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HVA – Human Virtual Assistants

Gregg Mazza

Home Care Breakthrough Pro

Amsterdam Schiphol airport; 810am local time. I get off KLM flight for a stop over en-route to State side. Open the cell phone- and there is a VM/text from our friend Gregg Mazza.  

Andy: do you think you can write an article about Virtual Assistant and its impact in the Senior Home care industry, given your experience?  

I text back- “Gregg- your text is very timely. I was thinking about that. Let’s catch up once I land”. Long story short- here we are talking about Virtual Assistants. 

What is Virtual Assistant

Now a days when folks don’t know something, they ask ChatGPT. So, I asked Chat GPT “What is Virtual Assistant”? 

Chat GPT gave the following response-  

A virtual assistant (VA) is a software or digital tool designed to help users manage tasks, answer questions, and provide support. Virtual assistants can be either AI-powered or human-based. The AI-driven virtual assistants, like Siri, Google Assistant, and Alexa, are designed to interact with users through voice or text, providing services such as setting reminders, sending messages, managing calendars, playing music, or providing information from the internet. On the other hand, Human Virtual Assistants (“HVAs”) work remotely to perform administrative tasks for businesses or individuals. These tasks might include managing emails, scheduling appointments, data entry, customer service, or social media management. 

Now thinking about it, the Human Virtual Assistants(“HVAs”) have been around since 1980’s, (while AI driven VA’s are more recent phenomenon) but Senior Home care industry has started warming up to this HVA concept only in recent years. As an industry, Senior Home care really started getting organized in late 90’s and so entrepreneurs who got into the industry had enough onshore staff to help them. But as the industry is maturing, it has become difficult to attract and retain onshore talents to do the administration chores on the lower end of the value chain.  

Besides margin pressures coming from the following continue to drive utilization of HVA’s: 

  1. Seniors are asking for more affordable Home care given their lower overall savings and higher cost of living and Home care companies have to reduce their overhead 
  1. Regulations mandate higher payout to caregivers and thus lower office overheads; 
  1. Competitive landscape is requiring companies to minimize response time and accommodate round-the-clock coverage 

Furthermore, technological advances in communication, workspace sharing and connectivity have paved the way for virtual assistants, making it a key profit differentiator.  

Recently, companies have been hiring or exploring hiring HVA’s to augment their staffing for a similar variety of their needs. HVA’s tend to come in 5 categories.  

Category 1: Secretarial: HVAs hired for secretarial needs do not need a lot of skills- other than being able to understand, speak and articulate English, being “somewhat” computer savvy to manage calendars, book travel, and do expenses etc.  

Category 2: Recruiting assistance and On-call management: HVA’s recruited for these kinds of roles need to have basic skills in recruitment or call management and need to have proficiency in basic computer skill sets, such as calendars, recruitment tools, Microsoft suite etc.  

Category 3: Full cycle recruitment and/or Client care scheduling management: HVA’s recruited for these kinds of roles, need to have advanced skills in recruitment, HR management, and scheduling management. They need to have better cognitive and interpersonal skills. 

Category 4: Administration roles: HVA’s in these roles need not require as much customer-facing inter-personal skills but may require a higher level of administrative and analytical skills such as managing accounts receivable, or billing or collection management etc. 

Category 5: Digital Marketing: For smaller businesses who want to leverage the prospects offered by digital marketing, SEO and PPC, it becomes a burdensome cost to hire an in-house full-time expert. It is financially befitting to outsource this role to an IT expert, who designs marketing campaigns at a fraction of the cost. 

Why Human Virtual Assistant’s 

Pre-dominant reasoning behind hiring HVA’s in the US have been: 

  1. Replenish local talent pool 
  1. Reduce hiring, training, retention and overall employee cost base 
  1. Being able to risk-manage one’s office more efficiently 
  1. Renewed focus on core business services and expansionary endeavors. 
  1. Improved work-life balance and increased productivity. 

Who provides HVA’s 

There are different companies across various geographic locations that provide these kinds of services. Companies located in far east like India and Philippines can cover On Call hours better as that’s their regular day time hours in those locations. Besides they cover a wider array of hours to cover caregiver recruitment requirements.  

  • Companies located in Mexico, can provide real time support but on call resources will have similar time zone problems- albeit cost will be cheaper.  
  • Companies like Olivia provide HVA’s where a company has to interview, hire, train and manage HVA’s.  
  • Companies like VCCM provide more streamlined HVA’s where one can hire VCCM to deploy HVA’s with existing functional expertise (such as scheduling HR etc.) and back it up when the HVA is unavailable for any reason. 

Where and when to use HVA’s

Most companies start exploring HVA’s when they face increased scarcity of local onshore talents or they see burn on out of on shore personnel. Usually, it makes sense for companies to start creating options for HVA’s before they come across talent scarcity of burn out of existing staff.  

Having this HVA option already figured out, gives companies ability to scale as and when needed in best case, or in normal case, ability to continue operations in the face of imminent staff shortage. 

Infrastructure needed for HVA’s 

To deploy HVA’s, one would need to establish certain technological infrastructure such as having a VOIP phone system, a Cloud based computing system/server or operating system and people in office capable of coordinating and managing HVA’s. It is important to have people onshore to front the clients while letting the HVA’s manage the actual execution to achieve operational objectives. 

Best Practices around HVA’s 

Best practices around hiring HVA’s depend on the actual business objective. If the objective is to help secretarial tasks, then hiring an individual HVA is the most cost effective route as training requirement is minimal and an unscheduled HVA departure does not create a huge operational gap or risk.  

However, if a company wants to use HVA’s for an actual functional role such as Scheduling management or caregiver recruitment, then a well thought out plan is very important.  

Hiring a turnkey HVA company is usually a better route in this case as then the offshore company can deploy trained HVA’s, manage any down side risk of an HVA departure, training of new HVA’s and their deployment.  

This limits operational risk of the hiring company. Besides the turnkey HVA provider may bring in other functional best practices to the hiring company and benefit its operations for long term. 

Disadvantages in employing HVA’s 

While hiring HVA’s one needs to be aware of various disadvantages they represent. 

  • Low reliability and accountability when no oversight is present. 
  • Workplace disconnect in case HVA is working from home. 
  • Limited infrastructure (slow internet, connectivity) available to HVA, in case HVA is operating on his/her own 
  • Lack of motivation for HVA to perform, anticipating limited career growth. 
  • Issues with payments and logistics when dealing with individual HVA’s. 
  • Working with freelancers directly instead of working through an established agency or provider with supervision of an account manager 

Most if not all these disadvantages can be mitigated by working with a professional HVA provider that offers structured services, reliable infrastructure, and robust oversight mechanisms. 


future of human virtual assitants
HVA - Human Virtual Assistants 1

The Future of Human Virtual Assistants in Senior Home Care 

The adoption of HVAs in the senior home care industry has been transformative for many businesses, helping them adapt to labor shortages, improve efficiency, and reduce operational costs. As the demand for home care services continues to grow, leveraging HVAs is not just a trend— it’s a necessity for staying competitive in an increasingly challenging marketplace. If you’re a senior home care business owner considering the use of HVAs, it’s crucial to develop a clear plan for implementation. Start by identifying your operational bottlenecks and consider which roles HVAs could fulfill to alleviate the burden on your onshore team. By adopting a strategic approach, you can not only enhance your business operations but also improve the quality of care delivered to your clients. 

Free Resource – “The Ultimate Guide to Hiring and Managing Human Virtual Assistants in Home Care” 

To help you take the next step, we’ve created “The Ultimate Guide to Hiring and Managing Human Virtual Assistants in Home Care.” This free resource will walk you through: 

  • How to identify tasks and roles best suited for HVAs in the home care industry. 
  • Key questions to ask HVA providers before hiring. 
  • A checklist for setting up the right infrastructure for seamless HVA integration. 
  • Best practices for managing and retaining HVAs to ensure productivity and accountability. 
  • Case studies from home care businesses that have successfully leveraged HVAs to grow and scale. 

This guide is packed with actionable insights to help you make informed decisions and avoid common pitfalls. Whether you’re new to the concept of HVAs or already exploring your options, this resource will give you the clarity and confidence to move forward. 

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HVA - Human Virtual Assistants 2

How to Get the Guide: 

Click HERE to download “The Ultimate Guide to Hiring and Managing Human Virtual Assistants in Home Care” for free and take the first step toward transforming your business operations with HVAs. 

By partnering with the right HVA provider and using a strategic approach, you can unlock new opportunities for growth, improve efficiency, and focus on delivering exceptional care to your clients. Let HVAs handle the back-office work so you can focus on what truly matters— growing your business and enhancing the lives of those you serve. 

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Peg Pickett
"Gregg has been a game-changer for my business! After 20 years in the industry, I had a lot of knowledge but didn't always know how to ...
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Peg Pickett
Owner, Visiting Angels
"Gregg has been a game-changer for my business! After 20 years in the industry, I had a lot of knowledge but didn't always know how to apply it effectively. In just six months of working with him, I've more than doubled my business. His detailed explanations, structured approach, and weekly check-ins keep me focused, addressing bottlenecks and celebrating wins. His educational videos for all aspects of the Home Care Business for all employees duties are outstanding. Gregg ensures you stay on track and turn insights into action. I highly recommend him to anyone looking to grow their business. Let him be your mentor as he is mine."
Peg Pickett
Peg Pickett
Owner, Visiting Angels
Mario D'Aquila, MBA
“Way back in 2020 Gregg reached out to me to see if I wanted to join his Homecare Revenue Breakthrough Mastermind Group. I proceeded...
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Mario D'Aquila, MBA
COO Assisted Living Home Care Services
“Way back in 2020 Gregg reached out to me to see if I wanted to join his Homecare Revenue Breakthrough Mastermind Group. I proceeded both with intrigue and excitement but unsure of how it would help me and my company. Being that we are one of the largest homecare agencies in our state I didn’t know how Gregg would be able to get us to the next level. I will tell you that it’s one of the best business decisions that I have ever made! Gregg has not only been a mentor and friend, helping to guide us on our homecare business journey, but he created this unbelievable think-tank called the Homecare Mastermind group. This group of like-minded business owners shares ideas, critiques each other, and grows our companies together. Since joining this group and implementing what I’ve learned our revenue has increased over 30%!! From Greggs sales, marketing, recruiting, and business operating Mastermind sessions we were able to incorporate strategies and processes that have launched our company into the stratosphere. If you are ever considering hiring a coach or consultant that knows home care well, Gregg is the real deal, and he’s built a phenomenal Mastermind group.”
Mario D'Aquila, MBA
Mario D'Aquila, MBA
COO Assisted Living Home Care Services
Rosaleen Doherty
"My home care team has been working with Gregg for the past 4 or 5 years. Gregg's salesperson training and 10x growth trainings are excellent and help ...
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Rosaleen Doherty
Co-Owner/CEO Right At Home
"My home care team has been working with Gregg for the past 4 or 5 years. Gregg's salesperson training and 10x growth trainings are excellent and help you to sit back and look at your people and your business. When we came to Gregg, we were already very successful in our home care franchise and had been in business over 20 years. Gregg helped us solidify our outside sales strategy after COVID and leverage his training to grow our private care business. I also joined his Mastermind, because I was paired with other home care owners around the country about my size and of my tenure in the industry. My franchise business was so much larger than most businesses in the system, so finding "peers" in the home care space has been invaluable to me. Gregg is an expert in the home care business and we feel like there is so much more to learn!"
Rosaleen Doherty
Rosaleen Doherty
Co-Owner/CEO Right At Home
Cara Delgado
"Working with Gregg Mazza was truly transformative for my home care business. After facing major setbacks —like rebuilding after Hurricane Harvey —I was ready...
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Cara Delgado
Former owner Home Instead Home Care
"Working with Gregg Mazza was truly transformative for my home care business. After facing major setbacks—like rebuilding after Hurricane Harvey—I was ready to give up. But Gregg challenged me to commit to growth, and that mindset shift made all the difference. His strategies gave me clarity, structure, and confidence, helping me grow referrals and increase my business's value and eventually selling it for almost half a million dollars more than my prior valuation. The focus on accountability, financial awareness, and team culture was game-changing. If you're feeling stuck, just know: if I could do it as a non-sales person/former social worker, so can you. This journey proved that with the right guidance and determination, incredible success is possible. I got so much value from my experience with Gregg that I decided to join his company as an accountability coach after I sold my business"
Cara Delgado
Cara Delgado
Former owner Home Instead Home Care
Jennifer and Brian Perruccio
When we had been in the home care business for about eight years, we were hovering around $1 million in revenue. While we...
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Jennifer & Brian Perruccio, Owners
HomeChoice Home Care Solutions, Raleigh, NC
When we had been in the home care business for about eight years, we were hovering around $1 million in revenue. While we were experiencing some growth, it wasn’t at the pace we wanted. Attending one of Gregg’s events was a turning point for us. At first, we were hesitant about working with a coach/consultant—it felt like a big investment in both time and money. But taking that step turned out to be one of the best decisions we’ve made. While working with Gregg we implemented his Rapid Referral program, focusing on refining our sales process and systems. It was a challenge at first, especially as a small agency with limited staff, but by following Gregg’s methods closely, we started seeing real results. Shortly after, we joined Gregg’s Mastermind group, and the ongoing exposure to his insights on recruiting, management systems, and innovative strategies has transformed our business. Not only have we built a stronger, more independent team—something Gregg strongly encouraged—but our business has more than tripled in size since we started working with him. More importantly, we’ve shifted from being consumed by the day-to-day operations to having a company that runs more and more without us. Gregg has been an incredible mentor, constantly pushing us to think bigger and step outside our comfort zone. Every time we take his advice, our agency grows stronger. If you’re serious about growing your business and want to be energized by a forward thinker, don’t hesitate—work with Gregg. You won’t regret it!
Jennifer and Brian Perruccio
Jennifer & Brian Perruccio, Owners
HomeChoice Home Care Solutions, Raleigh, NC

Gregg Mazza

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