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For years, HME providers scaled by adding more people, point solutions, and processes where operational pressure appeared.
That approach worked for a time, but the environment has changed.
Margins are tighter. Payer requirements are more demanding. Patient expectations continue to rise. And demand for care at home, including DME and home infusion, keeps growing.
Teams feel that pressure across intake, eligibility, documentation, billing, collections, and reimbursement.
HME providers need to rethink how operations scale. Instead of adding more, they should focus on how work moves.
In this blog, we’ll explore:
More effort isn’t always the answer. Better flow is.
When something goes wrong in operations, it’s natural to look at the individual step. Intake feels slow. Documentation isn’t complete. Billing has a backlog.
But most of the time, these functions work properly. The challenge is actually in how those steps connect and where gaps exist between them
Information gets entered more than once. Teams wait on updates they can’t see. Work pauses until someone follows up manually.
Small issues early in the process don’t go away. They often appear later as denials, delays, rework, or reimbursement slowdowns. Over time, this creates a pattern. Teams stay busy, but progress feels harder than it should.
It’s not about one step underperforming. It’s about how those steps connect.
For a long time, improving operations meant making each step better. Faster intake. Cleaner documentation. Fewer billing errors.
Those improvements still matter. They support accuracy and help teams stay on track.
But on their own, they don’t always change how the business performs overall.
Work can still slow down between intake and documentation, fulfillment and billing, and claims and reimbursement. Even strong teams can feel pressure when the workflow doesn’t move consistently from start to finish.
That’s where the shift begins.
Instead of focusing only on individual tasks, the focus is on how everything connects. It comes down to how work moves across teams, where added visibility may help, and which handoffs require manual follow-up.
When that improves, everyone feels the impact across the board.
A different way of thinking is starting to take shape across HME operations.
Rather than relying on added effort, HME providers focus on moving work more smoothly from one stage to the next.
This shift brings two important changes:
The goal isn’t to remove work. It’s to make the work that remains more meaningful.
Resupply offers a clear way to see how this shift can work in practice.
Traditionally, resupply has been handled manually. Staff track schedules, contact patients, confirm eligibility, and process each order step by step. It works, but it requires constant attention and time teams don’t have much of.
When the workflow is more connected, resupply becomes part of an ongoing lifecycle rather than a standalone task.
Timing can be informed by patient behavior rather than fixed dates. Eligibility and documentation can be accounted for earlier in the process. Orders can move forward with fewer pauses and less back-and-forth.
Patients and teams can have a more consistent experience. Patients stay on therapy. Orders move more efficiently. Teams spend less time managing routine reorders.
For providers working with pediatric patients, this can have an even greater impact. When routine tasks are done faster, staff have more time for care and attention. They can help families adjust medical equipment as children grow and address unique needs that arise over time.
The work doesn’t disappear. It becomes more focused on what matters most.
Automation can raise concerns, especially in healthcare settings where personal connection matters.
But in practice, it often allows even stronger personal care and connection when done well.
When teams reduce repetitive administrative work, they have more time to focus on high-value work. They can spend less time finding information and more time engaging with patients or solving issues.
Automation helps bring consistency and real-time visibility to repetitive tasks. It helps save time and move routine steps forward without constant manual follow-up. And it helps identify what needs attention instead of requiring teams to search for it.
People remain central to the process. Their role becomes even more important where experience, empathy, and decision-making come into play.
The goal isn’t to replace people. It’s to support them so they can do their best work.
This kind of change doesn’t need to happen all at once.
Most progress starts with a clear understanding of where things stand today.
Leaders often begin by looking at where work slows down or where teams are spending more time than expected. It might show up as repeated data entry during intake, delays tied to documentation, or extra time spent to manage billing and collections.
It can also appear when teams don’t have a clear view of what’s happening across the workflow.
Once those areas are visible, the next step becomes easier to define. Improvements can be focused and measurable. Teams can start small and build momentum over time.
No organization needs to solve everything at once. What matters is knowing where to begin.
HME providers are operating in a more complex environment, but that complexity also brings opportunity.
The organizations that stand out won’t be the ones that simply add more resources. They’ll be the ones that rethink how work gets done, focusing on how work moves across intake, eligibility, documentation, billing, and reimbursement.
They’ll support their teams with better visibility. They’ll use automation where it makes sense. And they’ll create space to focus on high-level challenges and patient engagement.
When work moves the way it should, everything else becomes easier to manage.
HME providers have a real opportunity to rethink how work gets done. As workflows become more connected, teams can spend less time navigating processes and more time focusing on patients, decisions, and growth.
With the right balance of workflow automation and human expertise, everyday operations can feel more visible, more aligned, and easier to manage. Even small improvements in reducing the gaps between workflows can support meaningful progress over time.
As HME providers look ahead, having the right technology and support in place can help create a clearer, more connected path forward.
Brightree helps HME providers improve workflow efficiency across the full lifecycle, from intake and documentation through resupply, billing, and beyond. Teams get the support they need to move work forward with greater clarity, with fewer challenges, and with more time to focus on patients instead of process management.
See what smarter HME workflows can look like in action.
Doug Brandberg is Brightree’s General Manager, bringing more than 30 years of leadership experience across software, data, and technology businesses.Doug has held executive roles spanning strategy, operations, finance, M&A, sales operations, and investor relations across Fortune 500 enterprise and high-growth SaaS companies.
Throughout his career, he has championed forward-looking growth strategies – leading meaningful investments and strategic initiatives that positioned businesses to stay ahead of industry change and deliver sustained performance.Doug joined Brightree in 2019 as Chief Financial Officer, where he strengthened financial performance, advanced the company’s growth strategy, and led and integrated successful acquisitions.
His responsibilities later expanded to include broader financial and operational leadership across Resmed’s Residential Care Software portfolio.As General Manager, Doug leads Brightree’s continued growth and innovation – ensuring the company invests strategically in emerging technologies while delivering measurable value to customers and partners across the post-acute care system.
Prior to joining Brightree and Resmed, Doug held senior leadership roles in both Fortune 500 and private equity-backed technology companies including BellSouth/AT&T, Equifax, First Data Corporation, and GoDaddy.Doug holds a bachelor’s degree from the University of Virginia, an MBA from the Georgia Institute of Technology, and is a CFA® charterholder.
Wondering what all the excitement is about?
Schedule a simple hands-on demo, and go from curious to confident.