Welcome to Inside Voice with Ethan Guerrieri, your behind-the-scenes take on the $150 billion home care industry. Here, it’s not about the loudest voices or polished headlines — it’s about real stories, real challenges, and real insights from those shaping care every day. Join us as we cut through the noise, explore trends, and uncover what it truly takes to make a difference in the lives of those we care about.
Inside Voice With Ethan Guerrieri: Are you losing clients because of Medicare Confusion?
In this episode, Ethan Guerrieri connects with in-house attorney Ashly Luckose to break down the complexities of Medicare and Medicaid and what they actually mean for non-medical home care agencies.
Many families and individuals over 50 assume that traditional Medicare covers long-term home care and daily living assistance. Ashly walks through why that confusion exists, starting with the origins of these programs under President Lyndon B. Johnson in 1965 and how each specific part functions today.
The conversation covers the realities of Medicare Parts A, B, C, and D, including why Medicare Advantage plans and pilot programs like the GUIDE Program offer unique opportunities and distinct limitations for home care providers. Ashly also highlights how Medicaid waiver programs operate at the state level and why navigating complex enrollment processes is worth the effort.
Whether your agency bills insurance directly or operates strictly on a private-pay model, this discussion equips you with the knowledge needed to guide clients, set clear expectations, and build trust with families navigating care options.
16 Sept 2026
Inside Voice With Ethan Guerrieri - Understanding Brain Change with Suzanne Hickel
Ethan Guerrieri hosts guest Suzanne Hickel to explore why standard caregiving often falls short when supporting individuals living with dementia. Suzanne, a certified trainer, coach, and consultant, breaks down the physical reality of brain change and shares practical techniques, including the Hand Underhand approach, that help avoid triggering fight-or-flight responses in clients. The conversation highlights how understanding personality, adjusting the surrounding environment, and recognizing the difference between normal aging and cognitive decline can completely transform the home care experience.
2 Sept 2026
Inside Voice With Ethan Guerrieri - Building A Profitable Agency with Frank Guerrieri
On this episode of Inside Voice with Ethan Guerrieri, Frank Guerrieri joins us to break down the exact Profit and Loss framework behind a successful senior home care agency. Frank walks through a percentage-based P&L model, explaining how to allocate revenue across caregiver wages, employer burden, administrative payroll, and overhead while protecting a healthy 20% net profit margin.
Whether you are an owner-operator running a lean operation with your first ten clients or scaling toward a multi-million dollar business, Frank outlines the critical operational shifts and hiring milestones required at every stage. We also discuss common traps that hold agency owners back from growing, the importance of maintaining strong gross margins, and how modern technology and AI will shape future efficiency in the home care industry.
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