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What Medicaid’s 2026 Policy Shifts Mean for Your Agency’s Revenue Model

Key Findings: More than 45% of home care leaders say the One Big Beautiful Bill will have a very large or huge impact on their ability to scale, and 55% name the Medicaid provider tax reduction as the biggest operational challenge arising...

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EVV Compliance in 2026 Is No Longer a Checkbox — It’s...

Key Findings: 37 states now enforce EVV for personal care services and 44 enforce it for home health care services, with most requiring at least 85% EVV accuracy to avoid penalties, claim denials, or FMAP reductions (AutomationEdge CareFlo,...

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Why Caregiver-Client Matching Is a Retention Strategy, Not a Scheduling Task

Key Findings: Agencies that improved caregiver-client matching saw caregiver turnover fall from 79% to 75% between 2023 and 2024 (CareBravo, 2026). Poor matching is one of the three most cited reasons clients leave before the 13-month...

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Pajama Time in 2026: Is the Caregiver Documentation Burden Costing You...

Key Findings: "Pajama time" — unpaid hours spent finishing clinical notes at home after visits — is one of the leading causes of caregiver burnout in 2026 (MyEZCare, March 2026). Around 20% of documentation time can be saved through...

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Private Pay Home Care in 2026: Why Payer Mix Now Decides...

Key Findings: Medicare home health absorbed its fourth consecutive CMS payment cut in 2026, while private pay operates outside CMS rate adjustments entirely (ShiftCare, June 2026). Private duty margins reach 40–60% compared with 10–20%...

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Why Do 70% of New Caregivers Quit Within 100 Days? The...

Key Findings: 70% of newly hired caregivers quit within their first 100 days (ShiftCare, April 2026). Every caregiver departure costs an agency between $2,600 and $5,000 in recruitment and training (ShiftCare, 2026; EngineHire, March 2026)....

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