When to Add Medicaid Without Killing Your Private‑Pay Margins
Most new non‑medical home care agencies face a single avoidable mistake: adding Medicaid at the wrong time and watching private‑pay margins evaporate while operations scramble. Drawing on Scott McKenzie’s direct experience and HCAB’s review of 531+ licensed agency launches, this episode gives a CEO‑level decision framework for when to pursue Medicaid enrollment, how long to postpone it, and the exact operational tradeoffs you must plan for. Daniel leads with the ownership-level math; Claire maps the regulatory realities (including how the One‑Year Medicaid timing and California Home Care…
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