Press Release

Homecare Homebase Submits Comment Letter to CMS on 2026 Proposed Rule

HCHB analysis and newly released dashboards reveal the potentially devastating impacts of cuts proposed by CMS, calling for revisions to safeguard access, quality and provider viability

Homecare Homebase submitted a comment letter urging CMS to revise the CY 2026 Home Health PPS Proposed Rule, warning that the proposed 6.4% payment cut would heighten access, financial and workforce challenges. Drawing on data covering 47.1% of the industry, HCHB’s analysis reveals the potentially devastating impacts the further cuts could have on the home health industry. HCHB reports:

  • Referral conversions dropped 13% since 2018
  • 4.2 million patients were denied care in 2024
  • Inflation is up 27% vs. only 13% growth in revenue per patient day
  • Medicare Advantage is now the majority payer, but pays less with a higher administrative burden

HCHB disputes CMS behavioral assumptions, criticizes reliance on inconsistent cost reports and pandemic-era anomalies and urges resetting baselines to 2023. It also introduced a 2026 Impact Model and Advocacy Dashboards to help providers quantify the potential effects of the Home Health Proposed Rule.

Read the full press release here.

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