Every home care software company sells you a platform and asks your team to run it. A scheduler to use the scheduling module. A biller to work the billing system. A compliance person to manage the compliance dashboard. Work as Services delivers the output those roles would produce — without requiring the agency to hire and manage those roles. This is a different category, not a different product.
Denise has used multiple home care platforms over eight years. Jackie is on her second billing tool and still doing billing herself. Tasha is choosing her first system. They're all asking the same fundamental question — and it isn't "which platform has the best features." It's whether there's a way to have the operational work done without having to build a back-office team to do it.
100+ agencies. 73% average revenue growth. No added back-office hires. Work as Services is how you grow without hiring the scheduler, biller, and compliance person that traditional software assumes you have.
Traditional home care software works well for agencies that have the operational staff to use it effectively. A scheduling coordinator who knows the platform, a billing specialist who works denials, a compliance person who monitors credentials — these agencies get full value from traditional software because the people are there to operate it.
Work as Services is the right model for agencies where those roles aren't fully staffed — where the scheduling, billing, and compliance work is stretched across one or two people who can't give any of it the specialist attention it requires. That's the majority of small and mid-size Medicaid agencies. Not because they're poorly managed. Because they're at the size where the work exists but the headcount to do it properly doesn't.
CareBravo is one connected system that runs the office side of a Medicaid home care agency — scheduling, compliance, billing, communication, documentation, marketing, hiring, retention, and training, delivered as completed work instead of a set of modules someone on staff has to operate. It's built for the owner of a small to mid-size Medicaid home care agency in the United States who is trying to work out what the office side actually costs her today, against what it would cost under a different model. The two models aren't priced the same way, so the comparison has to go line by line rather than plan to plan.
| Cost Category | Traditional Software Model | Work as Services Model |
|---|---|---|
| Platform or system cost | A recurring license or subscription fee, billed whether or not your team has time to use all of it. [VERIFY — SOURCE NEEDED: typical monthly per-caregiver home care software subscription cost] | One rate, tied to what the agency actually bills or collects — not a flat fee charged whether or not the work gets done. |
| Staffing to operate it | A scheduler, a biller, a compliance coordinator, or some combination carried by one or two stretched people. [VERIFY — SOURCE NEEDED: average combined salary cost of a scheduler, biller, and compliance coordinator at a 30-40 caregiver Medicaid agency] | No dedicated back-office hire required to run the system day to day. |
| The cost of the gaps | Denials that sit unworked, authorization hours that go untracked, credentials that lapse unnoticed — the tangle of disconnected systems it takes to run scheduling, billing, and compliance as separate tools. For an agency running around fifteen caregivers, that tangle commonly costs close to $247,000 a year — the Tangleware Tax™. | Addressed as part of the connected system rather than billed separately or left to accumulate. |
| Cost before your agency has revenue | Subscription and staffing costs typically continue whether or not the agency has billings that month. | Zero billings, zero cost — the rate is charged on what the agency bills or collects, not on a fixed schedule. |
Work as Services is priced as one of four modes, and which one applies depends on how much of the work the agency wants to carry itself. You Run It is charged at 1.47% of billed revenue, and It Runs For You at 3.97% of billed revenue — both cover the system running the work with the agency staying in the loop. We Run Key Functions With You is charged at 4.97% of collected revenue, and We Run It All With You at 7.97% of collected revenue, the ceiling — both cover CareBravo's people running the work directly, so the rate is on what the agency actually collects. The rate never stacks; an agency pays one of the four, never two added together.
Neither model is the right answer for every agency. An agency with a fully staffed scheduler, biller, and compliance coordinator who each have the capacity to work at a specialist level may already be getting full value from a software subscription. An agency where those roles are stretched across one or two people is paying the tangle's cost whether or not it shows up as a line item. The four modes and what each one covers lay out the full basis for each rate.
Ask this question: is every function getting the specialist attention it requires, or are some of them getting done at whatever quality level a stretched team can manage? If your billing person is also your scheduling coordinator and your intake manager and your compliance person — and she's doing all of it reasonably well but not any of it at specialist level — Work as Services is the model that fills the gap. The diagnostic review shows you the revenue impact of the gap: how much you're losing to authorization drain, unworked denials, and compliance issues that aren't being caught. If the number is significant, the model question answers itself.
Yes. The Parallel Promise is specifically built for agencies transitioning from a software model. CareBravo builds and validates alongside your current systems — your billing continues on your current system, your caregivers continue using their current EVV tools, your office continues operating normally. You validate CareBravo's output against documented commitments before switching anything off. The transition happens on your timeline, after you've confirmed the output matches what was promised.
It's different in a specific way. Traditional outsourcing gives a function to a third-party service that operates independently. A billing company processes claims without access to your scheduling data or EVV records. CareBravo's nine functions are integrated in a single system — the billing function has access to EVV records, authorization data, and credentialing status when it reviews each claim. The integration is what makes the pre-submission check comprehensive. That's the operational difference between outsourcing a function and having it delivered as part of a connected operational layer.
A software subscription is usually a fixed monthly cost, whichever team you have to run it. [VERIFY — SOURCE NEEDED: typical monthly per-caregiver home care software subscription cost] Work as Services is priced differently — one rate charged on what the agency bills or collects, from 1.47% of billed revenue up to 7.97% of collected revenue at the top mode, never two rates added together. The real comparison isn't the sticker price of either one; it's what the gaps between systems are already costing an agency running them separately, which for a fifteen-caregiver agency commonly runs close to $247,000 a year — the Tangleware Tax™.
It depends on what the software model is actually costing once staffing and unworked gaps are counted, not just the subscription line. An agency with a fully staffed scheduler, biller, and compliance coordinator may find a software subscription the more efficient cost. An agency covering those roles with one or two stretched people is often paying for the gap in denied claims and untracked authorizations whether or not it appears as a separate charge — [VERIFY — SOURCE NEEDED: average combined salary cost of a scheduler, biller, and compliance coordinator at a 30-40 caregiver Medicaid agency] is usually what decides which model actually costs less for a specific agency.
The model comparison explains the structural difference. The diagnostic shows you the revenue your current model is leaving on the table. Start with the number — then the model question becomes straightforward.