The business of care at home.
Long-form conversations with the people running home care, home health, and hospice agencies — about staffing, payers, cash flow, and growth.
A season-long question
Referrals come in. Patients need care, caregivers need scheduling, authorizations need tracking, visits need verifying, documentation needs completing, and claims need to turn into cash. Somewhere in between all of that, an enormous amount of manual work happens — and time and revenue quietly slip through the cracks. This season is an attempt to find out where.
Built for operators.
Every episode is a working conversation with someone who runs an agency or serves the people who do. We ask about the things that actually decide whether an agency grows: hiring caregivers, getting paid, staying compliant.
Long enough to say something.
35 to 45 minutes, one guest, remote video. Released weekly across the season.
Voices from across the country.
Agency founders, association leaders, and the people who hold the industry's benchmarking data — from single-market independents to national platforms.
Episode 1
Building your own tools, and billing the VA
Daniela Jonguitud, Founder and CEO, Chajinel Home Care Services — in conversation with host Abeer Raza.
Daniela runs a home care agency and decided to build her own systems rather than take what was on the shelf. She walks through that decision, and what VA Community Care billing actually looks like from inside an agency.
Across the season
The business behind the care
Twelve to fourteen episodes with operators, association leaders, and the people who know the numbers.
Staffing and retention
recruiting caregivers in a tight labor market
Payer complexity
denials, underpayments, and getting paid for care already delivered
EVV and compliance
surviving surveys and visit-verification mandates
VA Community Care
the payer most agencies overlook
Medicaid managed care
serving the hardest payer profitably
Growth stories
the $1M to $10M journey, and what breaks at each stage
AI in home care
what actually helps, from an operator's view
Aging in place
the village movement and the demand side
Policy and workforce
what's coming nationally
Exits and consolidation
what agencies are worth, and who's buying
Abeer Raza
Host, Built to Care
Abeer is a serial entrepreneur, keynote speaker, and growth advisor who writes on entrepreneurship and leadership for Entrepreneur and Forbes.
He came to home-based care with the instinct to look at a business problem and ask what could solve it. But most of the painful parts of running an agency already have something handling them. Whether that makes it a technology problem or a systems problem is the question he keeps circling.
He hosts every episode. The format is deliberately simple: one guest, forty minutes, and questions about the business of running an agency — asked by someone still working out the answers.
One question, if you run an agency
What's the one part of running your agency that is still far more painful and manual than it has any right to be?