Home health agencies are facing a talent crisis. With an aging population, increasing demand, and high caregiver turnover, leaders are under pressure to keep shifts filled and morale high.

One powerful solution? Same-day pay.

Also known as earned wage access (EWA), same-day pay gives caregivers access to their earnings immediately after a shift. And it’s transforming how agencies hire, retain, and support their teams.

Why Caregiver Turnover Is So High

• Long hours and emotional labor

• Low hourly wages

• Financial instability

• Job competition from hospitals, retail, and gig work

More than 65% of caregivers say they’ve considered leaving their job due to stress or financial strain.* And when agencies can’t offer competitive wages, they need better benefits.

The Impact of Same-Day Pay

1. Immediate Relief = Lower Stress

Caregivers often live paycheck to paycheck. Giving them access to their earnings helps them cover gas, food, and bills without waiting.

Less stress = more focus on patient care.

2. Fewer Missed Shifts

Agencies that implement Keeper report a 20% decrease in no-shows and callouts. When caregivers can earn and access pay the same day, they’re more motivated to show up and take shifts.

3. Faster Hiring

Caregivers choose jobs that offer fast access to cash. Listings that include same-day pay fill roles up to 2x faster than those that don’t.

It’s a clear differentiator in a competitive hiring market.

4. Better Retention

Agencies using Keeper see a 30% reduction in caregiver turnover within 90 days. It’s not just about money—it’s about feeling supported and respected.

Why Keeper Is Built for Home Health

• Works with your payroll and scheduling tools

• 100% free for employers

• No shift minimums or hourly requirements

• Supports caregiver autonomy and trust

We’ve helped home health agencies of all sizes improve their workforce stability and reduce burnout with one simple change.

Real Stories from the Field

“Before Keeper, we lost 3 caregivers a month. Now? Maybe one a quarter.”
– Director of Nursing, Regional Home Care Agency

“We can finally compete with hospitals and gig jobs.”
– Staffing Coordinator, National Home Health Provider

Same-Day Pay Isn’t a Perk—It’s a Lifeline

In home health, consistency is everything. And consistency starts with caregivers who feel valued, financially stable, and motivated to stay.

Keeper makes it easy to offer same-day pay with no disruption to your systems or payroll. [Request a Demo] to see how.

*Sources: Home Health Care News, Keeper client data, interviews with agency partners