You keep people in their homes. We help you keep the doors open.
Carepreneur is the monthly newsletter from the Deerghayu Foundation — written for the owners, schedulers, and caregivers who keep seniors and people with disabilities in their own homes.
Every home care agency is paid a fixed government rate. You cannot charge more for an hour of personal care than the state allows. That single fact changes everything about how a lasting agency is run.
If price is fixed, two levers are left: the cost of running the business, and the number of places revenue can come from. Carepreneur is built around both — keeping records clean and current so good work is easy to see, and opening more than one way to get paid — month after month, in plain language.
No theory. No motivational filler. Each issue gives one specific thing you can act on before the end of the week, and the exact portal, deadline, or step you need to do it.
You can't charge more for an hour of care. You can make sure the care is still there next year.
That's the whole job of this publication: the dull, ordinary disciplines — done on the dull, ordinary day — that keep an honest operation sustainable, so the care keeps showing up. Next Tuesday, and the one after that.
You make care possible.
This issue helps you prove it.
Honest agencies can feel lumped in with the few who aren't. Issue No. 1 draws the plain line between an improper payment and actual fraud — and gives you the everyday habits that keep your records clear enough that the question never has to come up.
- 04 What that big "fraud" number actually counts — and why it isn't fraud.
- 05 The Friday review that also protects you in a review.
- 06 Five habits that make an honest operation easy to see.
- 12 Your state, on one page: GA · NC · NE · OH · VA.
Also inside: a column on a word worth getting right · the human story, Ruth's Tuesday Morning · and what owners are talking about this month.
The same desks,
every single month.
Every issue runs the same recurring sections, each tuned to a different part of the operation — and colour-coded so you learn where to find yours.
A word worth getting right
Anand Chaturvedi on the idea underneath the operation — this issue, the difference between an improper payment and actual fraud.
This month, in plain terms
Whatever in your world actually moved — a rule that changed, a headline number being read the wrong way — with the portal name and the date.
The systems that hold up
The Friday review, the schedule-to-payroll reconciliation, the retention signals already sitting in data you collect.
Records that survive a review
Principles that hold in any state, with your state's deadlines and rules called out clearly in a box of their own.
Why the work matters
The story at the centre of the issue. One caregiver, one morning — the reason all the discipline is worth it.
Real voices, never invented
What owners and caregivers across five states are actually saying this month, drawn from public forums. Real, or it doesn't run.
Written for the owner,
not the boardroom.
Scaling faster than she can stabilise
Owner, scheduler, and backup caregiver all at once. She reads on her phone at 6am and wants one action she can take today.
A decade in, watching margins tighten
A full office team and a stable census — but flat reimbursements and rising wages. She wants strategy, not basics.
Looking for the money left on the table
A tight ship and an appetite to grow. She reads to know what other operators are doing and what she's missing.
An educational publication of the Deerghayu Foundation.
Carepreneur is a monthly print newsletter produced by Karavista for the Deerghayu Foundation, a nonprofit based in Atlanta, Georgia. It is written for the owners, schedulers, and caregivers who keep seniors and people with disabilities in their own homes — in plain language, verified against current official sources, and built around real voices rather than invented ones.
This publication is informational and educational only. It is not legal, billing, or compliance advice. Rules, rates, and deadlines change and differ by state and plan — always verify against your current state Medicaid manuals and payer guidance before acting.
Masthead
Questions, answered plainly.
What is Carepreneur?
Carepreneur is a monthly print newsletter published by the Deerghayu Foundation for Medicaid home care providers — the owners, schedulers, and caregivers who keep seniors and people with disabilities in their own homes. It is informational and educational, written in plain language.
Who publishes Carepreneur?
Carepreneur is published by the Deerghayu Foundation, a nonprofit based in Atlanta, Georgia, and produced by Karavista. Its Editor-in-Chief is Dr. Garima Chaturvedi, MD, and its column is written by Anand Chaturvedi, author of Care Manifesto.
Which states does Carepreneur cover?
Issue No. 1 reaches home care agencies in Georgia, North Carolina, Nebraska, Ohio, and Virginia. Most of the guidance applies in all five states; where rules differ, the state-specific detail appears in clearly labelled boxes.
Is an improper payment the same as fraud?
No. An improper payment is an accounting finding — a paid claim later found to be missing something the rules require, such as a signature or a cleared EVV exception. Fraud is the deliberate act of billing for care that never happened. The two are often confused in headlines, but they are not the same thing.
Who writes the Carepreneur column?
The column is written by Anand Chaturvedi, author of Care Manifesto. You can read more of his work at anandchaturvedi.com.
How often is Carepreneur published?
Carepreneur is published monthly as a 16-page print newsletter. It is informational and educational only, and carries no advice or endorsement.