Becker's Healthcare December 2, 2025
CMS on Nov. 28 finalized a 1.3% pay cut for home health pay as one of its updates to the 2026 Home Health Prospective Payment System.
The updates also include both permanent and temporary adjustments tied to the patient-driven groupings model, and new policies aimed at easing administrative burden and reducing fraud.
Here are eight other things to know:
1. CMS estimates total Medicare payments to home health agencies will decrease by $220 million in 2026 compared to 2025, a net reduction of 1.3%. This reflects a 2.4% payment update offset by multiple downward adjustments, including permanent and temporary behavioral offsets and outlier recalibrations.
2. CMS has finalized a permanent adjustment to account for differences between assumed and...
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