Noisy
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The world is being quietly rearranged by people who write very long documents.

Federal Register · July 2, 2025
The title they went with Medicare and Medicaid Programs; Calendar Year 2026 Home Health Prospective Payment System (HH PPS) Rate Update; Requirements for the HH Quality Reporting Program and the HH Value-Based Purchasing Expanded Model; Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program Updates; DMEPOS Accreditation Requirements; Provider Enrollment; and Other Medicare and Medicaid Policies Noisy translates that to

Medicare changes how home health agencies get paid for patient complexity and quality

What happened
The US government is changing how Medicare pays home health agencies, adjusting payments based on patient needs and quality of care. This means agencies will earn more or less depending on the types of patients they serve and how well they meet new performance targets.
Why it matters
Home health agencies have long structured their services around existing payment rules. These updates mean they will need to re-evaluate which patients are most profitable to serve and how to deliver care to meet new quality benchmarks. The US population is aging, and more care is shifting from hospitals to homes. These payment changes will shape what kind of home care is available and who can afford to provide it.
The signal
Watch whether home health agencies shift their patient intake to focus on more complex cases, or if the number of short, low-cost visits declines.
If you insist
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