#40 A $5M home care company can have upwards of 300-500 communication touch points in a single day. It’s not uncommon for an agency to be using 8-12 tech tools and for caregivers to interphase with 3-5 every week. Technology often feels like the root of many issues, even turnover, but often times it’s actually the integration and implementation of these tools. Denise DiSano, the Founder and CEO of enCappture breaks down her 3 C’s framework to analyze and improve your tech selection, adoption, and consolidation.
Sponsors:
#39 Melissa Morante didn’t come from home care—she came from New York PR—but since joining her family’s agency in 2016, she’s become one of South Florida’s go-to experts on Parkinson’s and chronic illness care. In this episode, she shares how that deep dive into Parkinson’s led to her building a network of support groups that now serve hundreds of families looking for education, community, and relief from caregiver burnout. We talk about what it really takes to run effective support groups, why consistency matters more than structure, where she hosts these groups, and how these gatherings have become one of the agency’s most meaningful differentiators. Melissa also opens up about the challenges and the opportunities ahead as they expand into other chronic illnesses and community partnerships.
Episode brought to you by:
SmartAutomations.Care smartautomations.care
Helper Heroes helperheroes.com
Live @ HCAOA—20-minute conversation with Clayton Foutch, CEO of Home Matters Caregiving
Sponsors:
Live @ HCAOA—20-minute conversation with Michelle Cone, SVP of Industry Engagement at HomeWell Franchising, Inc.
Sponsors:
Live at HCAOA—30-minute conversation with Stephen Tweed, Founder/CEO of Leading Home Care
Highlights
#38 Most home care agencies talk about “differentiation,” but the Supported Living Group in Connecticut is actually doing it. In this episode, Executive Director Jamie Arber breaks down how his team built a high-acuity, high-retention brain-injury program anchored by Medicaid waivers (ABI), brick-and-mortar program sites, creative arts and vocational services, and an in-house clinical team. He explains the financial model (including $60K–$350K waiver budgets), how programs extend client lifetime value, and why specialization protects margins. Jamie also shares what Medicaid waiver work really requires—operational sophistication, rapid responsiveness, the ability to bolt on profitable private-pay and workers’ comp layers and more.
Sponsors:
Live at HCAOA—15 minute conversation with Jenny Cambra, CEO of Senior Helpers Honolulu
Highlights:
Sponsors:
Live at HCAOA—45 minute conversation with Carmen Perry, the VP of Provider Engagement @ Paradigm
Highlights:
Sponsors:
#37 42% of Direct Care Workers rely on public health coverage and on average only 32% of agencies doing $1.6-4.9M in annual revenue are offering major medical. Joseph Kitonga, CEO of Vitable, breaks down what small, medium, and large agencies need to know about ACA compliance, nuances for part-time and FTEs, major medical plan options, and other advice and warnings when it comes to offer major medical. (See the chapter highlights below to skip to the content relevant to your size.)
Chapters:
00:00 Introduction to Home Care and Health Insurance
06:09 Joseph's Journey and Founding Vitable Health
15:23 Common Misunderstandings in Health Insurance for Home Care
20:50 Exploring Health Insurance Options for Home Care Agencies
27:41 Understanding ACA Compliance and Employee Classification
30:40 Strategies for Small Home Care Agencies
38:51 Navigating Compliance for Mid-Sized Agencies
44:58 Benefits and Challenges for Large Home Care Companies
50:36 Preparing for Future Changes in Medicaid and Employee Needs
Sponsors:
Live at HCAOA—20 minute conversation with Chaim Gewirtzman, CEO @ NCE Home Care
Highlights:
Sponsors:
Live from HCAOA—45 minute conversation with Connor Sweeney, Co-Founder at CallBaba.Com
Highlights:
Sponsors:
Live from HCAOA—15 minute conversation with Jennifer Axelrod, with A Place at Home
Highlights:
Sponsors:
#36 Too many home care leaders struggle to offer wages and benefits that truly support and retain their care staff. In this episode, Gabby Hoing, CEO of Kore Cares in South Dakota, breaks down her detailed wage, bonus, and benefits programs and explains why they work. She also shares how her office team conducts quarterly check-ins with every caregiver to gather feedback, understand their needs, and ensure meaningful support. It’s a highly informative and also inspiring conversation with a leader who started as a CNA and is now committed to elevating and supporting the people who care for our aging population.
Sponsors:
Live from HCAOA—20 minute conversation with Matt Ericksen, VP of Sales at Griswold Home Care Corporate Office in Blue Bell, PA.
Highlights:
Sponsors:
LIVE from HCAOA—45 minute conversation with Janice Rehkopf, Director of Client Services at Comfort Keepers in Traverse City, MI.
Highlights:
Sponsors:
LIVE from HCAOA—15 minute conversation with Carl Bossung, Co-Founder of Senior1Care in Indiana.
Highlights:
Sponsors:
#35 Technology is ending the era of dual-entry between phone calls and scheduling platforms in home care. Spencer joined the family-owned home care business three years ago and identified a handful of manual processes that needed attention immediately. Fast forward, he’s built a tool called SmartAutomations.Care that connects the phone system to your scheduling software and automates the documentation and communication of every single call that comes into the office so that nothing gets missed. He explains the workflows, the data that’s captured, success stories, and the results. This is the future of home care—removing dual entry, increasing efficiency, making office members 2-4x more efficient, and elevating the quality of care.
Sponsors:
#34 People don’t care how much you know until they know how much you care. Jane Francis, EVP of Business Development at Senior1Care in Indiana, is newer to home care, but she brings deep experience in nursing, sales, leadership development, and scaling businesses. She took over a newly acquired, underperforming Medicaid office and transformed it into a 75% private pay operation, achieving 100% year-over-year growth. Along the way, she rebuilt the culture, redesigned processes with people at the center, and is now applying these strategies across six offices. Jane shares her process, the people who inspired her, and the decisions behind Senior1Care’s cultural turnaround, despite being an established successful company.
Chapters:
00:00 Introduction to Jane Francis and Senior One Care
01:51 Lessons Learned from a Diverse Career
12:53 Joining Senior One Care: A New Chapter
13:47 First 90 Days: Building Relationships and Trust
18:32 Shifting the Business Model: From Medicaid to Private Pay
22:49 Leadership and Culture: The Secret Sauce
29:44 Operational Improvements: Structuring the Intake Call
35:18 Re-structuring Office Roles and Responsibilities
40:57 Re-building a Strong Leadership Structure
45:34 Focusing on People for Profits
52:25 Creating a Growth Mindset Culture
56:43 Navigating Change in Established Companies
01:00:59 Innovating Home Care for Longevity
01:03:20 Future Trends: Holistic Aging
Episode brought to you by:
SmartAutomations.Care smartautomations.care
Helper Heroes helperheroes.com
#33 Becky Reel is the former CEO of North America’s #1 home care agency and in this episode we unpack six of the most common growth challenges home care owners face—and how to overcome them. We talk through the pushing through revenue plateaus, the caregiver exodus, the burned-out founder, the corporate competition crisis, the success trap of growing too fast, and the work-life collision that happens when your agency becomes your identity. Becky shares real stories from her first hand-experience and practical systems she’s used to help owners regain time, rebuild culture, and grow sustainably.
Chapters:
00:00 Introduction
01:37 Becky's Journey in Home Care
04:04 The Startup Phase of Home Care Agencies
08:03 Addressing the Caregiver Exodus
29:38 Overcoming Revenue Plateaus
37:28 Balancing Quantitative and Qualitative KPIs
40:36 Navigating Corporate Competition in Home Care
52:36 The Success Trap: Growing Too Fast
01:02:18 Work-Life Collision: Finding Your Identity Beyond the Agency
Episode brought to you by SmartAutomations.Care (www.smartautomations.care)
It's a seamless software that captures everything from phone calls to in-person visits and logs it directly into your scheduling software. No extra steps. No missed details.
#32 Eric Reinarman, VP of Government Relations at HCAOA, covers the most pressing policies being talked about on Capitol Hill. From immigration reform and workforce shortages to affordability of care and the controversial 80/20 Medicaid rule, he breaks down what’s happening in Washington and how it could reshape the industry. We also talk about the power of advocacy, why storytelling moves policy forward, and how every provider—big or small—can make their voice heard. Plus, he covers a major win with the Elizabeth Dole Home Care Act and shares practical ways to stay informed and involved at the state and federal level.
Chapters:
00:00 Introduction to Home Care Advocacy
03:04 The Immigration Challenge in Home Care
06:10 Advocacy and Legislative Efforts
08:58 The Importance of Storytelling in Immigration
11:58 The Affordability of Home Care
17:03 Innovative Solutions for Affordability
23:43 Current Legislative Landscape on Non-Competes
29:41 Understanding Non-Compete Agreements in Home Care
34:11 The Controversy of the 80-20 Rule
39:39 Preparing for Potential Changes in Medicaid Regulations
50:53 The Impact of the Elizabeth Dole Home Care Act
01:00:07 The Value of Advocacy and Association Membership
This episode is brought to you by 24/7 Solutions (www.247solutions.co)
What do they do: