
At The Table With CAHSAH
The Good, Bad, and Ugly of 2027 Home Health and Hospice Rules
Home health and hospice just got a regulatory shake up, and the agencies that wait to react are the ones most likely to get burned. Mark Wilson and Annette Lee break down the 2027 home health proposed rule and the new hospice final rule through a practical lens: what changes, what matters, and what you need to do before the next audit lands on your desk. Annette Lee, founder and president of Provider Insights, brings decades of experience in patient care, Medicare Medical Review, appeals, and provider education. In this conversation, she cuts through the noise and explains where CMS is offering some unexpected upside, where reimbursement still falls short, and where the real danger is hiding in the fine print. You'll discover: - Why home health may finally see a slight payment increase, and what CMS is signaling about palliative care under the current benefit - The hidden "ugly" in the proposed rule, including far reaching program integrity provisions that could affect home health, hospice, SNFs, and more - Why affiliation rules, business relationships, and even long-past history could suddenly matter more than ever - What the hospice final rule now requires within five days of admission, and why that shift creates a major operational challenge - How the new SSVI measure, live discharge scrutiny, and outside spending are changing the way hospice agencies are judged

