The Centers for Medicare & Medicaid Services (CMS) recently released the CY 2026 Home Health proposed rule on June 30, 2025, introducing some major changes that Home Health Agencies (HHAs) are now reviewing and preparing to comment on. This rule proposes the largest payment cut since the Home Health Agency Prospective Payment System (HHA PPS) began in CY 2000. CMS is suggesting a reimbursement cut of 6.4%, or $1.135 billion.

The annual SHPBest™ award program was created to recognize home health and hospice providers that consistently provide outstanding performance in patient and caregiver satisfaction. SHP would like to congratulate the 2024 SHP Best-of-the-Best winners, who have been acknowledged for achieving the highest overall HHCAHPS patient satisfaction or CAHPS Hospice caregiver satisfaction scores of all eligible SHP clients during the 2024 calendar year.

Big changes are coming to the way nursing homes are rated, and if you're part of the industry, it’s vital to prepare now. Starting in July 2025, the Centers for Medicare & Medicaid Services (CMS) is implementing updates to the Five-Star Quality Rating System to make ratings more accurate, transparent, and reflective of current performance. These changes are detailed in the QSO-25-20-NH memorandum, marking a significant shift for skilled nursing facilities (SNFs) across the country. Beyond understanding these updates, facilities must adapt quickly to maintain and improve their ratings—and that’s where Strategic Healthcare Programs (SHP) can help.

Hospices will be required to implement the new Hospice Outcomes and Patient Evaluation (HOPE) assessment tool on October 1, 2025. HOPE will take the place of the current Hospice Item Set (HIS) assessment tool utilized today. So, what does that mean for Hospices today? Over all there are new assessment timepoints that must be completed, along with new data elements, but questions remain regarding submissions of the assessments.

The hospice industry is preparing for a significant transformation. On October 1, 2025, the Hospice Outcomes and Patient Evaluation (HOPE) tool will replace the Hospice Item Set (HIS), a historic change in the way hospices collect and evaluate quality data. Developed by the Centers for Medicare & Medicaid Services (CMS), HOPE aims to enhance care delivery by providing a more patient-centered, outcomes-driven approach for hospice evaluation. What does this transition mean for hospice professionals? This article takes a deep dive into HOPE's development process, the challenges it addresses, and the milestones leading to this significant shift.

As of March 31st, Home Health Agencies (HHAs) have three months of quality episodes completed using the new Performance Year (PY) 2025 measure set of the Expanded Home Health Value-based Purchasing (HHVBP) program. How is your HHA performing? It is not as easy as looking at your past HHVBP performances as there is some significant changes with PY 2025. CMS not only changed the number of measures from 12 to 10 (deleted 5, added in 3), many of the measure weightings were adjusted, and the baseline year was changed from CY 2022 to CY 2023 reflecting more current outcome data. CMS did keep the ratio of measure weights across the OASIS/Claims/HHCAHPS categories the same at 35%/35%/30% respectively.

In 2025, CMS has highlighted critical focus areas for surveyors conducting health inspections in Long-Term Care (LTC) facilities. These priorities emphasize improving care quality, enhancing regulatory compliance, and ensuring resident well-being. I read the recently released CMS 2025 Mission & Priorities document to summarize the key areas for focused review, provide you with best practices for each item and action opportunities with practical steps to help your facility prepare.

Understanding and improving patient outcomes is a priority for every skilled nursing facility, and that’s exactly what we’re covering in this SHP Podcast. Hosted by Dahlia Kroth, this episode dives into the critical topic of the Discharge Function Score and its role in patient care. Joining Dahlia is Greg Seiple, Vice President of Clinical Informatics at SHP/IntelliLogix, who shares his expertise on this essential metric. Together, they unpack everything from how Discharge Function Scores are calculated to their real-world applications in supporting residents’ post-discharge needs.

As we draw closer to 2025, have you considered the huge impact Improvement in Management of Oral Medications (Oral Meds) will have in the upcoming year? Oral Meds play an integral part in all Home Health Quality Programs (HHQRP). Let’s break down each one and discuss best practices to ensure accuracy.

Hospice agencies nationwide are navigating significant updates to the CAHPS-Hospice Satisfaction Survey, and we’re here to help. Introducing the CAHPS-Hospice Satisfaction Survey Crosswalk Guide, a pivotal resource designed to simplify these changes and support your quality improvement efforts. This guide breaks down the latest CMS updates, offering clear explanations to help your team better understand the adjustments and align your processes accordingly. By leveraging this resource, you will improve survey comprehension and equip your team to refine care strategies based on actionable insights.