Kenyon Connects

AGENCY STARTUPS & DIVERSIFICATION

Starting a home care agency
By Ginny Kenyon May 5, 2026
Here is the "ABC" guide to building a successful foundation for your starting your new home health, home care or hospice agency. It is necessary for success.
business plan
By Ginny Kenyon April 1, 2026
Whether you're pitching to investors or just trying to keep your own head on straight, a professional business plan is vital. Here's help in putting one into place.
Dos and Don'ts of starting an agency
By Ginny Kenyon March 13, 2026
Whether offering non-medical or skilled medical care home health, the process requires careful navigation of state-specific legalities, staffing, and operations.
Home Health Care success
September 9, 2025
As a national consultant, I engage with companies all over the country. A big challenge in agencies is the inability to differentiate from the competition.
February 19, 2022
We frequently get calls about those looking for help starting a home care, home heath, and hospice agency. It’s part of what we do. However, it is important that those looking to jump into the homecare and hospice arena understand the process, the cost, and whether it is a good fiscal move. Here are some things to consider ahead of time to help determine if you are prepped for success.
February 6, 2022
Have you wanted to start up a new program or diversify services in your agency? Many home health agencies see patients with private payers as well as Medicaid, but have stayed clear of the Medicare world. If that is you, then let’s talk about some things to consider when making your decision to become Medicare certified.
December 18, 2021
About thirty years ago, most home health agencies were non-profit Medicare agencies. Many had private pay home care as part of the organization's services. Back then, most of the Medicare agencies were VNAs or attached to a hospital system. We had our Medicare caseload and then there was the private pay which also included the DSHS Chore Services personal care program. There were few free standing private pay agencies. Approximately twenty years ago many of the Medicare agencies began to drop their private pay programs. It was about that time that that HCFA, now CMS began to allow for-profit organizations to participate in the Medicare Home Health benefit. The Medicare rules began to be enforced and those agencies which ran the private pay home care with the Medicare began to close the private pay sections because they were losing money. Most of that had to do with running the agencies under the Medicare license thus costing considerably more with less income to balance the P&L.
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