Tuesday, October 27, 2026

4:30-5:30 p.m

51-I. Surviving the HCBS Squeeze: Sustainability Solutions

Sixty percent of home and community-based service (HCBS) providers have faced negative margins or program closures over the past three years because of stagnant reimbursement rates and rising costs. This session will offer several solutions to help your HCBS agency survive the squeeze. Presenters will share how their agency navigated severe reimbursement challenges, made tough program decisions, and used innovative practices to restore its financial health. Discover how they implemented geographic clustering of clients to improve staffing efficiency and leveraged a remote global administrative workforce to reduce overhead. You'll gain strategies to right-size your agency, maximize your bottom line, and better support clients and communities amid funding challenges.

  • Julian Reisenthel, Homecare Director, Full Life Care — Seattle, WA, US
  • David Richart, Executive Director, Full Life Care — Seattle, WA, US
  • Heather Harper, Human Resources Director, Full Life Care — Seattle, WA, US