Innovative Financial Solutions for Home Health is pleased to announce the release of the newly revised and expanded Case-Mix Planner™ (CMP)—formerly known as the Resource Planner. The CMP was originally designed—and has continued to evolve—to help home health agencies...
Resource Utilization
Case-Mix Weights: Are We Pursuing the Right Objective?
If your organization’s average Case-Mix Weight increased next year, would that necessarily be good news? For many organizations, the immediate answer would be yes. Over the past three decades, I’ve had the opportunity to participate in hundreds of discussions...
When Growth Conceals Deterioration
How multiple, unrelated problems can hide behind rising revenue and aggregate profit The financial figures in this article are approximate, and certain details have been generalized to protect client confidentiality. Several years ago, the owners of a relatively new...
Hidden Utilization Costs
The Profitability Threat Most Home Health Agencies Never See When home health agencies experience declining margins or disappointing financial performance, the first explanation is often reimbursement. It's an understandable reaction. CMS changes payment rates. Labor...
The PEPPER is returning!
The PEPPER report cover page The free PEPPER (Program for Evaluating Payment Patterns Electronic Report) is returning. CMS will soon relaunch the Program for Evaluating Payment Patterns Electronic Report (PEPPER) for all provider types over the next few months....
Recent Hospice Updates and Information,
and planning for the CY2027 HH PPS Proposed Rule Following are some updates, articles, and information applicable to Hospice (above), and Home Health (below), that all should be aware of, and preparing for where appropriate: Hospice Issues/Considerations: The 2027...
The Service and Spending Variation Index (SSVI) and Hospice – Are you ready?
What is it, and what is it intended to do? The Centers for Medicare & Medicaid Services (CMS) introduced the Service and Spending Variation Index (SSVI) in the FY 2027 Proposed Rule as a new tool to evaluate hospice providers. This scoring system analyzes nine...
The March 2026 Medicare Payment Policy Report to Congress
the March 2026 MedPAC Report to Congress The Medicare Payment Advisory Commission (MedPAC) published this report on Thursday, March 12, 2026 General Outtakes Regarding Medicare Growth and Spending Following are my outtakes regarding the March 2026 MedPAC Report to...
Overutilization in Home Health
Overutilization of resources in home health is a hidden expense for the agency and a drain on profitability. Minimizing overutilization is one of the easiest ways to improve an HHA’s profitability, but you need to know how to identify and address it effectively.
Financial Fundamentals in Home Health
The use of financial fundamentals in home health will help leadership to better understand the agency and achieve greater profitability.









