Last updated: May 2026

Home Health Margins Are Under 4%. Losing 2.5% on Patient Payments Is Unsustainable.

PaySec integrates with WellSky — zero processing fees on patient copays, private-pay collections, and balance payments.

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The Home Health Math

Medicare and Medicaid cover most costs — but copays, deductibles, and private-pay balances are growing. Processing fees on those patient payments cut into razor-thin margins.

Agency SizeMonthly Patient PaymentsAnnual Fees Eliminated
Small (50 patients)$25,000$7,800
Mid-size (200 patients)$80,000$24,960
Large (500 patients)$200,000$62,400
Multi-state (1,000+)$500,000$156,000

Works with WellSky Workflow

Patient payment portal with dual pricing
Copay and deductible collection
Private-pay billing
Hospice and palliative care payments
Multi-agency and multi-payer support
HIPAA-compliant processing

Private-Pay Growth

As high-deductible health plans expand, patient responsibility is rising. An agency collecting $100K/month in patient payments today may collect $150K in two years. With PaySec, fee growth is $0 regardless of volume.


Get Started — No Minimums →

For home health agencies and post-acute care providers on WellSky who operate on margins that leave no room for processing fees.

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