Starting A Home Health Company

[PiobStache]

I am seriously thinking of starting a home health company but cannot decide whether to start with unskilled, get things rolling, then go for my Medicare license or just get it done in one fell swoop and go straight to Medicare.  The second route will probably take about 500k to get rolling, the first one about 150k.  Outside of capitalization each has its pros and cons.

Has anyone here done this, and if so, which route did you take?  Any insight welcomes.

Thanks

[PiobStache]

Update:  will be meeting with a man that has two such companies, one in CA and one in NV.  Hope to gain practical insight.

[Papa bear]

Update:  will be meeting with a man that has two such companies, one in CA and one in NV.  Hope to gain practical insight.

I've done some medical recruiting for some home health companies. I know margins are slim and employee turnover is very high.

Some of them split their business into 2 parts 1) true healthcare, with an RN case manager setting up new patients and LPNs to do the ongoing.  2) the home support, where the staff is there for cleaning, cooking, assisting the patient in their daily needs.

The compliance is different between each, but I don't know the details. 

I can answer more specifics on how we helped recruit staff, but can't answer much else.



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