Quick Overview
- 1#1: AlayaCare - Comprehensive cloud-based homecare management platform with scheduling, billing, EVV, and client portals.
- 2#2: Axxess - All-in-one home health software for compliance, visit documentation, billing, and OASIS management.
- 3#3: Homecare Homebase - Enterprise-grade solution for home health and hospice with clinical, financial, and operational tools.
- 4#4: CareSmartz360 - Integrated homecare software offering scheduling, billing, EVV, and telehealth capabilities.
- 5#5: AxisCare - User-friendly platform for non-medical homecare agencies with scheduling, payroll, and family portals.
- 6#6: ShiftCare - Modern rostering and care management software for home care providers with real-time tracking.
- 7#7: WellSky - Scalable homecare solution with EVV, revenue cycle management, and analytics for personal care.
- 8#8: HHAeXchange - EVV and homecare management platform focused on Medicaid compliance and payer integrations.
- 9#9: CareVoyant - Cloud platform for home health agencies with clinical documentation, billing, and HHA management.
- 10#10: Sandata - EVV and workforce management software for homecare with visit verification and reporting.
These tools were evaluated based on feature depth, user-friendliness, reliability, and overall value, ensuring they cater to diverse homecare workflows from clinical documentation to payer integrations.
Comparison Table
This comparison table breaks down key features, workflows, and functionalities of top homecare software tools—including AlayaCare, Axxess, Homecare Homebase, CareSmartz360, AxisCare, and others—to help readers identify which solution aligns with their operational, care management, and business requirements.
| # | Tool | Category | Overall | Features | Ease of Use | Value |
|---|---|---|---|---|---|---|
| 1 | AlayaCare Comprehensive cloud-based homecare management platform with scheduling, billing, EVV, and client portals. | specialized | 9.7/10 | 9.8/10 | 9.4/10 | 9.3/10 |
| 2 | Axxess All-in-one home health software for compliance, visit documentation, billing, and OASIS management. | enterprise | 9.3/10 | 9.6/10 | 8.7/10 | 9.0/10 |
| 3 | Homecare Homebase Enterprise-grade solution for home health and hospice with clinical, financial, and operational tools. | enterprise | 8.7/10 | 9.2/10 | 7.8/10 | 8.1/10 |
| 4 | CareSmartz360 Integrated homecare software offering scheduling, billing, EVV, and telehealth capabilities. | specialized | 8.7/10 | 9.2/10 | 8.4/10 | 8.1/10 |
| 5 | AxisCare User-friendly platform for non-medical homecare agencies with scheduling, payroll, and family portals. | specialized | 8.5/10 | 9.0/10 | 8.0/10 | 8.2/10 |
| 6 | ShiftCare Modern rostering and care management software for home care providers with real-time tracking. | specialized | 8.2/10 | 8.5/10 | 9.0/10 | 7.8/10 |
| 7 | WellSky Scalable homecare solution with EVV, revenue cycle management, and analytics for personal care. | enterprise | 8.2/10 | 8.7/10 | 7.4/10 | 7.8/10 |
| 8 | HHAeXchange EVV and homecare management platform focused on Medicaid compliance and payer integrations. | specialized | 8.1/10 | 8.7/10 | 7.5/10 | 7.9/10 |
| 9 | CareVoyant Cloud platform for home health agencies with clinical documentation, billing, and HHA management. | enterprise | 8.4/10 | 9.1/10 | 7.9/10 | 8.0/10 |
| 10 | Sandata EVV and workforce management software for homecare with visit verification and reporting. | specialized | 8.1/10 | 9.0/10 | 7.2/10 | 7.7/10 |
Comprehensive cloud-based homecare management platform with scheduling, billing, EVV, and client portals.
All-in-one home health software for compliance, visit documentation, billing, and OASIS management.
Enterprise-grade solution for home health and hospice with clinical, financial, and operational tools.
Integrated homecare software offering scheduling, billing, EVV, and telehealth capabilities.
User-friendly platform for non-medical homecare agencies with scheduling, payroll, and family portals.
Modern rostering and care management software for home care providers with real-time tracking.
Scalable homecare solution with EVV, revenue cycle management, and analytics for personal care.
EVV and homecare management platform focused on Medicaid compliance and payer integrations.
Cloud platform for home health agencies with clinical documentation, billing, and HHA management.
EVV and workforce management software for homecare with visit verification and reporting.
AlayaCare
specializedComprehensive cloud-based homecare management platform with scheduling, billing, EVV, and client portals.
AI-Driven Scheduling Engine that automatically optimizes caregiver assignments, predicts staffing needs, and ensures EVV compliance in real-time
AlayaCare is a leading cloud-based homecare software platform that provides end-to-end solutions for home care, hospice, and home health agencies, including intelligent scheduling, electronic visit verification (EVV), billing, payroll, and client management. Its mobile-first apps empower caregivers and clients with real-time communication, task tracking, and telehealth capabilities, while robust analytics and compliance tools ensure regulatory adherence across multiple markets. Designed for scalability, AlayaCare leverages AI to optimize operations, reduce costs, and improve caregiver retention.
Pros
- Comprehensive all-in-one platform covering scheduling, EVV, billing, and analytics
- AI-powered scheduling and dispatching for optimal efficiency and compliance
- Intuitive mobile apps with strong caregiver and client engagement tools
Cons
- Custom pricing can be expensive for very small agencies
- Initial setup and data migration may require significant time
- Some advanced customizations need professional services
Best For
Mid-sized to enterprise home care agencies seeking a scalable, AI-enhanced platform for operational efficiency and regulatory compliance.
Pricing
Quote-based pricing starting at approximately $5-15 per user/month, depending on agency size, features, and modules; includes setup fees and scales with volume.
Axxess
enterpriseAll-in-one home health software for compliance, visit documentation, billing, and OASIS management.
AI-powered voice-to-text documentation for rapid, accurate point-of-care charting
Axxess is a comprehensive, cloud-based EHR platform tailored for home health, hospice, and private duty homecare agencies, offering end-to-end solutions for scheduling, billing, compliance, and clinical documentation. It integrates electronic visit verification (EVV), OASIS assessments, payroll, and telephony for seamless operations. The mobile-first design enables field staff to access real-time data, capture signatures, and submit visits on the go, ensuring HIPAA compliance and regulatory adherence.
Pros
- All-in-one platform covering clinical, operational, and financial needs
- Robust mobile app with real-time syncing and EVV integration
- Strong compliance tools including CMS 5-star rated hospice module
Cons
- Initial setup and learning curve for complex features
- Custom pricing can be expensive for small agencies
- Limited customization options without add-ons
Best For
Mid-to-large homecare agencies needing scalable, compliance-focused software with advanced automation.
Pricing
Custom pricing based on agency size, users, and modules; typically $400-$800 per user/month with implementation fees.
Homecare Homebase
enterpriseEnterprise-grade solution for home health and hospice with clinical, financial, and operational tools.
Integrated revenue cycle management with 98%+ claims acceptance rates and automated billing workflows
Homecare Homebase (HCHB) is a comprehensive, cloud-based platform tailored for home health, hospice, and private duty agencies, offering end-to-end management from scheduling and point-of-care documentation to billing and compliance. It features a robust EHR system with OASIS integration, mobile apps for clinicians, and advanced analytics for operational insights. The software emphasizes regulatory compliance, electronic visit verification (EVV), and revenue cycle management to streamline workflows and reduce administrative burdens.
Pros
- All-in-one solution covering clinical, financial, and operational needs
- Excellent compliance tools including OASIS and EVV support
- Strong mobile accessibility for field clinicians
Cons
- Steep learning curve for new users
- High implementation and customization costs
- Limited flexibility for smaller agencies
Best For
Mid-sized to large home health and hospice agencies seeking a fully integrated enterprise platform.
Pricing
Custom enterprise pricing; typically $100-$250 per user/month depending on modules, agency size, and contract length, with setup fees.
CareSmartz360
specializedIntegrated homecare software offering scheduling, billing, EVV, and telehealth capabilities.
AI-powered Smart Scheduler that optimizes caregiver assignments based on skills, location, and preferences
CareSmartz360 is a cloud-based homecare management platform that streamlines operations for home care agencies with features like intelligent scheduling, electronic visit verification (EVV), billing, and caregiver management. It supports compliance with HIPAA and state EVV mandates, offers mobile apps for caregivers and clients, and includes robust reporting and analytics for business insights. The software integrates CRM tools, telehealth capabilities, and payroll processing to provide a comprehensive 360-degree solution for agencies of varying sizes.
Pros
- Comprehensive all-in-one platform covering scheduling, EVV, billing, and compliance
- Strong mobile apps for caregivers and real-time visit tracking
- Advanced reporting and analytics for operational efficiency
Cons
- Pricing can be steep for small agencies with per-visit or subscription models
- Some users report a learning curve for advanced features
- Occasional glitches in mobile app performance reported
Best For
Mid-sized home care agencies seeking robust EVV compliance and integrated billing in a scalable platform.
Pricing
Custom pricing starting at ~$0.99 per validated visit or monthly subscriptions from $295; enterprise plans available upon request.
AxisCare
specializedUser-friendly platform for non-medical homecare agencies with scheduling, payroll, and family portals.
Family Room portal allowing clients and families real-time access to schedules, visit notes, invoicing, and e-signatures.
AxisCare is a cloud-based homecare management software designed to help agencies streamline scheduling, billing, EVV compliance, and caregiver coordination. It provides mobile apps for caregivers and families, robust reporting tools, and integrations with payroll and accounting systems like QuickBooks. The platform supports both Medicare/Medicaid agencies and private pay services with features for telehealth and consumer-directed care.
Pros
- Comprehensive EVV and scheduling with real-time updates
- Strong compliance tools for Medicare/Medicaid and private pay
- User-friendly mobile apps for caregivers and family portals
Cons
- Custom pricing can be expensive for small agencies
- Steeper learning curve during initial setup
- Limited third-party integrations compared to competitors
Best For
Mid-sized homecare agencies focused on compliance-heavy operations and family engagement.
Pricing
Custom quotes based on visits/users; typically $5-10 per visit/month or $500+ base for small agencies.
ShiftCare
specializedModern rostering and care management software for home care providers with real-time tracking.
Evidential Platform for real-time care logging and NDIS-compliant evidence capture directly via mobile app
ShiftCare is a cloud-based homecare management software tailored for home care providers, particularly in Australia and New Zealand, focusing on rostering, client management, and compliance. It enables efficient shift scheduling, real-time carer-client matching, care plan tracking, and automated billing with strong NDIS integration. The platform includes a mobile app for carers to log activities, access schedules, and capture evidence of care delivery.
Pros
- Intuitive real-time rostering with auto-matching capabilities
- Robust mobile app for carers with evidential logging
- Seamless NDIS compliance and billing automation
Cons
- Limited customization in lower-tier plans
- Region-specific focus (primarily AU/NZ) may limit global appeal
- Reporting features require higher plans for advanced analytics
Best For
Small to medium homecare agencies in Australia and New Zealand needing NDIS-compliant scheduling and mobile-first care management.
Pricing
Starts at AU$29/month for Starter plan (up to 10 users), scales to AU$99+/month for Professional/Enterprise with per-user or per-shift billing options.
WellSky
enterpriseScalable homecare solution with EVV, revenue cycle management, and analytics for personal care.
Predictive analytics engine for risk stratification and performance benchmarking against industry peers
WellSky Homecare is a comprehensive enterprise-grade software platform tailored for home health, hospice, and post-acute care agencies. It streamlines clinical workflows with OASIS-compliant documentation, staff scheduling, billing, and telehealth integration. The solution also offers advanced analytics, mobile point-of-care access, and regulatory compliance tools to support scalable operations.
Pros
- Robust feature set including OASIS automation and predictive analytics
- Strong integrations with EHRs, payers, and telehealth systems
- Scalable for large agencies with real-time reporting and benchmarking
Cons
- Steep learning curve and complex interface for smaller teams
- High implementation costs and lengthy onboarding process
- Custom pricing can feel expensive for mid-sized providers
Best For
Large home health and hospice agencies requiring enterprise-level compliance, analytics, and scalability.
Pricing
Custom enterprise pricing, typically starting at $200+ per user/month with modular add-ons; quotes required based on agency size and modules.
HHAeXchange
specializedEVV and homecare management platform focused on Medicaid compliance and payer integrations.
HHAeXchange Marketplace, an integrated platform connecting homecare agencies, caregivers, and consumers for efficient staffing and matching.
HHAeXchange is a comprehensive homecare management platform designed for home health agencies, fiscal intermediaries, and managed care organizations, offering tools for scheduling, EVV, billing, payroll, and compliance. It excels in supporting consumer-directed care models like CDPAP, with strong integrations to payers and state Medicaid systems. The platform also features a unique marketplace to connect agencies with caregivers and consumers, streamlining staffing and operations.
Pros
- Robust EVV and compliance tools tailored for Medicaid and regulatory requirements
- Seamless payer integrations and billing automation reducing administrative burden
- Mobile app for caregivers enabling real-time scheduling and visit documentation
Cons
- Steep learning curve due to complex interface and feature depth
- Pricing can be high for small agencies with per-visit or custom models
- Customer support response times can vary, especially during peak periods
Best For
Mid-sized home care agencies and fiscal intermediaries focused on consumer-directed services and Medicaid payer integrations.
Pricing
Custom quote-based pricing, typically $1-3 per verified visit or $20-50 per user/month depending on modules and agency size.
CareVoyant
enterpriseCloud platform for home health agencies with clinical documentation, billing, and HHA management.
AI-powered scheduling engine that auto-assigns visits based on caregiver skills, geography, and preferences
CareVoyant is a cloud-based, all-in-one platform tailored for home health, hospice, and private duty agencies, offering end-to-end management from scheduling and EVV to billing and compliance. It features a mobile app for caregivers, real-time analytics, and integrations with EHRs and payroll systems. The software emphasizes regulatory compliance, including Medicare and HIPAA standards, making it suitable for post-acute care providers.
Pros
- Comprehensive EVV with GPS, photo, and voice capture for full compliance
- Intelligent scheduling optimizer reduces overtime and improves efficiency
- Robust billing and payroll automation with Medicare/Medicaid support
Cons
- Steep initial learning curve for non-tech-savvy users
- Pricing can be expensive for small agencies
- Limited third-party integrations compared to larger competitors
Best For
Mid-sized home health and hospice agencies needing strong compliance and operational automation.
Pricing
Custom enterprise pricing based on agency size, visits, and modules; typically $300-$1,000+ per month for small to mid-sized agencies.
Sandata
specializedEVV and workforce management software for homecare with visit verification and reporting.
Advanced EVV platform with multi-modal verification (app, phone, beacon) fully compliant with 50-state Medicaid mandates
Sandata is a comprehensive homecare management platform designed for agencies handling scheduling, electronic visit verification (EVV), billing, payroll, and compliance. It enables real-time visit tracking via mobile apps and telephony, automates Medicaid billing, and provides robust reporting for regulatory adherence. Primarily serving post-acute care providers, it integrates with multiple state systems to streamline operations and reduce administrative burdens.
Pros
- Industry-leading EVV with telephony, GPS, and state compliance integration
- Comprehensive billing, payroll, and scheduling automation
- Extensive reporting and analytics for audits and performance tracking
Cons
- Dated user interface with a steep learning curve
- High implementation and customization costs
- Customer support can be slow for non-enterprise users
Best For
Mid-to-large homecare agencies focused on Medicaid compliance and high-volume EVV requirements.
Pricing
Custom quote-based pricing, typically $5,000–$20,000+ per month depending on agency size, visits, and modules.
Conclusion
The top homecare software tools each offer standout capabilities, with AlayaCare leading as the top choice for its comprehensive cloud-based platform that integrates scheduling, billing, and client portals seamlessly. Axxess follows as a strong alternative, excelling in compliance and documentation, while Homecare Homebase impresses with enterprise-grade tools for health and hospice operations. Together, they cater to diverse agency needs, though AlayaCare’s versatility sets it apart as the clear leader.
Experience AlayaCare’s robust features to elevate your homecare management and streamline day-to-day operations
Tools Reviewed
All tools were independently evaluated for this comparison
