Home-Visit Nursing for Long

News Highlights

The Ministry of Health, Labour and Welfare has announced the remuneration calculation rules for online medical care support in home-visit nursing under the long-term care insurance system. Services under 20 minutes are expected to be calculated at 314 units. This opens up new avenues for medical institutions to provide services combining online medical care and home-visit nursing. From a business succession perspective, this could serve as an opportunity to consider third-party succession as an alternative to closure or廃業 (haigyō – ceasing business operations).

M&A Medical Editorial Department’s Perspective

The newly announced remuneration calculation rules for home-visit nursing and online medical care support under the long-term care insurance system (314 units for under 20 minutes) present medical institutions with new service provision models. Particularly for small to medium-sized medical institutions supporting regional healthcare, and clinics struggling with succession issues due to a lack of successors, strengthening “home-based medical care” by combining online medical care and home-visit nursing can be a powerful strategy for business continuity and revenue diversification. For example, medical institutions that previously could not establish a sufficient home-visit nursing system may find an incentive to consider collaborating with external home-visit nursing stations or building their own systems, leveraging this remuneration structure. This is expected to broaden the possibilities for third-party succession at an enhanced business value, or M&A with the premise of business expansion, rather than simple closure or cessation of operations. This timely information, announced on May 12, 2026, suggests the future evolution of medical and long-term care collaboration.

Key Points Indicated by This News

• Remuneration calculation for home-visit nursing with online medical care support (314 units for under 20 minutes) has been specified, establishing a new revenue model for home-based medical care provision.
• Potential opportunity for small to medium-sized medical institutions and clinics without successors to ensure business continuity and diversify revenue streams.
• Incentives for medical institutions to strengthen home-visit nursing systems or external collaborations.
• Signs of expanding options for third-party succession and M&A through enhanced business value.

Practical Questions Arising from This News

• Which specific medical institutions and home-visit nursing stations are eligible under these remuneration calculation rules?
• What kind of capital investment and staffing structure will be necessary to introduce online medical care support?
• How will this new remuneration system affect the revenue of existing home-visit nursing stations?

If You Feel “Should I Consult Too?”

If your clinic is facing challenges with a lack of successors or business continuity, the remuneration calculation rules for home-visit nursing with online medical care support may offer a new revenue stream for your business. Before considering closure or cessation of operations, it may be worthwhile to integrate this new service model into your clinic’s management strategy and explore third-party succession or M&A after enhancing your business value. We recommend first discussing concrete business plans with experts, based on your clinic’s current situation and future vision.

M&A Medical (CentralMedience Inc.) supports the business succession of medical corporations, hospitals, and clinics on a full success fee basis as an M&A support institution certified by the Small and Medium Enterprise Agency. Consultations are handled with strict confidentiality. Free consultations available here.