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CASE STUDY
Infrastructure Rebuild Increased SOC by 40% in 120 Days
Client Profile
New York–based Licensed Homecare Services Agency
Revenue Stage: Scaling
Primary Payer: Medicaid Managed Care
Monthly SOC: 5
The Challenge
Despite receiving 18–22 referrals monthly, the agency averaged only 5 Start of Cares (SOC).
Operational symptoms included:
Intake-to-SOC timeline averaging 17 days
Fill rate below 65%
No documented intake handoff protocol
Staffing escalation informal
No KPI dashboard
Revenue plateaued.
Diagnostic Findings
The audit identified:
Authorization delays averaging 6 days
No lost-case tracking
Staffing backlog of 4–6 open cases weekly
No performance benchmarks
Estimated annual revenue leakage: $145,000+
The Intervention
LAP implemented:
Intake-to-SOC workflow redesign for an operational turnaround
72-hour staffing escalation rule
Referral conversion tracking dashboard
Daily fill-rate monitoring
KPI executive summary dashboard
Results (120 Days)
SOC increased from 5 → 7 monthly (40% growth)
Intake-to-SOC reduced from 17 → 9 days
Fill rate improved from 65% → 87%
Revenue projection increased by ~$168,000 annually
Strategic Insight
The agency did not need more referrals.
It needed an infrastructure rebuild to enhance operational velocity.
CASE STUDY
Operational Turnaround Reduced Case Backlog by 58%
Client Profile
Established LHCSA
Revenue: ~$2.3M annually
Challenge: Staffing delays & payroll pressure
The Challenge
Agency reported:
8–10 open unstaffed cases weekly
Payroll approaching 78% of revenue
Reactive recruitment process
No urgency classification
Revenue strain intensified.
Diagnostic Findings
Average days to staff: 6.5
No recruitment pipeline tied to case demand
Staffing team lacked measurable benchmarks
Estimated backlog cost: ~$12,000 monthly
The Intervention
LAP implemented:
Case urgency tier system
24-hour staffing review model
Recruitment-to-demand alignment tracker
Fill-rate KPI dashboard
Payroll-to-revenue monitoring model
Results (90 Days)
Case backlog reduced by 58%
Fill rate improved to 85%+
Payroll stabilized at 65% of revenue
Increased monthly revenue by ~$22,000
Strategic Insight
In the realm of healthcare consulting, it’s clear that staffing inefficiency is rarely a hiring problem. Instead, it often stems from a system design issue, highlighting the need for an infrastructure rebuild to support an effective operational turnaround.
