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April 19, 2025 11 mins

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The caregiver shortage has reached crisis proportions across America, with over 450,000 unfilled positions nationwide while 10,000 people turn 65 daily. How can your agency possibly keep up with escalating demand when finding and retaining qualified caregivers feels increasingly impossible?

We dive deep into AddisonCare, a virtual caregiver system that's changing the math of home care delivery. Unlike basic monitoring tools, this technology works as a digital teammate alongside your existing staff, handling medication reminders, wellness check-ins, health education, and safety monitoring 24/7. The results are striking: agencies report increasing patient capacity without hiring additional caregivers, while simultaneously improving staff satisfaction and boosting caregiver retention.

The financial implications extend beyond operational efficiency. Medicare billing codes for Remote Patient Monitoring and Chronic Care Management offer agencies $58-$115 per eligible patient monthly, with one organization generating over $4,200 in new monthly revenue from just 60 Medicare patients. Many report recouping their technology investment within 60 days, making this a financially viable solution even in challenging times. The most successful implementations start with small pilot groups, leverage internal champions, and emphasize clear communication that this technology enhances rather than replaces the essential human element of caregiving. As client expectations rise while staffing challenges persist, innovative technology may be the key to not just surviving but thriving in today's home care landscape. Ready to explore how you can serve more clients without the constant struggle to hire more caregivers? This deep dive provides the roadmap.

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Episode Transcript

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Speaker 1 (00:00):
Welcome to the Deep Dive.
So if you're in the home carespace right now, you're probably
well, you're definitelygrappling with a big one.
How do you keep up with demand,especially when finding enough
caregivers feels like, well, aconstant uphill battle?
It really does we all knowabout the shortages nationwide,
and today we're going to reallydig into something that might be

(00:23):
a bit of a game changer.

Speaker 2 (00:25):
Okay.

Speaker 1 (00:25):
We're looking at a system called AddisonCare and
how it could possibly helpagencies maybe, like yours,
serve more clients.

Speaker 2 (00:33):
Right.
Support the staff you alreadyhave too.

Speaker 1 (00:35):
Exactly and improve client outcomes.

Speaker 2 (00:37):
Yeah.

Speaker 1 (00:37):
So our mission today is really to get a handle on how
this virtual caregiver systemworks and you know what impact
it's actually having.

Speaker 2 (00:49):
Yeah, and for you listening the scale of this
challenge is really stark whenyou look at the numbers we've
seen.
We're talking a nationwideshortage of caregivers.
I think the figure was over450,000.
Wow.
And then you add thedemographic wave 10,000
Americans turning 65 everysingle day, every day.
Plus nearly half of allAmericans have at least one
chronic condition needingongoing management.

Speaker 1 (01:09):
You put all that together, it's yeah, it's
immense pressure on the system.

Speaker 2 (01:13):
Exactly.

Speaker 1 (01:14):
It really does feel like a pressure cooker situation
.
You've got more people needingcare, but the workforce just
isn't keeping pace.

Speaker 2 (01:21):
And you see the results.

Speaker 1 (01:22):
Yeah, absolutely, agencies having to turn people
away, staff getting stretchedreally thin.

Speaker 2 (01:28):
Overwhelmed.

Speaker 1 (01:29):
Right, and if you're trying to grow, it's just
incredibly tough.
It really brings up that corequestion Can we actually scale
support capacity without justhiring more and more people?
Is there another way?

Speaker 2 (01:39):
And that's exactly where something like AddisonCare
comes into the picture.

Speaker 1 (01:42):
Yeah.

Speaker 2 (01:43):
It's positioned as well more than just another tech
tool, not just basic videocalls or, you know, a panic
button.

Speaker 1 (01:51):
Right.

Speaker 2 (01:51):
It's described as a full virtual caregiver system,
something that works alongsideyour existing team.

Speaker 1 (01:57):
Okay, so integrated.
What can it actually do?

Speaker 2 (02:00):
Well, the key capabilities they talk about are
things like medicationreminders, vital stuff, daily
wellness check-ins, but doneproactively.

Speaker 1 (02:09):
Ah, okay.

Speaker 2 (02:09):
Health, education, coaching, even friendly
engagement reassurance.
So a bit of companionship too,Seems like it and, importantly,
safety monitoring using motionsensors and voice interaction.

Speaker 1 (02:28):
Okay, let's unpack that a bit.
It sounds like it's doing morethan just reacting.
It's proactive, consistentsupport.

Speaker 2 (02:31):
That's the idea.

Speaker 1 (02:31):
And the information suggests it's what.
204.7?
Always on.

Speaker 2 (02:35):
Always available, yes , 204.7.

Speaker 1 (02:37):
For anyone managing a team, that constant
availability.
That must sound like it couldreally change the game for your
clinical staff's workload.

Speaker 2 (02:49):
Absolutely.

Speaker 1 (02:49):
I mean the core concept seems to be offloading
those routine, but you knowessential tasks Like the
reminder calls Exactly.

Speaker 2 (02:52):
Think how many reminder calls your team might
make daily if Addison handlesthat.

Speaker 1 (02:56):
Then your skilled human caregivers can focus
elsewhere.

Speaker 2 (02:59):
Precisely On the more complex stuff, the hands-on
care, building thoserelationships.
That's where their skills arereally needed.

Speaker 1 (03:05):
So it's about reallocating that focus boosting
efficiency so agencies canmaybe take on more clients.

Speaker 2 (03:10):
That's the aim, enabling that capacity increase.

Speaker 1 (03:13):
We're talking potential here, but what about
actual results?
Are agencies really seeing animpact with AddisonCare?
The sources we looked at hadsome pretty compelling numbers.

Speaker 2 (03:24):
Yeah, the reported outcomes are definitely
interesting for anyoneconsidering this.
Agencies finding they'regetting back hundreds of staff
hours every month.
Hundreds of hours, yeah and onespecific example really stands
out.
An agency reported a 28%increase in patient capacity.
Twenty eight percent Within sixmonths and this is the key part
without hiring additionalcaregivers.

Speaker 1 (03:46):
Wow OK, a 28 percent jumping capacity, no new staff,
that's a pretty big deal.

Speaker 2 (03:51):
It really highlights the scalability potential,
doesn't it?

Speaker 1 (03:53):
Sure, and it's not just about the numbers, is it
the information also talkedabout the impact on the staff
themselves, their well-being andsatisfaction?

Speaker 2 (04:02):
Yes, and that's crucial for morale, for
retention which is a huge issuein caregiving.
Definitely the sources suggeststaff satisfaction actually goes
up when caregivers aren'tbogged down by, say, constant
routine monitoring or piles ofdocumentation.

Speaker 1 (04:16):
Which takes up a lot of time.

Speaker 2 (04:18):
Apparently up to 30 percent of their time, according
to one source, when they'refreed from that.

Speaker 1 (04:22):
They can focus on the more rewarding part.

Speaker 2 (04:24):
Exactly the meaningful direct care, Using
their skills, making thatconnection that seems to lead to
higher job satisfaction.

Speaker 1 (04:32):
That makes sense.
Less burnout from the routinegrind.

Speaker 2 (04:35):
They felt less burdened by paperwork, basically
, and had more quality time withclients.
That seemed key.

Speaker 1 (04:41):
Okay, and what about the clients?
How do they feel about havingthis virtual layer of support?

Speaker 2 (04:46):
Well, from what we gathered, the feedback seems
positive Clients reportingfeeling more supported more
secure Well, I can't theconstant access.
I think so that 247 access, theconsistent reminders for meds
and things, the regularmonitoring, it all adds up to a
feeling of being looked after.

Speaker 1 (05:06):
And that improved support seems to link to better
outcomes.

Speaker 2 (05:09):
Yes, it looks like it correlates with better
adherence to care plans.

Speaker 1 (05:12):
Which means potentially fewer hospital
visits.

Speaker 2 (05:15):
Fewer hospitalizations, yeah, and for
the agency, potentially higherclient retention too.

Speaker 1 (05:20):
It seems really important to stress, though, as
the sources did, this isn'tabout replacing people, is it?

Speaker 2 (05:25):
Not at all.
It's framed as augmentation,giving your team a powerful tool
.

Speaker 1 (05:30):
Like a digital teammate.
I think one source called it.

Speaker 2 (05:32):
Exactly Something to amplify what they can do, extend
their reach.

Speaker 1 (05:36):
And the tech itself.
Is it easy for clients toactually use, especially older
adults?

Speaker 2 (05:42):
That's a key point.
The sources emphasize it'suser-friendly, designed
specifically with older folks inmind, even those maybe not
comfortable with tech.
How does it work?
Needs basic Wi-Fi, apparently,and uses natural voice
interaction, so less fiddlingwith screens or buttons.
Walk voice commands Seems likeit, much more accessible.
We saw an example of a90-year-old client using it

(06:04):
without issues.

Speaker 1 (06:05):
Okay, a 90-year-old adapting quickly, that does say
something about its ease of use.

Speaker 2 (06:09):
Right.
It tackles that potentialbarrier for seniors who might,
you know, struggle otherwise.

Speaker 1 (06:14):
Now, whenever you bring in new technology,
especially in such a personalfield like home care, there are
bound to be questions.
Maybe some concerns right?

Speaker 2 (06:23):
Absolutely.

Speaker 1 (06:24):
And the sources did mention potential initial
reactions from the caregiversthemselves.

Speaker 2 (06:28):
Yes, and that's a really important part of rolling
something like this outmanaging your team's perspective
.

Speaker 1 (06:34):
Understandably, some might worry about their jobs or
maybe fewer hours.

Speaker 2 (06:39):
Sure.
Those initial questions arenatural.
The sources stressed howcrucial clear communication was.

Speaker 1 (06:45):
Explaining how it helps them.

Speaker 2 (06:47):
Exactly Emphasizing.
It's a tool to enhance theirwork, to free them up from the
routine, maybe less fulfillingtasks, not to replace them.

Speaker 1 (06:56):
And did that work?
Did those concerns ease offonce they started using it?

Speaker 2 (07:00):
It seems so, as caregivers saw the practical
benefits.

Speaker 1 (07:04):
Yeah, the perspective shifted In fact.
One source pointed to a prettyimpressive improvement in
caregiver retention.

Speaker 2 (07:10):
Oh really, what was the number?

Speaker 1 (07:11):
A 32% improvement in retention rate at one agency
after they brought inAddisonCare 32% better retention
in this industry.

Speaker 2 (07:19):
That's significant.

Speaker 1 (07:21):
It really is.
It suggests that technology, ifimplemented thoughtfully, can
actually help stabilize yourworkforce, make it a better
place to work.
Okay, so potential benefits forcapacity for staff satisfaction
, retention, client outcomeswhat about the bottom line, the
financial side?
New tech usually meansinvestment.

Speaker 2 (07:40):
Right, a crucial piece for any agency, and the
info we have suggests there aresome compelling financial angles
here.

Speaker 1 (07:46):
Beyond just serving more clients.

Speaker 2 (07:49):
Yeah, beyond that, potential revenue growth
Agencies can tap into newrevenue streams via Medicare.
Ah, the billing codes?
Yeah, beyond that, potentialrevenue growth agencies can tap
into new revenue streams viaMedicare.

Speaker 1 (07:54):
Ah, the billing, codes.

Speaker 2 (07:56):
Exactly Remote patient monitoring, rpm and
chronic care management CCM.

Speaker 1 (08:00):
And those can bring an actual reimbursement.

Speaker 2 (08:02):
Yes, the range mentioned was around $58 to $115
per Medicare patient per month.

Speaker 1 (08:08):
Okay, per patient per month that could add up.
Do we have a sense of what thatlooks like in practice?

Speaker 2 (08:12):
Well, one source gave an example an agency with about
60 Medicare patients usingAddison.

Speaker 1 (08:17):
Okay.

Speaker 2 (08:18):
They were generating over $4,200 in new revenue
monthly just from those RPM andCCM codes.

Speaker 1 (08:25):
Over $4,000 a month just from billing.
Wow.

Speaker 2 (08:28):
And what's also pretty striking is how quickly
some agencies apparentlyrecouped the initial cost.
One said within the first 60days 60 days to recoup the
investment.

Speaker 1 (08:37):
That's fast.

Speaker 2 (08:38):
Very fast Suggests.
The financial model can workquite effectively.

Speaker 1 (08:41):
So for someone listening now maybe thinking, ok
, this sounds interesting, buthow would we even start?
What advice did the sourcesoffer on actually implementing
this?
The guidance points towardsbeing strategic taking it step
by step, not a massive overnightchange.

Speaker 2 (08:57):
No, definitely not.
They recommend starting smallerA pilot group, maybe 10 to 15
patients.

Speaker 1 (09:03):
Okay, with different conditions.

Speaker 2 (09:05):
Yeah, A mix of chronic conditions seems best
and initially focus on thehigh-value stuff.

Speaker 1 (09:10):
Like medication, reminders, vital signs.

Speaker 2 (09:13):
Exactly Things that show clear, quick benefits.
Get some early wins.

Speaker 1 (09:17):
Excepts what else?

Speaker 2 (09:19):
Having an internal champion is key, someone really
passionate about it to drive theprocess.

Speaker 1 (09:23):
Right Someone to own it internally.

Speaker 2 (09:26):
And also go after those Medicare billing
opportunities right away.
Don't wait.

Speaker 1 (09:30):
Build it into the plan from day one.

Speaker 2 (09:32):
Definitely and finally, maybe most importantly,
communicate, communicate,communicate With staff and
patients.
Yes, be really clear about thewhy, how it enhances care, how
it supports everyone, that it'snot about replacing that vital
human connection.
That transparency is crucialfor buy-in.

Speaker 1 (09:51):
Taking that step back , then looking at the bigger
picture, it feels like adoptingtechnology like this isn't just
a nice-to-have-anymore-in-homecare, is it?

Speaker 2 (10:00):
It really feels like it's becoming essential, almost
table stakes for the future.

Speaker 1 (10:04):
Why do you say that?

Speaker 2 (10:05):
Well, you connect the dots right.
Client expectations are rising.
Staffing is tight and likelystaying that way.
Expectations are rising,staffing is tight and likely
staying that way.
So an agency's ability todeliver more care, to expand
reach without just being limitedby headcount, that's becoming
critical For survival, really,and certainly for growth.

Speaker 1 (10:23):
Technology offers a way to break that direct link
between staff numbers andservice capacity.

Speaker 2 (10:27):
It offers a powerful pathway, yeah, a way to thrive,
not just survive, in this prettychallenging landscape.

Speaker 1 (10:33):
And for listeners who want to go even deeper,
specifically on how AddisonCarehelps manage chronic conditions,
things like diabetes,hypertension, CHF, COPD.

Speaker 2 (10:42):
Our next deep dive is for you.

Speaker 1 (10:43):
Right.
We'll be looking closer at themonitoring side, how it helps
with early intervention and theoutcomes reported for those
specific conditions and theoutcomes reported for those
specific conditions.

Speaker 2 (10:53):
Absolutely.
That's where you really see thedirect clinical application and
the potential for improvingpatient health in measurable
ways.

Speaker 1 (10:59):
Okay, great.
So as we wrap up this deep dive, maybe a final thought for
everyone listening, facing thiscaregiver shortage head-on
innovation.
It's not really an optionanymore, is it?
It feels essential.

Speaker 2 (11:13):
Necessary for survival and growth.

Speaker 1 (11:14):
Yeah, so we'd encourage you to think about how
technology tools like thismight help you do more with the
great resources you already have.
Serve more people, support yourteam better.

Speaker 2 (11:24):
Find new ways to be effective.

Speaker 1 (11:26):
Exactly, and for anyone interested in learning
more about scaling supportwithout just adding staff, we
should mention there is acomprehensive implementation
guide available that goes intomore detail.
Good point Until our next deepdive.
Thanks for joining us.
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