Maxwell TEC is a proud sponsor of Last Visit First with Tom Maxwell, a podcast bringing leaders, innovators, and caregivers together to talk honestly about the choices shaping the future of home health and hospice.
CMS just proposed a 2.4% payment increase for home health in 2027. If that's the only number you take away, you're missing a lot.
Tom Maxwell sits down with Jay Duty, COO at Maxwell TEC, to unpack what's actually happening underneath the headline: a temporary rate cut, a nearly $5 billion recoupment, a full case-mix recalibration, and provider enrollment changes that could put your Medicare billing privileges at risk.
Jay spent his first ten years in the hospital business at HCA before moving into post-acute care strategy, eventually landing at Maxwell TEC. In this conversation, he and Tom walk through what CFOs need to know before they finalize next year's budget, why the "behavioral adjustment" methodology has the industry pushing back, and what a home health-specific wage index could mean for high-cost and rural markets.
Listen Now:
Eager to learn more about what the latest proposed home health payment rule means for your agency? We explore what these updates mean and how Maxwell TEC helps agencies stay compliant, financially stable, and patient-focused through the shifts:
What to Know About the Proposed Home Health Payment Rule CY 2027
On July 1, 2026, CMS released its Calendar Year (CY) 2027 Home Health Prospective Payment System proposed rule, outlining the payment and policy changes that will shape home health operations in the year ahead.
The rule brings a rare bit of good news on payment, alongside a fresh round of program integrity measures and several proposals worth watching closely. Here's what care-at-home agencies need to know.
Is Your Hospice A Target? The 2027 CMS Report Card Explained
Breaking Down the 2026 Home Health Final Rule with Scott Levy and Luke James
