Expansion Is Back on the Table

A wooden map of the United States features a miniature stagecoach with horses traveling westward across the country, leaving a dusty trail behind.

The enrollment door is open again for DME and HME providers. Round 2028 prep is underway, new states are reachable, and TBO handles the enrollment, contracting, and compliance that usually stall growth.

Rethinking Staffing in the Wake of the H-1B Shift

A blue hexagonal patterned background with the text: "TACTICAL Back Office Personnel. Rethinking Staffing in the Wake of the H-1B Shift to Reduce Healthcare Staffing Costs.

With the recent changes to the H-1B visa program, most notably a $100,000 surcharge on new applications, the traditional approach to sourcing talent abroad is no longer straightforward, affordable, or sustainable.