Homecare business setup

  1. Good morning every body ,

    To make it short , I am planning to start my own homecare business and it will be based in conducting and providing skilled nursing care at patients homes .

    I am thinking to start it in state of Texas either in Austin or Houston cities , actually I have minimal expose to this business , but as a registered nurse and I have state of Texas RN license and at the same time I have saved some money which I believe it could help in establishing and supporting this business for about one year till I get enough patients .

    So please if any one of you has experience in such kind of business or even knows some one who already practicing in this field I am welcoming any positive or even negative inputs .

    You can feel free in discussing your ideas about the business plan , Medicare & Medicaid insurances and its claiming , the cost of running the homecare business over one year of time approximately and is more profitable to start it to serve patients in big cities or visiting patients who are living in country side ?

    Any of your ideas or information for sure will be appreciated .
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  2. 12 Comments

  3. by   fly_heart
    Any body can give me any advices ?
  4. by   elkpark
    Have you already talked to the state licensing agency and gotten a copy of the rules and regulations which apply to the type of business you wish to open? What kind of state license or permit will you need to get, and what hoops do you need to jump through to get that?

    Best wishes.
  5. by   fly_heart
    thanks elkpark ,
    Actually I have some idea about the state license requirements and regulations regarding starting up a new home health care organization , but still I am looking to get some feedbacks from such business owners or even from nurses who are working in such facilities .
  6. by   Just.Blessed.RN
    I hope you get some advice! Looking to start a similar business as well!! Good luck!!
  7. by   fly_heart
    that is great , can we contact in order to share our opinions and ideas ?
  8. by   fly_heart
    Quote from Just.Blessed.RN
    I hope you get some advice! Looking to start a similar business as well!! Good luck!!
    may be its easier to start this business in your state ?
  9. by   Reyval04
    Interested! Finding ways to start this as well
  10. by   fly_heart
    Quote from Reyval04
    Interested! Finding ways to start this as well
    If you are interested you can send me your email in private message to share ideas ..
  11. by   JulsGirlBoss
    Hi! I started a non-medical home care business Jan. '17 and to be honest, it has been very slow-going. I only have a handful of clients and am finding that payroll taxes, liability insurance, workers comp, and simply getting someone hired and employable is expensive! Here in California anyway. I enjoy being my own boss and I have 11 employees but it's very difficult to keep people billable with only 4 or 5 clients - and I have no competition except for private, non-certified caregivers that will work for a lot less money than what I charge as an agency.
    Advertising is quite costly but I have tried several avenues. Facebook is easiest for me.
    I'd be happy to give you some info but do start with your city and state, find out all regulations. Expect to learn some things the hard way!
    I have decided that if this business doesn't pick up in 1 year - when its time to renew my state license for $5165 - I will close and find something else.
    Feel free to email me:
    julie.sellin@peaceathomecaregiverslb.com
  12. by   NedRN
    It has been a while since I have visited this subforum, but as best I can tell, no one has the basics. The way to start a home health business is to learn it from the ground up. Get a job as a home health nurse! If you don't have experience, how could you be a competent clinical manager for your employees? Working as a home heath nurse you will get a lot of hints about how to run an office as well as inside clinical information. You will also have a lot of clients you could eventually poach (there may be a non-compete clause where you cannot do that for some period of time). You may also be privy on occasion to bill rates or pay rates of Medicare/Medicaid that will be invaluable to your business plan (which you should do before spending any money).

    After that, you can sort through your state's regulatory process.

    You might do a successful startup without learning from the ground up, but the failure rate will be much higher and any money invested gone.
  13. by   fly_heart
    Quote from JulsGirlBoss
    Hi! I started a non-medical home care business Jan. '17 and to be honest, it has been very slow-going. I only have a handful of clients and am finding that payroll taxes, liability insurance, workers comp, and simply getting someone hired and employable is expensive! Here in California anyway. I enjoy being my own boss and I have 11 employees but it's very difficult to keep people billable with only 4 or 5 clients - and I have no competition except for private, non-certified caregivers that will work for a lot less money than what I charge as an agency.
    Advertising is quite costly but I have tried several avenues. Facebook is easiest for me.
    I'd be happy to give you some info but do start with your city and state, find out all regulations. Expect to learn some things the hard way!
    I have decided that if this business doesn't pick up in 1 year - when its time to renew my state license for $5165 - I will close and find something else.
    Feel free to email me:
    julie.sellin@peaceathomecaregiverslb.com
    Thanks dear , for sure I am going to send you an email with some inquiries
  14. by   ABatista.RN
    Hey Fly, I can't PM yet through here but I have some very good ideas. I too am interested in the business side of nursing. I'd love to connect with a like-minded individual and bounce ideas off one another. Email me at JBatista.RN@outlook.com

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