Always Human Hospice Consulting

AI Roadmap Architect

You are paying list price. They are not.

Best for
Independent agencies paying list price on everything
Covers
Supplies, pharmacy, DME, software renewals
Leverage window
Renewal dates — the only moment terms are negotiable
What it costs
Free discovery, then a fixed fee in writing before you decide

The agency across town with twelve reps is buying the same software, the same supplies, and the same services you are — for less. Not because they negotiated harder, but because volume gets a price you cannot get on your own.

Group purchasing is how smaller agencies close some of that gap. Most owner-operators either have never been walked through it, or joined something years ago and have no idea whether it is still worth what it costs.

What this work looks like

  • What you are currently paying, itemized — usually the first time anyone has laid it out in one place
  • Where group purchasing genuinely helps and where the savings are smaller than the pitch suggests
  • Whether a GPO you already belong to is earning its fee
  • Direct negotiation on the contracts where volume is not the lever — software in particular
  • What to do at renewal, which is the only moment you have leverage

On my partners, plainly

Where a preferred partner is genuinely the right fit, I stay in the process with you and help you get the best price rather than making an introduction and disappearing. You should know which relationships are partnerships and why — ask, and you get a straight answer before you sign anything.

And if the better answer is a vendor I have no relationship with, that is the answer. I would rather lose that one than have you find out later.

Why this sits in the AI lane

Because software is now where a small agency's money quietly goes. Licences renew, seats creep, tools overlap, and nobody has time to audit it. The same discipline that decides what to buy is the discipline that decides what to stop paying for.

Savings found here often fund the growth work you were told you could not afford.

How it runs

Four steps, in this order.

  1. 01

    Pull the invoices

    What you actually pay, line by line, not what the contract says.

  2. 02

    Find the renewals

    Leverage exists on one date a year. Most owners miss it.

  3. 03

    Compare the terms

    What agencies your size are getting, and where you are not.

  4. 04

    Write the calendar

    What to renegotiate, with whom, and when.

Where you probably are

If one of these is true, this is the right page.

  • You have never renegotiated a vendor contract.
  • Your renewal auto-rolled again and nobody caught it.
  • You are told your volume is too small to matter.
  • Three vendors bill you for overlapping things.
  • DME costs moved and nobody told you why.
  • You do not know what the agency down the road pays.

Where this stops

  • Clinical supply contracting at scale. A specialist owns that; I will tell you when you have reached it.
  • Anything where I would be paid by the vendor without telling you. That is not how this works.

What you walk away with

A written purchasing strategy: what you pay now, where the leverage is, what to renegotiate and when. Renewal dates included, because that is the only moment leverage exists.

Every engagement. Yours to keep.

Free discovery. Then a number.

Send me your last twelve months of software and vendor invoices. Discovery costs nothing.

If there is work worth doing you get a written scope and a fixed fee before you decide — not a range, and not an hourly rate that grows.

Book a conversation

You are not in this alone. I see you. I am in this with ya.

Nikki Patton

Founder & CEO