Home care has traditionally been careful about adopting new technology, and for good reason. Agencies are managing sensitive data, complex workflows, and deeply personal care relationships. What the research showed is that leaders are no longer asking whether AI belongs in home care, they are asking how to implement it while keeping the human touch central, where it can create the most value, and how quickly they can get started.

According to AxisCare’s research report, The State of AI for Home Care Agencies, including more than 400 home care leaders, providers are prioritizing opportunities to improve efficiency, operations, and support for the people responsible for delivering care. The trends reveal an industry moving beyond reacting to change and toward making intentional decisions about where technology and investment can have the greatest impact.

At Momentum Healthcare & Technology Consulting, we have the privilege of working across providers, technology companies, investors, and private equity firms, giving us a perspective that few organizations have. Sharing that perspective comes with an important responsibility: remaining independent.

Centers for Medicare & Medicaid Services (CMS) continues to reshape how accountability is defined across healthcare. Beyond enforcement and program integrity efforts, a quieter shift is underway via the steady expansion of structured measurement.

At Momentum Healthcare & Technology Consulting, we believe healthcare is entering an accountability era where operational maturity will matter more than positioning, volume, or aggressive expansion. And recent actions by Centers for Medicare & Medicaid Services (CMS) are reinforcing that reality.

At Momentum Healthcare & Technology Consulting, we often see care-at-home organizations invest heavily in redesigning workflows and implementing new tools only to watch those efforts slowly unravel. The issue is rarely the strategy itself; it’s what happens after implementation.

In most organizations, the burden of productivity falls on frontline workers. With care-at-home groups, providers and coordinators typically handle complaints around inefficiency. However, productivity issues are rarely caused by a lack of effort. More often, they stem from how the system is designed.

Hospice and home health care support patients and families through some of life’s most vulnerable moments, prioritizing dignity, comfort, and continuity. Yet both services are facing increased public and regulatory scrutiny, often framed through concerns about fraud.

While accountability matters, another risk arises in the form of a simplified narrative that treats hospice and home health as inherently suspect. This overlooks the reality that most care is delivered by highly qualified, ethical providers, while a small number of bad actors have come to define the conversation.

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