Medicare-Certified Home Health

Most senior care franchises stop at non-medical help—meal prep, rides, companionship. This brand goes further, offering Medicare-covered skilled nursing, physical therapy, and post-acute care in the home. That opens up a deeper (and more complex) side of healthcare with higher reimbursement and more clinical oversight.

What they do differently

1. True Home Health, Not Just Home Care

This isn’t companion care. It’s licensed, clinical home health: nurses, therapists, aides, and care coordination covered by Medicare. That puts it in a different league from most franchises in the aging space—and taps into the \$100B+ home health sector.

2. Built-In Licensing and Compliance Support

Getting Medicare-certified is a beast. This brand helps you through it, with state-by-state guidance, document prep, mock surveys, and compliance systems already vetted. That makes the regulatory mountain more climbable, especially for first-time healthcare operators.

3. Referral-Driven Model With Local Sales Focus

You’re not running ads to find patients—you’re building relationships with discharge planners, case managers, and doctors who send referrals. That B2B-style sales model rewards persistence and polish more than marketing gimmicks.

4. Leverages ComForCare’s Infrastructure

As a sister brand to ComForCare, it benefits from existing backend systems, tech platforms, and industry knowledge. That gives you the strength of a larger healthcare org while still focusing on skilled services.

🚩Potential weakness: Long ramp and strict oversight

This isn’t a quick start. Getting licensed can take months. And once you’re live, documentation and oversight are heavy. It’s healthcare with a capital H—great margins, but slow out of the gate and highly regulated.

The breakdown

Let’s break this business down with my proprietary GROCE framework (modest, I know).

Geography

Ideal in suburban and urban areas with aging populations, large hospital networks, and strong payer coverage. Works best where post-acute discharge volumes are high. Avoid ultra-rural markets with low referral volume.

Real Estate

Small office space required to meet state licensing requirements, but no storefront or patient-facing location needed. Often 500–1,000 sq ft of admin space is enough.

Ops / Sales

Owner oversees clinical director, referral relationships, and compliance. You’re not a caregiver—you’re the team builder, relationship owner, and process manager. Clinical hires are mandatory (RN, therapists), and B2B sales chops are key.

Capital

Mid-range investment—\$150K–\$300K. Most of it goes into licensing, compliance, staffing, and working capital. Expect a 6–12 month runway before revenue ramps. SBA-friendly.

Expansion

Multi-unit potential is real but complex. You can scale into adjacent territories or add non-medical care through sister brands. Operational support exists, but each unit needs strong local compliance and leadership.

Final take:

This is a serious clinical business for owners who want to play at the higher end of home healthcare. It’s slower to start, but more defensible and Medicare-backed. If you’re up for real healthcare management, it’s a strong model. Strength of the model: licensed care, licensed returns.