Traditional referral relationships are evolving into deeper partnerships as health systems, payviders and home-based care providers work more closely to manage patient outcomes and total cost of care. As value-based arrangements gain traction and care increasingly shifts into the home, providers face new opportunities — and new pressures — to align with larger healthcare organizations. This session will explore how referral patterns, partnership models and growth strategies are changing, what health systems and payviders are looking for in home-based care partners and how providers can strengthen key relationships while maintaining operational independence and financial sustainability.