Home Health Platforms · REVENUE
Referral-to-Admission Performance.
More admissions from the referrals you already receive and the sources you already serve: faster intake, authorization handled at the front door, non-admits recovered, and liaisons focused on the sources that convert.
The problem this solves
- Referrals arriving by fax, portal, phone and EMR, triaged differently in every branch
- Admissions lost while eligibility, authorization or staffing is confirmed
- Liaison time spread evenly across sources regardless of conversion or payer mix
What we measure
- Referral-to-admission conversion rate
- Time from referral to start of care
- Authorization turnaround and denial rate by payer
- Admissions per liaison, or move-ins per community sales lead
Every program starts by baselining these numbers in your systems. Results are reported against your baseline, not against industry averages.
The playbook
01
Unified intake
Referrals captured from every channel into one queue: documents read and summarized, eligibility checked and missing items requested automatically, with the intake coordinator making the acceptance call.
02
Authorization at intake
Payer-specific authorization requirements checked at referral, submissions assembled, status tracked, and denials routed for appeal with the clinical record attached.
03
Referral source performance
Referrals, conversion, time to start of care and payer mix by source and liaison, so territory plans follow what converts. In senior living, the same discipline applies to inquiries, tours and move-ins by lead source.
The market context, in published numbers
75%
of US adults aged 50 and older wish to remain in their current homes as they age
760,500
openings projected each year, on average, for home health and personal care aides over 2025 to 2035, with employment projected to grow 18%
55%
of eligible Medicare beneficiaries (35.2 million of 64.2 million with Parts A and B) were enrolled in Medicare Advantage plans in 2026
Nearly 53M
prior authorization requests were submitted to Medicare Advantage insurers in 2024; 7.7% were denied in full or in part, just 11.5% of denials were appealed, and 80.7% of appeals were partially or fully overturned
1.3%
estimated aggregate decrease (about $220 million) in Medicare payments to home health agencies for CY 2026 versus CY 2025 under the final rule
89.9%
average US senior housing occupancy in the second quarter of 2026, the 20th consecutive quarter of increases (NIC MAP data)
Figures are third-party market benchmarks from the cited sources, not Ometz Partners client results. We share them so you can size the problem before we ever talk.
Capabilities
What the Commercial Growth program covers.
Pricing and margin analytics
Price waterfalls and discount, rebate and mix analysis by customer, product and seller, with escalation and pass-through terms for raw-material, ingredient and freight swings.
Quote, RFP and proposal acceleration
Quote and proposal workflows redesigned, with first drafts assembled automatically from approved content, technical data and pricing guardrails.
Segmentation and coverage
Accounts, distributors, referral sources and prospects segmented by value and potential, with coverage models matched to what each segment is worth.
Inquiry response and qualification
Web, phone, referral and portal inquiries answered quickly, scored against your criteria and routed to the right seller or advisor with context attached.
Targeted demand generation
Outbound, content and search programs aimed at defined segments and buying committees, including visibility when buyers ask AI assistants, measured by qualified pipeline rather than activity.
Cross-sell and retention signals
Early flags on expansion potential and attrition risk from purchasing, service and account data, with a suggested next step for the relationship owner.
Commercial operating rhythm
Pipeline reviews, forecast calls and dashboards on a weekly cadence, built on CRM data your team no longer has to maintain by hand.
Also in the Home Health Platforms program
MARGIN
Caregiver Capacity & Visit Delivery
Staff more of the hours and visits you are already authorized to deliver: a faster recruiting funnel, fewer early-tenure exits, and schedules that close gaps before they become missed visits.
VALUE CAPTURE
Agency Acquisition & Revenue Cycle Integration
Acquired branches onto one EMR, one revenue cycle and one reporting layer, with referral sources and caregivers retained through the transition and cash protected at conversion.
Next step
Size this opportunity in your own numbers.
The Performance Diagnostic runs for two to four weeks at a fixed fee and ends with a baseline, three priced improvement plays and a 90-day plan. The findings are yours whether or not we continue.