Injections, wound dressing and the per-visit price floor
That travel component creates a price floor no negotiation will move, which points to the real value tactic: bundling. If a nurse is coming anyway for a dressing change, having vitals checked, medications reviewed and a second small task done in the same visit costs little or nothing extra. Ten fragmented callouts cost roughly double what five well-planned ones do.
One boundary to respect: nurses administer, they do not prescribe. A home nurse will ask to see the prescription or doctor's instruction before giving any injection or medication, and a professional one will decline without it. Providers who skip that step are not being flexible; they are being unsafe.