HHA eXchange
HHAeXchange is a cloud-based SaaS platform connecting 32,000+ homecare providers, 180+ managed care organizations, and 30 state Medicaid programs. As a CMS-certified EVV Aggregator, it processes $38 billion in annual payments and 485 million visit confirmations across the home and community-based services ecosystem.
- Company typePrivate
- Founded2008
- HeadquartersLong Island City, United States
- Headcount501–1,000
- GTM typeB2B
- OfferingSoftware
What HHA eXchange does
HHAeXchange is a cloud-based homecare management SaaS platform founded in 2008 and headquartered in Long Island City, New York. The company connects the full HCBS ecosystem on a single integrated system, serving more than 32,000 homecare provider agencies, 180+ managed care organizations, and 30 state Medicaid programs. The platform manages approximately $38 billion in annual payments and processes 485 million annual visit confirmations, and HHAeXchange is certified by CMS as an official EVV Aggregator in Minnesota, New Jersey, West Virginia, and Texas.
The core Enterprise platform and HHAeXchange+ mobile app (available in 23 languages with offline mode) cover scheduling, electronic visit verification with GPS verification, clinical documentation, billing and claims processing, payroll, private pay processing, and revenue cycle management. Add-on modules address I/DD agency management, self-directed HCBS, managed care operations, state Medicaid reporting, business intelligence dashboards, and program integrity / FWA detection. The Partner Connect marketplace integrates 20+ third-party solutions including ADP, DailyPay, Nevvon, and Zingage AI. In 2024, HHAeXchange acquired Cashé Software, Generations Homecare System, and Sandata Technologies, expanding its product surface and geographic reach.
The company generates revenue through SaaS subscription licensing to providers and payers, managed revenue cycle services (RCM Services achieving a reported 97% collection rate), and transaction-based private pay processing fees starting at 2.95%. Go-to-market is enterprise direct sales supported by state-sponsored EVV portals and Partner Connect channel referrals. The company is privately held, with Hg and Cressey & Company sharing joint governance since September 2021.
HHA eXchange firmographics
Firmographics- Name
- HHA eXchange
- Legal name
- HHAeXchange
- Website
- https://hhaexchange.com
- Company type
- Private
- Founded year
- 2008
- Operating status
- Operating
- Headcount range
- 501–1,000 employees
- Short description
- HHAeXchange is a cloud-based SaaS platform connecting 32,000+ homecare providers, 180+ managed care organizations, and 30 state Medicaid programs. As a CMS-certified EVV Aggregator, it processes $38 billion in annual payments and 485 million visit confirmations across the home and community-based services ecosystem.
- Ownership category
- akta.pro rank
HHA eXchange industry classification
Industry- Product category
- Home Healthcare Management Software
- NAICS
- Home Health Care Services (621610), Home Health Care Services (62161)
- SIC
- Services-Prepackaged Software (7372), Services-Home Health Care Services (8082)
- akta.pro primary industry
- RPM Reimbursement, Billing & Program Operations Platforms (HLACAFAN)
- akta.pro secondary industries
- Care Coordination, Escalation & Clinical Workflow for RPM (HLACAFAI), Care Pathway Automation & Patient Engagement for RPM (Coaching, Messaging, Scheduling) (HLACAPAM)
Keywords
Where HHA eXchange is headquartered
LocationHeadquarters
- HQ city
- Long Island City
- HQ country
- United States
- HQ region
- North America
Offices3 records
Markets served
HHA eXchange business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Marketing or Sales, Operations, Infrastructure
Revenue model
- SaaS Platform Subscription: HHAeXchange generates revenue through subscription-based SaaS licensing of its homecare management platform. The platform is sold to homecare agencies (providers), managed care organizations, and state Medicaid programs. Pricing is likely tiered based on agency size, number of caregivers, or transaction volume. The company manages $38 billion in annual payments flowing through the platform, indicating substantial transaction-based value captured through software fees.
- Revenue Cycle Management Services: Outsourced RCM billing service where HHAeXchange manages the full revenue cycle for agencies. The company reports a 97% payment success rate, suggesting this managed service generates fees based on successful collections or a percentage of revenue processed.
- Private Pay Processing: Private pay payment collection with transaction fees starting at 2.95% for processing rates. Agencies pay per-transaction fees for private client payments processed through the platform.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Transaction based/ take rate | Pay-as-you-go | Private Pay Transaction Fees |
Go-to-market motion3 records
Distribution channels3 records
Marketing channels8 records
HHA eXchange product offering
Product offeringCore offering
HHAeXchange provides a cloud-based, HIPAA-secure SaaS homecare management platform that connects homecare providers, managed care organizations, and caregivers in a single integrated ecosystem. The platform delivers scheduling, electronic visit verification (EVV), clinical documentation, billing and claims, payroll, and revenue cycle management, and also offers outsourced RCM services and a Partner Connect integration marketplace linking 20+ third-party solutions.
Product overview
HHAeXchange is a cloud-based homecare management platform offering a unified ecosystem that connects providers, payers, and caregivers. The core HHAeXchange Enterprise platform serves as the central system managing scheduling, EVV, billing, payroll, clinical documentation, and compliance. Provider-facing modules include I/DD Agency Management for intellectual/developmental disabilities services, Self Direction Platform for participant-directed care, Scheduling, Clinical Documentation and Forms, Value-Based Care, Billing & Claims, Private Pay, and Payroll. Payer solutions include MCO Solutions for managed care organizations, State Medicaid Programs for government programs, Business Intelligence Dashboards for analytics, Program Integrity Tools for FWA detection, and Provider Network Management. The company also acquired and maintains separate brands including Sandata (October 2024) and Pavillio for specialized market segments. Additional capabilities are available through the Partner Connect integration marketplace connecting to 20+ third-party solutions including ADP, Zingage AI agents, DailyPay, Caribou Rewards, and other specialized tools.
Differentiator
Problem solved
Functional benefit
Brands
- Pavillio: Homecare agency management platform for administrators, caregivers, and clients.
- Sandata
Products and services
- HHAeXchange Enterprise Platform Cloud-based, HIPAA-secure homecare management SaaS platform that unifies scheduling, electronic visit verification, clinical documentation, billing and claims, payroll, and revenue cycle workflows for homecare agencies, managed care organizations, and state Medicaid programs.
- HHAeXchange+ Caregiver Mobile App Mobile application for caregivers to clock in and out with GPS verification, view plans of duty, complete EVV compliance, and document care visits. Supports 23 languages and offline mode for rural areas with limited connectivity.
- I/DD Agency Management Solution for intellectual and developmental disabilities agencies managing long-term, person-centered services, including integrated EHR, eMAR, OASIS requirements, DSP workforce management, and Medicaid billing.
- Self Direction Platform Software for self-directed home and community-based services (HCBS), covering participant enrollment, budget management, timesheet processing, and billing for Medicaid, managed care, and Veterans Health Administration programs.
- Revenue Cycle Management Services Outsourced managed-service RCM billing solution that handles the full revenue cycle from claims submission to denial appeals for homecare agencies, with a reported 97% payment success rate.
- State Medicaid Programs EVV Aggregator CMS-certified EVV Aggregator solution for state Medicaid agencies that captures homecare visit data from multiple EVV vendors and provides centralized program integrity, provider monitoring, and CMS reporting across providers and MCOs.
- Managed Care Organization (MCO) Solutions Platform for managed care organizations to manage provider networks, monitor EVV compliance, track program integrity, coordinate care initiatives, with included Business Intelligence dashboards and FWA detection tools.
- Partner Connect Integration Marketplace Integration marketplace that connects HHAeXchange with third-party solutions in payroll, e-learning, on-demand pay, caregiver rewards, background checks, AI workforce optimization, and care intelligence, including ADP, Nevvon, DailyPay, Caribou Rewards, Sapphire, Zingage, and others.
- Sandata Technologies Acquired homecare solutions platform providing EVV, billing, and care management capabilities for administrators, caregivers, and clients, integrated as a wholly-owned subsidiary.
- Pavillio Acquired homecare management platform providing billing, claims, and agency management capabilities for administrators, caregivers, and clients.
Quantifiable outcome
- 99.9% first-pass acceptance rate for claims
- +7 more outcomes
Companies that use HHA eXchange
Customer profileNamed customers11 records
Segments4 records
Ideal customer profiles3 records
HHA eXchange technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- Yes
- API docs
- API detail
Core technology
AI maturity
App detail
Integration16 records
AI capability7 records
Feature6 records
HHA eXchange partnerships and signals
Strategic signalPartnerships
Three partnerships are on record, tiered core and flagship.
- ADPcoreADP payroll integration with HHAeXchange allows agencies to export payroll data including caregiver work hours, pay codes, overtime, and holiday pay directly to ADP in a pre-configured format. Integration streamlines time tracking to payroll processing.
- NevvoncoreNevvon provides e-learning solutions integrated with HHAeXchange for caregiver training and professional development. Integration supports compliance documentation and ongoing education requirements for homecare agencies.
- VNS HealthflagshipVNS Health, a 125+ year home and community health organization, is a major customer using HHAeXchange for personal care management, Business Intelligence, and care coordination. VNS Health's feedback has influenced product development priorities.
Scale indicators12 records
Recent moves6 records
Expansion highlights6 records
HHA eXchange competitors and assessment
Company assessmentBroad incumbents
- WellSky (formerly Mediware/Telligence): Broad healthcare IT platform that includes home health, hospice, and personal care software through acquired brands (Brightree, ClearCare). Directly comparable to HHAeXchange in home health agency management, scheduling, and EVV, but operates as a multi-vertical incumbent rather than a homecare-specialist.
- MatrixCare (ResMed): Long-standing home health, hospice, and palliative care software platform now owned by ResMed. Overlaps with HHAeXchange in scheduling, clinical documentation, and billing for home health agencies, though its strength is more skewed toward skilled home health than personal care/HCBS.
Direct peers
- KanRAD (Kantime): Direct competitor in homecare and hospice software, with EVV, billing, scheduling, and clinical modules. Competes head-to-head with HHAeXchange for state Medicaid EVV contracts and provider agency deals.
- AxisCare: Homecare software platform serving private-duty and Medicaid personal care agencies with scheduling, billing, and EVV. Comparable to HHAeXchange's provider-facing modules for small and mid-sized agencies.
- Alora Healthcare Systems: Home health and hospice software with billing, scheduling, and clinical documentation modules. Targets similar agency customers as HHAeXchange, particularly small to mid-sized home health operators.
- ClearCare (now WellSky Personal Care): Personal care and homecare agency software, now part of WellSky. Closely overlaps with HHAeXchange's provider solutions for non-medical homecare and personal care services.
- Axxess (Home Health and Hospice): Home health, hospice, and homecare software platform with EVV, billing, and clinical documentation. One of HHAeXchange's most direct competitors in the home health agency management space.
Emerging players
- TheraOffice (now Raintree Systems): Therapy and home health EMR platforms, with partial overlap in home health documentation and billing workflows relevant to HHAeXchange's clinical and RCM modules.
- CellTrak: Electronic visit verification and homecare workforce management solution. Directly comparable in EVV functionality and caregiver mobile workflows, though smaller scale than HHAeXchange's installed base.
Regional players
- CareCentrix: Home and post-acute care coordination services for health plans; adjacent rather than directly competitive, but addresses the same payer-driven homecare ecosystem that HHAeXchange serves on the technology side.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat5 records
Key risks6 records
Key highlights7 records
Customer concentration
HHA eXchange social profiles
Digital presenceHHA eXchange compliance and trust
Trust signalCompliance5 records
HHA eXchange financial estimates
Financial estimateRevenue estimate
Valuation estimate
HHA eXchange leadership team
Management profileNumber of profiles
Profiles10 records
HHA eXchange subsidiaries and ownership
Company hierarchySubsidiaries4 records
HHA eXchange funding detail
Funding detailFunding overview
Funding rounds3 records
Investors4 records
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
HHA eXchange M&A and investment
M&A and investmentM&A3 records
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about HHA eXchange
What does HHA eXchange do?
HHAeXchange provides a cloud-based, HIPAA-secure SaaS homecare management platform that connects homecare providers, managed care organizations, and caregivers in a single integrated ecosystem. The platform delivers scheduling, electronic visit verification (EVV), clinical documentation, billing and claims, payroll, and revenue cycle management, and also offers outsourced RCM services and a Partner Connect integration marketplace linking 20+ third-party solutions.
Is HHA eXchange a public or private company?
HHA eXchange is a private company. It is classified as private equity controlled and is currently operating.
When was HHA eXchange founded?
HHA eXchange was founded in 2008. It employs 501 to 1,000 people.
Where is HHA eXchange based?
HHA eXchange is headquartered in Long Island City, United States, in the North America region.
How does HHA eXchange make money?
Three revenue lines are on record. SaaS Platform Subscription is the primary driver. The others are revenue Cycle Management Services and private Pay Processing.
Who are HHA eXchange's main competitors?
Broad incumbents on record are WellSky (formerly Mediware/Telligence) and MatrixCare (ResMed). Direct peers are KanRAD (Kantime), AxisCare, Alora Healthcare Systems, ClearCare (now WellSky Personal Care) and Axxess (Home Health and Hospice). Emerging players are TheraOffice (now Raintree Systems) and CellTrak. CareCentrix is listed as a regional player.
Does HHA eXchange have an API?
Yes. HHAeXchange supports API integrations allowing customers to pull real-time data from external systems into the platform. The platform enables third-party EVV integration partners to connect agency data to payers using API or EDI connections.
What industry is HHA eXchange in?
HHA eXchange's product category is Home Healthcare Management Software. Its primary akta.pro industry code is HLACAFAN, RPM Reimbursement, Billing & Program Operations Platforms, with a secondary code of HLACAFAI, Care Coordination, Escalation & Clinical Workflow for RPM. Its NAICS code is 621610 and its SIC code is 7372.