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How To Build a Home Health & Hospice Marketing System That Actually Increases Admissions

March 30th, 2026

5 min read

By Abigail Karl

A home health or hospice agency building a marketing system
How To Build a Home Health & Hospice Marketing System That Actually Increases Admissions
11:24

A lot of home health & hospice marketing still looks the same.

  • Someone drops off pastries at a physician office
  • A marketer checks in with a discharge planner
  • A few business cards get exchanged.

Then everyone just waits to see if a referral shows up. Sometimes it works. Sometimes it does not.

But many agencies eventually realize something important: Marketing alone does not create consistent growth.

What actually creates sustainable referral relationships is a clear system for how your agency:

  • Presents itself
  • Communicates with referral partners
  • Follows through on its promises

*This article was written in consultation with Mariam Treystman & Austin Degenhardt.

During a recent episode of The Home Health Consultant podcast, we sat down with Austin Degenhardt, Managing Partner of HHA Pros Consulting.

In the podcast, we talked about something many agencies rarely step back and evaluate: how they actually approach marketing and referral relationships. Austin has spent years working with home health organizations in competitive healthcare markets.

At The Home Health Consultant (THHC), our work with Medicare-certified home health and hospice agencies focuses on compliance systems and operational readiness. But growth conversations frequently lead to the same place: marketing strategy.

Agencies want to know how to:

  • Build stronger referral relationships
  • Communicate their value more clearly
  • Create a system that supports steady admissions without compromising

This article looks at how you can start restructuring your intake and marketing systems by exploring what makes a strong home health or hospice marketing program.

Why Do Many Home Health & Hospice Marketing Efforts Feel Unstructured?

Many home health & hospice agencies rely on relationship marketing.

Marketers visit hospitals, skilled nursing facilities, and physician offices to build familiarity with referral sources. These relationships matter. Healthcare referrals often depend on trust.

However, relationships alone do not always create a predictable flow of referrals.

In many industries, sales teams follow a structured process. They schedule meetings, present services clearly, ask for business directly, and follow up consistently.

In home health & hospice, and healthcare in general, marketing sometimes becomes more passive. Agencies may introduce themselves repeatedly without clearly explaining what differentiates their organization or when a referral partner should choose them.

When marketing lacks structure, agencies often struggle to identify what activities are actually producing referrals.

How Can Traditional Sales Principles Apply to Home Health & Hospice?

Although healthcare is unique, many traditional sales principles still apply.

A structured home health or hospice outreach approach often includes several steps:

  • contacting referral sources directly
  • scheduling an internal dedicated meeting or presentation for staff
  • explaining the agency’s services and strengths
  • asking for the opportunity to care for a patient

In home health & hospice, this presentation may take the form of an in-service for case managers or physicians.

The goal is not aggressive selling. Instead, the objective is to communicate clearly how your agency supports patients and why referral partners can trust your team with their patients’ care.

When agencies approach marketing this way, referral partners often gain a clearer understanding of what the agency offers and when it may be the right fit for a patient.

What Makes Customer Service a Major Differentiator in Home Health & Hospice?

A home health or hospice agency using customer service as a major differentiator

Home health & hospice services are highly regulated. Most agencies provide similar core services because they must follow Medicare rules and clinical standards.

This means differentiation can only occur through operational reliability rather than services offered.

Referral partners frequently evaluate agencies based on questions such as:

  • Does the agency respond quickly to referrals?
  • Do they communicate clearly about patient status?
  • Do they follow through on what they promise?

When referral partners trust that an agency will handle patients professionally and communicate consistently, they are more likely to continue sending referrals.

In this way, customer service becomes one of the most practical ways agencies distinguish themselves within a regulated healthcare environment.

How Do Mission, Vision, and Values Influence Marketing Success?

Strong marketing often begins internally. In both our experience at THHC and Austin’s with HHA Pros Consulting, agencies that clearly define their mission, vision, and core values tend to communicate more consistently with referral partners.

These statements guide many organizational decisions, including but not limited to:

  • hiring and training staff
  • setting expectations for patient care
  • determining how the agency interacts with referral sources

If an agency emphasizes transparency and patient centered care as core values, those principles influence how marketers communicate with hospitals and physician offices.

Over time, referral partners begin to associate the agency with those values. This consistency helps build trust within the community.

Why Can Transparency Strengthen Referral Relationships?

One of the most overlooked ways to build trust with referral partners is simple honesty.

In busy healthcare markets, agencies sometimes accept referrals even when they are already at full capacity. Later, they may need to return the referral or delay care because staffing is unavailable.

While these situations are sometimes unavoidable, they can damage referral relationships if they occur repeatedly.

Some agencies take a different approach. When they know they cannot safely admit another patient, they tell the referral partner immediately and help identify another agency that may be able to accept the patient.

Surprisingly, this level of transparency often strengthens relationships rather than weakening them.

Referral partners appreciate agencies that communicate clearly and prioritize patient needs.

What Size Agency Model Works Best for Long Term Growth?

Home health & hospice agencies operate under a variety of business models.

Some organizations prefer to remain smaller, operating with a census of roughly under 100 patients. These agencies often focus on personalized care and strong relationships with local referral sources.

Other agencies pursue a larger growth strategy. They have the goal of expanding to several hundred patients across multiple branches.

Both models can succeed when leadership builds strong operational systems and maintains high quality patient care.

It isn’t about ‘how big’ you’re looking to make your agency; that doesn’t guarantee success. Instead, it’s about identifying your goals, target audience, and bandwidth. After that, you can build a sustainable system that works for you, your team, and the referral sources you’re after.

What Questions Do Agencies Often Ask About Home Health & Hospice Marketing?

Many agency leaders ask similar questions when evaluating their marketing approach.

Do we need expensive marketing strategies to grow?
Not necessarily. Consistency, professionalism, and communication often matter more than expensive promotional efforts.

What matters most to referral sources?
Referral partners usually prioritize agencies that respond quickly, communicate clearly, and deliver reliable patient care.

How can we stand out if all agencies provide similar services?
Operational reliability and customer service often become the most visible differentiators in regulated healthcare environments.

How Can Agencies Begin Building a More Structured Marketing Approach?

Many agency leaders wonder how to begin improving their marketing systems. Here’s a general overview of steps you can take today:

Step 1: Clarify the agency’s core message

Referral partners should quickly understand what your agency stands for and what type of patients you serve best. Take time to clearly define the message you want hospitals, physicians, and case managers to associate with your organization.

This message should explain what makes your agency reliable and why referral partners can feel confident sending patients to your team.

Step 2: Create a system to track your referral pipeline

Marketing as a referral pipeline for home health and hospice agencies

Marketing becomes much more effective when agencies understand what happens to referrals after they are received. Establishing a system to track the referral pipeline allows leadership to see how referrals move from the initial relationship with a referral source all the way through Start of Care.

Tracking this information helps agencies identify:

  • Which referral relationships are producing patients
  • How quickly referrals are moving through intake
  • Where opportunities for improvement may exist.

Even a simple tracking system can provide valuable visibility and help leadership make more informed decisions about marketing strategy.

Step 3: Create consistent outreach routines

Many agencies rely on informal visits or occasional drop ins when connecting with referral sources. A more structured approach can help improve consistency.

For example, agencies may schedule regular meetings with referral partners or plan periodic check-ins with physician offices. Consistency helps build familiarity and reinforces your agency’s presence in the community.

Step 4: Communicate clearly when a patient begins care

Referral partners often want to know that their patient successfully transitioned to home health or hospice services. A quick follow up message confirming that the patient has started care can strengthen trust and reinforce your agency’s professionalism.

Again, this communication does not need to be complex. Don’t overthink it! Even a simple update can reassure referral partners that their patient is being supported.

Step 5: Follow through on the promises your agency makes

The most important step is consistency. Agencies build their reputation over time by doing what they say they will do.

When referral partners know they can depend on your team to respond quickly, communicate clearly, and care for patients responsibly, they are more likely to continue sending referrals.

These steps may seem straightforward, but taken together they help create the kind of structured marketing system that supports long term growth.

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Branding also plays a major role in how referral sources perceive your agency.

If you want to explore this topic further, start with this article in from our first marketing series:

*Disclaimer: The content provided in this article is not intended to be, nor should it be construed as, legal, financial, or professional advice. No consultant-client relationship is established by engaging with this content. You should seek the advice of a qualified attorney, financial advisor, or other professional regarding any legal or business matters. The consultant assumes no liability for any actions taken based on the information provided.