Kunu Kaushal started Senior Solutions in 2010 with a laptop, a cell phone, and two caregivers. His grandparents were his first clients. Sixteen years later, his agency serves all 95 counties in Tennessee and 15 metro counties in Atlanta, and operates in roughly 1,000 homes every week. Senior Solutions is on the eve of launching a state-funded program placing Sensi’s AI-powered care intelligence in 500 complex Medicaid client homes to show how data-driven care can bend the cost curve for an entire state.
In a recent conversation on the Growth Operator podcast, Kunu and I sat down to discuss Senior Solutions’ growth. Here are five lessons he shares that are worth taking back to your own agency.
1. Get in the door early, even with minimal hours
“They may not be ready for 24/7 care. Wherever we can get engaged with them, we do.”
Most agencies optimize for the client with significant care hours right now. Kunu optimizes for the relationship.
His strategy is to engage families before they are in crisis. Whether that is through a Personal Emergency Response System (like Sensi), a single weekend shift, or a care coordination call. The goal is to establish a relationship with the family before they need a full care plan.
“A client doesn’t just need the services we provide, they need a professional,” Kunu says. “Many families are fearful. They live out of town and wonder what’s going to happen with mom now that she’s showing signs of having challenges. They may not be ready for 24/7 care. Wherever we can get engaged with them, we do.”
The payoff is lower customer acquisition costs over time. Families who have already worked with you before will call you when a crisis hits. For clients who are starting to pursue care needs, virtual tools like Sensi Solo Care can extend an agency’s presence in the home between visits. That technology provides a safety net at a fraction of the cost of additional caregiver hours. It’s a way for care agencies to engage possible clients and offer an affordable option for lower-hour clients, while still delivering value as the relationship grows.
2. Stop treating old leads as dead ends
“Most agencies are not thinking about the people who reached out three or four years ago. But that’s a different way of thinking about customer acquisition cost. There’s money you can’t just leave on the table.”
Kunu considers every client lead in their CRM as a seed for possible future engagement. It’s possible a family that reached out two years ago and went with a competitor may be unhappy with that care today. A neighbor of someone who called you last year might be the one who actually needs care now. As long as your agency is top of mind, you are in the conversation.
“Most agencies are not thinking about the people who reached out three or four years ago,” Kunu says. “But that’s a different way of thinking about customer acquisition cost. There’s money you can’t just leave on the table.”
Technology is what makes recycling leads at scale possible. A systematic, automated follow-up approach can turn a database of old leads into an active growth engine without adding headcount.
3. Build your brand before people need you
“Most people are not thinking about home care or a brand until they’re in crisis mode.”
Home care is a crisis category. Research shows most families plan for senior care in the midst of a crisis, when they are already overwhelmed. By the time they search for a provider, they aren’t evaluating options; they are going with the first name they recognize.
Kunu makes this point with a tire analogy. Nobody drives around thinking about tires. But when a blowout happens, car owners call Bridgestone or Goodyear because years of consistent branding put that name in their head.
“Home care is pretty tough about that,” Kunu says. “Most people are not thinking about home care or a brand until they’re in crisis mode. You want someone to say at a barbecue, ‘You know, a few years ago there was this company, Senior Solutions. I think they’re still around. They may be a really good fit.'”
Remember, they don’t have to be your current client for you to be their future agency. Your agency’s name just needs to come up when they need your service. Consistent presence in your community, in referral networks, at local events, on social media, is what puts you top of mind when it matters most.
4. Make technology decisions with your team, not for your team
“I make them make the decision with me. I think it honors them. I also want to hear the objections and the pushback early on.”
Kunu describes himself as a recovering “shiny toy” person. Early in his career, one good sales demo was enough to get him excited about a new tool. Over time, he built a more deliberate evaluation process, while also getting his team to use any tool the agency onboards from the start.
When Kunu is considering a new tool, he identifies the pain point he’s trying to solve, attends the demo with an open mind, and before anything is signed, makes sure the tool is demoed for his team. As part of the vetting process, Kunu encourages his team to ask the hard questions. When they meet with the vendor, he asks his team to push back and pressure test the tool with their workflows.
“I make them make the decision with me,” Kunu says. “I think it honors them. I also want to hear the objections and the pushback early on.”
Kunu recommends agencies practice evaluating tools by asking for demos of tools you don’t plan to buy. Building a habit of stress testing tools can help build employees’ muscle to consider workflow impact, user experience, and downstream effects. It’s a way to go beyond the default, “I don’t think this is a good idea,” when asking employees for their feedback after a tool demo.
Lack of technology adoption in home care is not usually a bad technology problem. “It’s always been a people problem,” Kunu says. Tools fail when teams are not prepared for the change, when communication or training is unclear and inefficient, or when no one has thought through the user experience for the people who need to use that technology every day. Build that tool-evaluating muscle before you need it.
5. You aren’t a sitter service. Act like the healthcare provider you are
“We’ve got to get out of being a sitter service. We have to be a healthcare provider.”
Agencies that provide care reports with real data that physicians and families can use, win referrals, secure payer partnerships, and build credibility that survives a competitive market.
“We’ve got to get out of being a sitter service. We have to be a healthcare provider,” he says. “If you define what a healthcare provider is, they’re not just saying, ‘Oh, we hire people, clock them in and out, and bill you for it.’ There has to be a ‘so what?’ What is your agency going to provide to me?”
To provide data-first care reports Senior Solutions deployed Sensi across 500 state-selected, complex Medicaid clients as a way to show measurable reductions in ER visits and hospital readmission rates. At $135,000 per nursing home bed per year, the financial case for keeping seniors safe at home using data-supported care is not hard to make.
“You can make decisions and you can make an impact if you have the data,” Kunu says. “You have to have the tools that will help support and make it happen at scale.”
The silver tsunami is real. Agencies positioned to serve that wave are the ones building the relationships, the brand, and the clinical credibility now. The agencies that speak the language of outcomes, cost avoidance, documented trends will get a seat at the table where healthcare decisions are made.
Want to see how Sensi fits into your growth strategy? Book a demo and we’ll show you.