How to Help Veterans Who Don’t Want Help at Home (Megan Casey)

After nearly 15 years of serving thousands of veterans, Megan Casey has learned that one of the hardest parts of veteran care is getting fiercely independent veterans to accept help in the first place. She explains why agencies need to work around a veteran’s pride rather than try to change it, and why the best approach is simply meeting them where they are. Megan shares stories of veterans who started with just an hour or two of care before building enough trust to accept more help as their needs changed. She also gets candid about PTSD, addiction, isolation, weapons in the home, and the difficult balance between respecting a veteran’s choices and protecting caregivers. Most importantly, Megan explains why that first caregiver match matters so much—and why agencies should put down the assessment form, learn what makes the veteran tick, and earn their trust before trying to change their routine.
56
 min
Oct 20, 2026

How to Help Veterans Who Don’t Want Help at Home (Megan Casey)

How to Help Veterans Who Don’t Want Help at Home (Megan Casey)

Miriam Allred (00:10)
Hey everyone, welcome back to the Home Care Strategy Lab. I'm your host, Miriam Allred. It's great to be back with you in the lab. Today I am joined by Megan Casey, a executive consultant at Momentum Healthcare and Technology Consulting. Megan, welcome to the lab.

Megan Casey (00:25)
Hi. Thanks for having me, Miriam.

Miriam Allred (00:28)
You and I are both here locally. We almost could have been recording this in person. I'd even think about that. We're both right here in Fort Worth, Texas.

Megan Casey (00:34)
Yeah.

Miriam Allred (00:36)
But instead we're cozy at our home offices having this conversation, which is equally great.

Megan Casey (00:40)
Yes, yes, absolutely.

Miriam Allred (00:42)
Let's start with your background. For those that don't know you, tell us a little bit about yourself and your family and your professional background.

Megan Casey (00:50)
Sure. I live right here in Fort Worth, Texas. I am not originally from Texas. I am from small town in upstate New York. very proud to be a Texan now. I never want to live in snow again. This is my 20th year in healthcare. and my 14th year working in the home care space specifically. spent just under nine years at Accent.

And about three and a half years at LiveWell before joining Momentum as an executive consultant. So very happy to be here.

Miriam Allred (01:28)
Talk a little bit about your roles at both Accent and Live Well. what was kind of like your purview operations, recruiting? You know, what were your areas of expertise?

Megan Casey (01:37)
Sure. So at Accent Care, I actually started as a field supervisor. so I did the recruiting of caregivers. I wasn't a field supervisor very long, got promoted. I was an area operations manager for a long time, director of product development. I ended my tenure there as an area vice president over health alert, so the technology systems that Accent Care used. and then at LiveWell, I was the senior vice president.

Overseeing operation strategy, VA relationships, sales, and and and growth, small startup to a pretty large organization in just over three years.

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How to Help Veterans Who Don’t Want Help at Home (Megan Casey)
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