Opportunity In 2019, Deer Meadows Administrator Stanley Rynkiewicz faced a directive from his board – “Find a way to survive.” Despite being a 5-star, nationally ranked home health agency in Philadelphia, PA, Deer Meadows’ census had hovered around 100 patients for many years. Most patient referrals went to agencies in accountable care organizations (ACOs), bundled payment providers, or other collaboratives as hospitals prioritized preferred providers. As a smaller agency without big name recognition or health system connections, Deer Meadows struggled to grow. Rynkiewicz knew his agency had to build relationships with larger health systems and collaboratives to gain new referrals. To prove themselves, the agency started a new program of seeing all hospital-referred patients with

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