Bluebird Local Nursing

01/29/2026

Hiring overnight RN/LVNs $80/75 an hour in Austin

12/29/2025

Thanks for the shout out NLTC. Yes, we service Lago Vista, Texas!

Thank you to member Bluebird Local Nursing for restocking our visitor center shelves with new business cards, postcards and cookies!

12/10/2025

Looking for nurses near Spicewood and Marble Falls, TX. $75+ LVN, $80+ RN.

12/05/2025

Remember that time when we could go outside!?! 🥶

11/18/2025

Come join us for a cup of joe! ☕️

05/22/2025

A whole week just for us!?! Photos from our Bluebird Nurses Week celebration.

05/06/2025

Celebrating the heart of healthcare today. Happy Nurses Week! 💙

05/01/2025

Some much needed Doggo therapy with Nurse Danielle.

03/24/2025

We’re proud to have a leadership team with decades of combined experience in nursing and healthcare. When people who’ve spent years on the front lines come together, real solutions happen. Grateful for the dedication, insight, and heart this team brings every day. 💙

02/23/2025

The most consistent thing about insurance home health agencies? Turnover. If we want to talk about government inefficiencies, maybe we should look at the Centers for Medicare and Medicaid Services (CMS).

1. Drastic Cuts in Medicare Reimbursements
• Many home health agencies have been forced to turn away patients or shut down entirely because they can no longer afford to provide services under the reduced rates.

2. Excessive Administrative Burdens and Compliance Costs
Bureaucratic red tape forces providers to:
• Spend hours on paperwork rather than patient care.
• Navigate complex billing systems that often result in delayed or denied payments.

3. Workforce Crisis: Lack of Skilled Home Health Workers
The CMS payment cuts have led to severe workforce shortages in the home health sector:
• Many skilled nurses and aides have left due to low wages, heavy workloads, and lack of support.

4. Shift Toward Institutionalized Care Rather Than Home Care
Despite the proven benefits of home care, CMS has redirected funding towards institutional care (nursing homes, hospitals) rather than allowing patients to receive cost-effective home-based care. This shift:
• Increases overall Medicare spending due to higher hospital readmission rates.
• Forces patients who prefer home care into nursing facilities against their wishes.
• Contradicts CMS's own value-based care model, which aims to reduce hospitalizations and support aging at home.

5. Medicare Advantage Plans Are Limiting Access
CMS has given Medicare Advantage (MA) plans significant control over home health benefits, allowing private insurers to:
• Deny or delay care for cost-saving reasons.
• Reduce coverage for essential services like skilled nursing or therapy.
• Force patients into higher-cost care settings, such as hospitals or skilled nursing facilities.

Conclusion
CMS’s bureaucratic inefficiencies and policy failures have pushed home health care to the brink of collapse. Unless major reforms are implemented, the ability of seniors and disabled individuals to receive care at home—where they prefer to be—will continue to decline. The home health crisis is not just a funding issue; it’s a health equity and quality-of-life issue that requires urgent attention from policymakers.

The Argument for Private Care – Bluebird Local Nursing

Fast and efficient care keeps you safe and comfortable at home. Your health cannot wait for authorizations or waiting lists. A few short visits of high-quality, focused care can prevent serious complications or rehospitalization. Avoid greater stress, costs, and health deterioration by choosing timely skilled care.

A strong healthcare system supports both patients and providers. Bluebird Local Nursing prioritizes work-life balance, reducing burnout and turnover. Customer service is greatly improved by deeper nurse-patient relationships and continuity of care. The goal is simple: keep people at home, where they want to be, with reliable, compassionate, and skilled care tailored to their needs.

02/08/2025