Most platforms can standardize internal functions like HR, finance, and billing.
But aligning day-to-day operations—from care delivery to scheduling to payer communication—is more difficult.
Here’s what’s happening:
Example: A home-based care platform that acquires agencies in Florida, Illinois, and Texas might quickly consolidate HR and billing systems. But operational alignment proves trickier:
Florida's Medicaid waiver requires specific care plan documentation,
Illinois mandates union-negotiated staff ratios, and
Texas agencies rely on managed care organizations with their own electronic portals.
What seemed like a scalable scheduling system now requires three custom workflows — undermining efficiency and delaying integration goals.