Service lines
Every line of business an agency runs.
A healthcare agency rarely does one thing. The same organization may nurse infusion patients for pharmacies, see veterans, staff private duty cases, bill Medicare and Medicaid, and place clinicians elsewhere. Each line has its own customer, rules and money. Each page below explains how that business actually works.
The lines
What each one is.
| Service line | Who usually pays | What makes it hard |
|---|---|---|
| Home infusion nursing | Pharmacy contracts, and payer and program benefits: Medicare and Medicare Advantage for qualifying therapies, Medicaid, VA and commercial plans where applicable | Many pharmacies and payers, each with its own orders, documentation and rates |
| Specialty pharmacy nursing | The pharmacy | Competency by therapy, coverage by geography, proof returned to the pharmacy |
| Infusion suites | Pharmacy, payer or patient | Chairs as a shared resource; one nurse, several patients |
| Medicare-certified home health | Medicare, by 30-day period | Assessment, certification, payment grouping, admission notice, claims, survey |
| Hospice | The Medicare hospice benefit, Medicaid, commercial, private pay | Election, certification, an interdisciplinary plan, payment by level of care |
| Private duty and private pay | The family, or a private insurer | Long shifts, continuity of staff, invoicing people instead of payers |
| Personal care and home care | Medicaid waiver programs, the VA, private pay | High volume, visit verification, aide supervision |
| Medicaid home and community care | The state program or its managed-care plans | Authorizations by unit, electronic visit verification, state-by-state rules |
| VA community care | The VA, through its contracted networks | Authorizations by discipline, each with its own quantity and dates |
| Healthcare staffing | The client that needs the clinician | A complete, current file for every clinician, and speed |
Service lines are one axis. Who pays is the other: payer and program models →
What every line shares
Whatever the line, the agency does the same things. It takes a referral. It establishes who the patient is and what care is authorized. It finds a clinician who is qualified, current and within reach. It schedules and delivers a visit. It documents what happened and has it reviewed. It tells whoever is paying. It gets paid. And it must be able to show, later, that all of this happened the way the rules and its own policies say it should.
What differs between lines is the customer, the documentation, the payment rule and the regulator. Paloma’s architecture keeps the shared part shared, and makes the differing part a property of the service line.
Paloma Cares
See it in Paloma Cares
Paloma Cares runs the operating chain for the service lines listed below. Paloma Talent finds clinicians for any of them, whatever software the organization uses.
From Paloma Cares
What Paloma Cares supports today
This list is published by Paloma Cares and was last verified on 2026-10-10. palomacares.com is the source for what the product does now.
- Home infusion nursingLiveSee it in Paloma Cares →
- Specialty pharmacy nursingLiveSee it in Paloma Cares →
- Infusion suitesIn progressSee it in Paloma Cares →A chair list and a day view of chairs exist. Chair booking, overlap prevention and suite billing are not complete.
- Healthcare staffingLiveSee it in Paloma Cares →
- Medicare-certified home healthNext service line
- VA Community CareIn progressSee it in Paloma Cares →Referral, orders, scheduling, visit documentation, review and authorization tracking are live. The UB-04 is a worksheet for billing staff, not a submission-ready claim.
- Private duty skilled nursing visitsLiveSee it in Paloma Cares →Scheduling, documentation and review of skilled nursing visits. Shift-based care is not included.
- Private duty shift care and private-pay invoicingPlatform direction
- Medicaid home and community carePlatform direction
Questions
Common questions
What is a service line?
The kind of care an organization delivers, such as home infusion nursing, Medicare-certified home health, hospice or private duty. It decides what must be ordered and documented, which clinicians may deliver it and which regulator inspects it. Who pays is a separate question.
Why does Paloma take one service line at a time?
A platform that launches every line at once is shallow in all of them. Paloma takes each service line to depth on a shared core, so the next line reuses the same patients, orders, schedule, staff, evidence and billing record instead of starting again.
Can one organization run several service lines on one record?
That is what the architecture is designed for: one roster, one set of patients, one compliance record and one set of books across every line an organization runs. What differs by line is held as service-line content and dated rules.
The products
The software doing it.
Use either independently. Use them together when you want patient demand and workforce supply to work from the same context.