When a Connecticut home care agency faced seven-figure payment delays and MCE contracting challenges during the state's Medicaid overhaul, Paradigm's RCM partnership delivered first-in-line credentialing, proactive compliance support, and weekly eligibility monitoring -transforming financial instability into sustained growth and operational excellence.
A Connecticut home care agency was drowning in operational chaos during the state's Medicaid transformation. Nearly seven figures in unpaid claims, three new managed care entities to credential with, constantly shifting compliance regulations, and no reliable support system. The owner needed a partner who could navigate the complexity while the business stayed focused on its mission.
Every Monday, the agency receives alerts on client eligibility changes—preventing unbillable service delivery and protecting revenue before problems occur.
"The folks at Paradigm were three steps ahead of everybody else," the owner explains. Paradigm guided the agency through every regulatory checkpoint, from EVV implementation to Optum site visits, ensuring the business stayed compliant without the owner becoming a full-time compliance expert.
Paradigm eliminated the need for an in-house billing team, handling all claims submission, follow-up, and collections with precision.
The agency went from seven-figure AR backlogs to current receivables with timely payments. "We're not chasing money from the state. We're actually very current, so our financials look a lot better."
"Paradigm eased my burden in terms of worrying about collection and cash flow so I can focus on business development and growth," the owner shares. The partnership freed leadership to build culture, develop employees, and scale the business to 330 team members.
"We've come out of this as an industry leader—a beacon of light for many in the industry. Without Paradigm, there's no way we could be where we are today in terms of our financials, our growth, all of those things."
Beyond operational support, Paradigm's authenticity and client-centered approach matched the agency's mission. "I think they care deeply for each individual client we bill for. Who they present themselves is exactly who they are."
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