By Travis Woyner, Senior Vice President of Product, Integrated
Published October 21, 2026 · Last updated October 21, 2026 · 5-minute read
I had the pleasure of attending the Florida Association of Health Plans (FAHP) Connect 2026 annual conference this month in Orlando and the discussions sparked my thinking about what’s happening in our home state and largest market.
One of my top takeaways from this year’s conference is that amid the growth of patients receiving in-home care, there’s a rising tide of “crossover” patients who need multiple in-home care services. Our own data illustrates that in Florida, for example, many members who use one in-home care service also tap into others.
What’s more, crossover patients showcase why health plans need a reliable partner to coordinate multiple services including home health, long-term services and supports (LTSS), durable medical equipment (DME), home infusion, and private duty nursing (PDN) under one operational model.
Why In-Home Care is Growing
The key reasons for the growth of in-home care include the fact that 88% of adults say they’d rather receive ongoing in-home care than seek treatment in a facility. And in Florida in-home care is 41%–50% less expensive than a nursing home.
As straightforward as that growth is, the factors of preference and cost are only part of the reason in-home care is becoming more prevalent. The model is also expanding because many members need multiple services.
Integrated’s Florida Crossover Study: Key Findings
During the opening remarks our CEO Christopher Bradbury delivered on Tuesday at FAHP, he shared Integrated’s of more than 25,000 members who we manage in Florida across LTSS, DME, PDN, and other home health patients that shows just how common crossover patients are:
- 93% of respiratory patients also use DME
- 84% of physical and occupational therapy patients also use nursing
- 78% of nutrition users also have a DME
- 75% of all PDN members use a DME as well
- 70% of respiratory patients also use nutrition services
That’s just a limited sampling of our study that illustrates the value of coordinating the full range of in-home care services, rather than treating them as unrelated offerings.
What Health Plans Should Look for in an In-Home Care Partner
Patients who use multiple in-home services represent a unique challenge for health plans. According to our study, patients who use two or more services average $34,000 in reference fees, which is 215% more than the $10,800 average among those who only use one service.
Health plans should start to address that expense by analyzing their own management of in-home care services. Identifying gaps and challenges will help determine opportunities to align with a partner that can strengthen their efforts.
The right partner will drive accountability and excellence in home care management. That requires the ability to manage high-quality care across service lines, as well as to ensure that all member needs are being met, and all care that is authorized is utilized and paid for in a timely manner. Timeliness of both care and payment are critical to avoiding health risks and dissatisfaction among members and administrative burden on staff.
An in-home care coordination partner should also to stabilize the workforce with repeatable continuity for all services. In fact, Integrated delivered a monthly PDN average spanning Sept. 2025-June 2026 where 97% of members received 120+ hours of care.
Integrated is the only organization in Florida that manages all in-home service lines: home health, LTSS, DME, PDN, and home infusion. We operate those services within a single platform—so health plans can delegate administrative and clinical in-home care functions to reduce overall costs.
We also have created a Digital Workforce consisting of specialized AI-based tools for discrete roles, including provider matching, authorization management, visit confirmation, and documentation review. Together, the tools function as a team of specialists, and each one is accountable for a specific task.
What’s Next in Florida?
The time spent at FAHP Connect 2026 has me, and I imagine most of the other attendees, excited about the potential for helping more Floridians access services when and where they want to receive care.
Florida’s 65 years of age and older citizens comprise nearly 22% of its overall population and growing demand for in-home care services will only increase in the years ahead. At the same time, however, Florida has the fewest available in-home health aides among U.S. states.
That means health plans must move quickly with the right partner to deliver multiple in-home care service lines, staff appropriately, and leverage digital technologies to position their organization for success and sustainability.
Frequently Asked Questions
Why is in-home care growing in Florida?
88% of adults say they’d rather receive ongoing in-home care than seek treatment in a facility, and in Florida, in-home care is 41%–50% less expensive than a nursing home.
What are “crossover” patients in home care?
Crossover patients are members who need multiple in-home care services, such as home health, durable medical equipment (DME), home infusion, and private duty nursing (PDN). In Integrated’s study of more than 25,000 Florida members, 93% of respiratory patients also use DME and 75% of all PDN members use a DME as well.
How much more do members who use multiple in-home services cost health plans?
According to Integrated’s study, patients who use two or more in-home services average $34,000 in reference fees, which is 215% more than the $10,800 average among those who only use one service.
What should health plans look for in an in-home care coordination partner?
Health plans need a partner that can manage high-quality care across service lines; ensure all member needs are met and all authorized care is utilized and paid for in a timely manner; and deliver staffing rates that stabilize the workforce with repeatable continuity for all services.
Why is the home health workforce a concern in Florida?
Florida’s residents age 65 and older make up nearly 22% of its population, and demand for in-home care will only increase. At the same time, Florida has the fewest available in-home health aides among U.S. states.
What is Integrated’s Digital Workforce?
Integrated’s Digital Workforce is a set of specialized AI-based tools for discrete roles, including provider matching, authorization management, visit confirmation, and documentation review. Each tool is accountable for a specific task.
Learn more about how IHCS is innovating when it comes to home care benefits. Reach out to our team today.
