Case study: private-duty home care

Seven days faster to first shift, with a path to keep the caregiver

Martha’s Hands Services cut time to first shift from about 21 days to about 14. Its marketplace fee now stops at 80 hours per caregiver.

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Home care caregiver visiting with an older adult

How did a private-duty home care organization get caregivers to a first shift faster?

Martha’s Hands Services moved caregiver coverage to MedicalMatch, the Healthcare Workforce Operating System with a marketplace solution embedded. Time from application to first shift fell from about 21 days to about 14. The marketplace fee applies to the first 80 hours only, after which Martha’s Hands can hire a proven caregiver directly.

14 days

From application to first shift, down from about 21

80 hours

Where the marketplace fee stops, with no renewal

30 min

Of coordination per applicant, largely removed

Figures reported by Martha’s Hands Services, September 2026.

What changed

Before

Agency fees ran for every hour a caregiver worked, for as long as the caregiver was needed. A one-year restriction blocked direct rehire.

With MedicalMatch

The fee applies to the first 80 hours only. After that, Martha’s Hands can move a proven caregiver into direct, longer-term employment.

Also reported

  • Net profit on the first 80 hours slightly ahead of the agency alternative
  • Coverage held through the seasonal gap, with roughly a 5% overtime increase during the ramp

“With MedicalMatch, we only pay the fee for the first 80 hours, and we can engage into longer employment commitments with successful caregivers into the future.”

Andrew Huber, Chief Operating Officer, Martha’s Hands Services

Cover the shift now. Hire the people who fit.

See how the same model works across your organization, with $0 hire-away fees.

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