How a brand-new Oklahoma agency went from VA approval to 400+ weekly care hours in months - with structure, not luck.
When HomeWell Care Services OKC opened in July 2025, CEO Cheryl Hooper had a clear goal: build sustainable VA growth without guesswork.
"We didn't want to guess our way through VA growth," Cheryl said. "We wanted a system we could follow."
By October 1, 2025, they secured VA approval. That same day, a Facebook post brought their first veteran referral - a promising start, but not yet a growth engine.
Within months, HomeWell OKC was consistently delivering over 400 hours of care per week, with VA representing the majority of their payer mix. That trajectory wasn't accidental. It was the result of following a proven framework exactly as designed.
Early on, outreach felt productive but directionless. Meetings were happening. Conversations were taking place. But there was no connective tissue.
That changed when Cheryl enrolled in Paradigm's Provider Coaching program just one week after their first referral. The timing was crucial - she had proof of concept, but needed a structured plan to build momentum.
"This wasn't a one-and-done coaching call," Cheryl said. "It was weekly accountability. We knew we had to show up and report on what we did."
At the core was the Paradigm Target Account Model - a structured field methodology designed to replace scattered effort with disciplined execution. Every week had structure: Who did you visit? What value did you bring? What's next? What's blocking progress?
"That accountability alone changed how we worked," Cheryl said. "You can't just say you're going to follow up. You actually do it."
Instead of trying to cover every possible referral source, they focused on the right accounts and worked them the right way. Each active account had a defined next step. Lower-yield accounts moved to quarterly touches. Nothing was left to chance.
"It stopped feeling random," Cheryl said. "It started feeling intentional."
By the time that the Provider Coaching program concluded, the results became undeniable.
The Monday before Thanksgiving, Cheryl called a VA case manager to restate their mission. Two days later, on Black Friday, the phone rang off the hook.
Six new veterans. Roughly 100 hours added in a single day. "One coordinator told us, 'I'm just going to call you all day,'" Cheryl recalled. That moment wasn't about a single call. "It was weeks of consistent visits," Cheryl said. "It was the cadence. It was the follow-through. It was doing exactly what the Provider Coaches told us to do."
Rapid census growth only works if cash flow keeps pace. From the beginning, Paradigm's revenue cycle platform managed authorizations, eligibility, documentation review, clean claims, and follow-up.
"Our first payment hit in about a week," Cheryl said. "That gave us confidence and reassurance immediately."
As volume increased, payments stabilized into a steady rhythm. Instead of building an internal VA billing department and hoping for the best, they gained a specialized team focused on accuracy and compliance. "Knowing that part was handled allowed us to stay in the field," Cheryl said.
What happened in Oklahoma City wasn't dependent on personality. It was dependent on structure. "The Provider Coaching program's tenets are teachable," Cheryl said. "It's not personality-based. It's process-based."
For franchise brands, the implications are significant. When corporate drives participation and accountability across locations, you're not just helping one office - you're lifting the whole network.
"When you follow this framework, you get results," Cheryl said. "It's that simple."
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Discover the exact framework that helped a new agency scale to 400+ weekly hours - without guesswork.
