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Managing Home Health Margins Through Clinical Quality: What to Expect for Medicare Home Health Payments in 2026

March 18, 2026 1:00 PM - 2:30 PM (EDT)

Description

This is a State-Share Educational Program. OCHCH has partnered with Home Care Association of Florida to offer this education to OCHCH members.

• • •

Background

This progressive webinar series walks you through all the contemporary Home Health changes in the 2026 Final Rule, discusses rationale for the changes, outlines Operational changes to make for PDGM/VBP success, and presents Case Study demos of HH providers who are on the path to ongoing HH success with improved financial margins.

Home Health reforms continue with major programming and reimbursement changes outlined in the Calendar Year (CY) 2026 Home Health Prospective Payment System (PPS) Final Rule. Providers seeking success will face new challenges related to the Home Health Consumer Assessment of Healthcare Providers and Systems (CAHPS®) survey and the Home Health Value-Based Purchasing (HHVBP) Model, with significant reimbursement cuts occurring simultaneously. The result is a Home Health landscape considerably different from what most of us operated under during the PPS and early Patient-Driven Groupings Model (PDGM) era.

3-Part Webinar Schedule. 

  • February 18: Expanded Home Health Value-Based Purchasing (HHVBP) Model
  • March 18: Payment Changes: What to Expect for Medicare Home Health Payments in 2026
  • April 15: What Does This Mean for Revenue Cycle Management (RCM) and Agencies?

Contact Hours for Attendees

  • This online program offers 1 Contact Hour for Nurses

Session Summary

Payment Changes: What to Expect for Medicare Home Health Payments in 2026

One of the biggest parts of this rule is the expected Medicare Home Health payment cut in 2026. CMS is projecting a total decrease in payments to home health agencies by about 6.4% compared to 2025. This means agencies will likely receive less money overall.

Here’s how the changes break down:

  • There will be a 2.4% increase in some payment updates.
  • But this will be outweighed by a 3.7% cut related to behavioral adjustments aimed at correcting past overpayments.
  • An additional temporary cut of 4.6% will start clawing back estimated overpayments.
  • Finally, smaller cuts come from changes in how much they pay for very expensive cases (called outliers).

Our Speakers

Arnie Cisneros is the President of Home Health Strategic Management (HHSM). He has over 30 years of experience as a physical therapist across the care continuum, and he serves as a Post-Acute Consultant for multiple Pioneer Accountable Care Organizations (ACOs). He is renowned for his adaptation of traditional health care operations to address ongoing Centers for Medicare & Medicaid Services (CMS) reforms.

Kimberly McCormick is a highly accomplished nurse consultant in home health. She is the Executive Clinical Director for Home Health Strategic Management. With 24 years of experience in home health, including nearly a decade as the administrator of a home health agency, Kimberly has the experience and knowledge to provide unrivaled insight into the home health arena. Kimberly previously served as an Associate Consultant with HHSM, where she has established herself as an expert in the utilization management of home health services.

Disclosure to Learners

Accreditation Statement: Ohio Council for Home Care & Hospice is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

Relevant Financial Relationships: There are no relevant financial relationships with ineligible companies for those involved with the ability to control the content of this activity, or any relevant financial relationships disclosed by participants have been mitigated.

Criteria for Awarding Contact Hours & Continuing Education Certificates: Attendance for the duration of the educational activity. Contact hours are not awarded for watching a recording of the session.

Pricing

Members with Education Pass: $0

Members: $59

Non-Members:  $99

Registration will close 1 day prior to the webinar to ensure registrant details can be provided to the organizer. Contact us for any last-minute registration needs.

This is a series but each session has its own registration and you do not need to attend all three to find value in the content.

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Contact Information

Ohio Council for Home Care & Hospice (OCHCH)
Name: Drew Cook
Email: drew@ochch.org
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