Home health providers face challenges shifting from fee-for-service to value-based care due to payer demands and regulatory pressures. Innovative payment models and care delivery adaptations are key to success.

CMS introduces ACCESS model to enhance technology-supported care and outcome-based payments for Medicare patients with chronic conditions starting in 2026.

Analysis reveals at-risk Medicare Advantage models deliver better quality and lower utilization for dual-eligible beneficiaries versus traditional and fee-for-service Medicare, supporting CMS care accountability goals.

Medicare is reforming post-surgical payments to hold hospitals accountable for 30-day post-discharge costs. The sustainability of this model depends on permanent Medicare coverage for telehealth physical therapy, a cost-effective and patient-preferred rehabilitation method. Congressional action is critical to extend tele-PT benefits.