Medicare payments to home health agencies are projected to drop 6.4% in 2026 — a $1.1 billion hit to the industry.
Here's what to know — and how to fight back to protect your revenue.
Here's what to expect
6.4% aggregate payment reduction (estimated $1.135B total cut)
Permanent -4.059% rate cut tied to PDGM behavior assumptions
Temporary -5% recoupment adjustment to claw back past overpayments
Updated PDGM case-mix weights, LUPA thresholds, and functional scoring rules
Expanded face-to-face certification to include more practitioner types
Step 1
Use our free tool to instantly generate and submit your official comment to CMS. We’ll guide you step-by-step — it takes less than 60 seconds.
Step 2
Help show strength in numbers. Add your name to the official industry petition urging CMS to reverse the proposed cuts.
Step 3
These cuts could cost your agency more than you think. We'll take a look at your data, flag hidden revenue loss, and suggest where to focus — all free, all confidential.