be spent on compensation for direct care workers furnishing these services, as opposed to administrative overhead or profit, subject to certain flexibilities and exceptions (referred to as the HCBS payment adequacy provision)."

At The Home Care CEO forum, we have been studying this Rule and the potential impact on Medicaid beneficiaries, caregivers, companies providing Home Care, and local communities. Industry data show that Home Care companies currently spend between 64.5% and 65.6% of revenue on caregiver wages and other direct costs of care. This gives them a Gross Margin of 34.4% to 35.5%. Data from the Home Care CEO Forum show that member companies that receive the majority of their revenue from Medicaid spend about 72% of their revenue on the Direct Cost of Care, and have a Gross Margin of 28%

This new Rule will take the Direct Cost of Care to over 80% and reduce Gross Margin to under 20%.

What do you think will be the impact on Medicaid Beneficiaries, caregivers, local communities, and state Medicaid programs when this new rule is implemented over the next six years?

Address

Lyndon, KY

Opening Hours

Monday	9am - 5pm
Tuesday	9am - 5pm
Wednesday	9am - 5pm
Thursday	9am - 5pm
Friday	9am - 5pm

Website

http://www.leadinghomecare.com/

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