Managing Home Health Margins Through Clinical Quality Webinar Series - Online Archive

Course overview

The CY 2026 Home Health PPS Final Rule introduces major programming and reimbursement changes, including significant payment cuts, updates to PDGM, HHCAHPS, and HHVBP, new and revised quality measures, and a proposed overall economic impact of -$1.135 billion, placing increased financial pressure on providers - nearly half of whom already operate at negative margins. Changes to the HHCAHPS survey and VBP scoring, along with updates to LUPAs, case-mix weights, wage indexes, payment rates, and OASIS requirements, will further affect agency performance and bonus eligibility, while CMS also proposes a permanent -4.059% adjustment to the base payment rate. Despite these challenges, agencies that redesign operations, standardize care, and align with value-based and compliance-focused models may achieve improved clinical outcomes and margins of up to 30-40%, a strategy highlighted in this webinar series designed to help providers adapt and succeed under the new rules.