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.
On April 2, 2026, CMS released the FY 2027 Hospice Proposed Rule, and the message is clear: the days of flying under the radar are over. While many are focusing on the 2.4% payment increase, Tom Maxwell reveals why that "raise" is actually just a break-even point against inflation. More importantly, he explains why the new SSVI (Service and Spending Variation Index) is the real story you need to be watching.
In this episode, we connect the dots between the new 16 point "report card" and "Operation Never Say Die", which was the FBI’s massive fraud takedown that landed the same week as this rule. If your hospice scores high on the SSVI, you aren't just getting a grade; you’re getting a target on your back for audits and revocations.
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Eager to learn more about what the FY 2027 Proposed Hospice 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:
CMS Proposes FY 2027 Hospice Payment Update and New Oversight Measures
On April 2, 2026, the Centers for Medicare & Medicaid Services (CMS) issued the Fiscal Year (FY) 2027 Hospice Wage Index and Payment Rate Update Proposed Rule, outlining payment changes, new oversight mechanisms, and evolving quality reporting requirements for hospice care.
With hospice providers continuing to navigate workforce pressures, rising costs, and increasing compliance demands, understanding the potential impact of this proposed rule is essential.
CMS Proposes FY 2027 Hospice Payment Update and New Oversight Measures
Breaking Down the 2026 Home Health Final Rule with Scott Levy and Luke James
