Caregiver turnover is one of the most expensive and disruptive challenges in healthcare. Every departure means more time recruiting, more training costs, and greater strain on the remaining staff.

The key to retention? Making your employees feel valued. One way to do that is by offering high-quality benefits that differentiate you from your competitors, like same-day pay. With this benefit, your workers get on-demand access to their earned wages after finishing a shift, and it won’t even cost you a dime or require changes to your existing tech stack. This article will show you how same-day pay helps companies reduce turnover and build a more stable and satisfied caregiver workforce.

Why Turnover Hurts So Much in Healthcare

The US population is aging, and the need for caregivers will only increase. In fact, it’s projected that from now to 2060, the population of adults ages 65+ will grow about 53.6%, from 57.8 million to 88.8 million, with the 85+ age group nearly tripling. The scales of supply and demand will not be even, requiring employers to work harder to reduce employee turnover in order to meet the increased need for care.

• Home health turnover was nearly 80% in 2024.

• The average annual turnover rate for nursing staff in nursing homes was 128%, according to a 2021 study.

• Hospital staff turnover is 18.3%, with RN turnover at 16.4%—each bedside RN turnover costs around $61,110.

Same-Day Pay: A Proven Retention Booster

Same-day pay, known as earned wage access (EWA), gives caregivers instant access to wages they’ve already earned so they don’t have to wait for payday. Why does this matter? Home caregivers’ low wage of $16-$18 per hour contributes to financial strain and stress, with an estimated 37% of these workers living in low-income households. When living paycheck to paycheck, early access to earned wages makes an enormous difference.

Keeper is a leading EWA provider, free to employers to onboard and with a rapid implementation time that doesn’t require changes to payroll or time & attendance systems. Caregivers simply download the app, claim their account, and have instant access to their pay whenever they need it. Agencies using Keeper have reported up to 30% reductions in turnover within 90 days of launch.

Why Keeper EWA works:

• Reduces financial stress between paychecks

• Improves attendance

• Builds trust between employer and staff

Real-World Impact of Keeper EWA

A mid-size home health provider saw turnover drop from 40% to 28% in just three months after introducing Keeper as an employee benefit.

How? Keeper does all the heavy lifting and reduces friction to encourage employees to claim and use their account, including:

• Sending account activation and engagement emails

• Providing marketing assets to distribute to employees

• Notifying app users when new wages are available

• Handling all support inquiries via phone, email, and app chat

Want to become one of Keeper’s success stories? Request a demo to see how Keeper helps you retain your best caregivers.