LVF S1 EP7 - Breaking Down the 2026 Home Health Final Rule with Scott Levy and Luke James
Last Visit First
In this episode of Last Visit First, Tom Maxwell sits down with two of the most trusted voices in home based care policy and operations. Scott Levy, Chief Government Affairs Officer at the National Alliance for Care at Home, and Luke James, President of VitalCaring Group, help unpack the 2026 CMS Home Health Final Rule.
Together they explain how CMS reached the 1.3 percent cut, why the permanent adjustment shift matters, what changed in PDGM, and how wage index swings will affect agencies across the country. They discuss VBP updates, outlier changes, cost report accuracy, rural access barriers, clinician workload, and what agencies should consider during budgeting and forecasting for 2026.
Scott and Luke also share real world perspectives on recruiting, retention, and the future stability of small and mid-sized agencies. This is a must-listen for anyone leading teams, shaping strategy, or navigating payment and policy changes in home health and hospice.
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