Leading Home Care

01/13/2026

Happy Happy Happy New Year, and welcome to 2026.

We are very excited to announce that the 2026 Future of Home Care Study, conducted by Leading Home Care ... a Tweed Jeffries company, has been published and released by AxisCare. AxisCare is the leading provider of Home Care Operating System Software.

During the closing two months of 2025, we gathered in put from over 300 CEOs of Home Care companies in our industry on a series of topics related to the factors that will affect the future of our industry. We tabulated and analyzed the data, and prepared a detailed outline of the results. Then the communication team at AxisCare wrote, published, and is distributing this industry-leading white paper.

Our research identified some very interesting findings that will help Home Care leaders make key strategic decisions in 2026. Some of our findings include:

* Pain Points are shifting, causing leading to refocus priorities
* Artificial Intelligence is the leading technology trend, and will reshape how we do Home Care.
* The One Big Beautiful Bill will impact the future of how we care for Medicaid Beneficiaries in their homes.
* The rising costs of Home Care are hindering agency growth
* Growth Opportunities are evolving with a new focus on technology and AI
* System priorities are shifting for the most important Home Care operations
* Payer Sources with the most potential for growth are shifting

This white paper is full of analysis and insights from our data gathering, and the information and knowledge will be very helpful to Home Care CEOs who want to grow their businesses and get ready for the future.

The link to download your copy of the whitepaper compliments of AxisCare is available in the first comment.

10/23/2025

10/14/2025

Tweed and Jeffries’ two-fold approach has worked wonders, with Tweed providing strategic advisory services to home care companies.

10/05/2025

What are the factors that are affecting the future of Home Care?

How will Artificial Intelligence shape your company in the next five years?

What are the greatest opportunities to grow your business?

These are the questions we will be digging into with our third annual Future of Home Care Study. We'll learn from thought leaders in the Home Care Industry about the pain points getting in the way, the industry trends that are leading change, and how technology will make your job easier.

If you are a leader in Home Care, we'd love to have your input. Please take seven minutes to give us your knowledge and experience about where our industry is headed.

(Scan the QR code or see the link in the first comment below.)

10/03/2025

It's so wonderful when past clients call and ask me to come back again to speak. This week I was blessed to be invited to present the opening keynote for the Seniors Helping Seniors Franchise Conference in Nashville, TN. My topic was "Visioneering Home Care."

Thank you to Sarah Barker for capturing this video.

09/09/2025

How do YOU find your Best-Fit clients?

Over the past four decades, I've worked with over 500 companies that provide in-home personal care for older adults, and who want to grow their business and get ready for the future. I've learned many things from these engagements, but there is one thing that stands out.

If you want to grow a successful business, find your "Best-fit Clients."

In Home Care, we've learned that Best-fit clients are those that bring in the highest number of hours per week of care, and the longest length of stay. They are clients and families where we have a wonderful, mutually beneficial relationship with a low "hassle-factor."

There are several ways to identify patterns in your Best-fit clients. One is to do a detailed statistical analysis where you look at your own business data to identify which families and referral partners are your best fit.

The other is a highly intuitive process using a yellow legal pad, a list of your clients, and your personal opinion of which clients are the best fit. List your client for a period of a year on a yellow tablet, with three columns - Best, Worst, Neutral. Run down the list and look at each client. Use your personal recollection, client records, and team member input to mark them best, worst, neutral. Then go down the sheet and look for patterns. What are the differences between your best clients and your worst clients.

As we have done this dozens of times recently with leaders of Home Care companies, we have found that best clients are:
* Great personal relationships
* Providing the opportunity to do our best work
* Most profitable
* Lowest Hassle Factor

On the other side of the ledger, the worst clients:
* Want to negotiate price
* Can be Very demanding
* Have a High Hassle Factor
* Are Slow to pay

When you find your Best-fit clients, and can spot your worst clients, then you can refine your sales and marketing process, and you can identify you high-potential Referral Partners. The result is that you spend most of your time working with Best-fit clients and you avoid your worst clients. Your business grows, your stress goes down, and your business is much more fun.

What is your experience with Best-fit and Worst-fit clients?

Do you have a process for differentiating between the two?

How is that working for you?

06/03/2025

Here's a new article on scheduling and schedulers that I wrote for AxisCare. They are doing a series of articles and videos on scheduler frustration, burnout, and turnover.

https://axiscare.com/blog/solving-scheduling-challenges-in-home-care/?utm_campaign=13024833-Scheduling%20June%202025&utm_source=StephenTweed&utm_medium=Link&utm_term=Scheduling

05/06/2025

Today, May 6, 2025 is National Nurses Day. Please join me in celebrating all the nurses you know. Encourage them with gratitude for all they do.

04/08/2025

Home Care Industry Leader Spotlight: Stephen Tweed

From Martha's Hands Home Care

No person has had as much positive impact on the Home Care Industry as Stephen. He has offered, whether directly or indirectly, guidance, advice and counsel to almost all the franchises, major national/regional operators and small/mid-sized agencies.

While he can lean on his own personal & professional experiences in Home Care, Stephen remains a student of our industry. Whether it is conducting polling, researching or just talking with successful agency owners, Stephen has a comprehensive grasp of what is happening, what is working and why things don't work in Home Care.

As Founder of Leading Home Care, we first met Stephen at industry conferences, first the NPDA, and now the Home Care Association of America. We would connect with him during this time, eventually getting him to Missouri for our Private Duty Conference through the Missouri Alliance for Home Care.

Our relationship continued over the years. We are fortunate to have been a part of his first HOMECAREceo Forum Mastermind Group, the Top 5% Group, in 2012. We not only respect your advice but cherish your friendship!

If you are a Home Care Agency Owner/Leader, we strongly encourage you to join one of their Mastermind Groups. It will help you grow to the next level.

Stephen - the Home Care Industry thanks you! This includes others that are or have been a part of your Mastermind Groups in the past: Andy Tysinger, Krystal Wilkinson, Kyle Bossung, John Bennett, Richard Hargrove, Gabrielle Hoing, Andrea Cohen, Shelley Wilson, Jeffrey Wiberg, and Jake Fackrell.

02/25/2025

What do Artificial Intelligence, Remote Patient Monitoring, Telehealth, Tablet Based Communication, and Virtual Reality Training have in common?

According to the 2025 Future of Home Care study conducted by Leading Home Care and Sponsored by AxisCare, these are the top five trends shaping the future of technology in Home Care.

Admittedly, the Home Care industry is a few years behind other industries in adapting new technology to the business. However, this survey of over 250 leaders of Home Care companies at the top of our industry showed that they are very much interested in the development of new technologies, and the application of those technologies to the business of caring for older adults at home.

Just over 54% of the respondents said that they see AI as very important or extremely important to the future of the Home Care industry. There are many ways leaders are using AI in Home Care, but the top three are:

1. Assisting in Marketing, writing and crafting messages for email marketing, blog posts, and SEO
2. Improving Caregiver and Client Scheduling, assisting with client/caregiver matching, filling unscheduled shifts, and analyzing data to monitor alarm triggers.
3. Fine tuning Caregiver Recruiting and Retention by writing improved job ads, improving the effectiveness of Social Media, and evaluating results.

How do you see AI and these other technologies affecting the future of your business?

How are you applying these technologies to grow your business and get ready for the future?

02/06/2025

Here is a personal invitation to all owners, CEOs, and leadership team members from Home Care companies who want to grow your business and get ready for the future.

Leading Home Care, and AxisCare, have just released the final report for the 2025 Future of Home Care Study. We will be conducting an open webinar for any home care leaders who want to know more about the factors that will be affecting the future of our industry.

Join me, and the team from AxisCare, on Wednesday, February 12, 2025 at 4:00 pm eastern time for all the data and information from this survey of 250 Home Care Leaders. We will also give you our analysis of this data, and what we think it means to you for the future of your company.

See the link to register and receive a login for the webinar in the comment below. See you then.