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Dec 29, 2025

Why Your Effective Hourly Rate is Lower Than You Think

Arvind Sarin- Chairman & CEO

Arvind Sarin

Why Your Effective Hourly Rate is Lower Than You Think
Why Your Effective Hourly Rate is Lower Than You Think

For the independent home health contractor, time is not merely a schedule. It is inventory. You sell your expertise in specific blocks of time, and unlike a salaried employee, your income is directly tethered to your physical presence with a patient. This model offers freedom, but it comes with a silent penalty that drains the profitability of many healthcare professionals.

We call this the opportunity cost of unbillable hours.

When you accept a contract, you likely calculate your earnings based on the visit rate. However, this calculation is often deceptive. It fails to account for the hours spent typing OASIS notes in your car or at your kitchen table. Every minute spent on documentation is a minute you are working for free. If you earn a premium rate for a visit but spend an equal amount of time charting unpaid, your effective hourly rate is immediately cut in half.

To truly maximize your potential as a "Maximizer" in the gig economy, you must stop viewing documentation as a chore and start viewing it as a leak in your revenue stream.

The Technology of Efficiency


The solution is not to work faster or sleep less. The solution is to leverage infrastructure that decouples your income from your administrative burden. This is where Nate enters the equation.

Nate is not a generic dictation tool retrofitted for healthcare. He is a specialized Clinical Documentation AI agent from Copper Digital who is purpose-built for the nuances of home health and complex CMS PDGM guidelines. While generic tools simply transcribe words, Nate understands the context of a Start of Care assessment.

Imagine completing a comprehensive SOC document in less than 15 minutes instead of the industry standard of three hours. This is not a marginal improvement. It is a paradigm shift in how you allocate your day. Nate listens during your visit or processes your rapid dictation between drives to draft notes that are audit-proof and ready for review.

The ROI of Automation


Many contractors hesitate to adopt premium tools because they view them as an expense. A savvy business owner views them as an investment with a clear return.

Consider the economics of volume. By reclaiming over 10 hours of documentation time weekly, you create capacity in your schedule. You do not need to fill all those hours to see a return. Using the time saved to accept just two extra visits per month covers the investment entirely. Every visit after that is pure profit.

Furthermore, we must consider the fiscal structure of your business. As an independent contractor, you are responsible for your own tax liabilities. Intelligent software tools are legitimate business expenses that can lower your taxable income. You are essentially using pre-tax dollars to buy back your personal time.


Stop Working for Free

The most successful contractors are those who protect their time aggressively. They understand that every hour spent looking at a screen is an hour not spent generating revenue.

You do not have to accept the administrative burden as the status quo. Let Nate handle the complex coding and documentation so you can focus on what actually drives your business. You can read more about how AI is transforming home health workflows on our blog.




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Strong Teams Deserve Superhuman Support

Give your staff AI-powered teammates that never sleep, miss a call, or drop a referral

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Strong Teams Deserve Superhuman Support

Give your staff AI-powered teammates that never sleep, miss a call, or drop a referral