Surviving the -3% Clawback: Home Health Cash-Flow Planning for 2026-2027
CMS is keeping a -3% clawback despite a proposed +2.4% for 2027. How to plan home health cash flow around ~$4.9B in PDGM recoupment through 2028 and beyond.
· 3 min read
Home health, hospice and home care accounting · Page 3 of 11
All Posts
Accounting tips, Medicare cost report guidance and regulatory updates for home health, hospice and home care agency owners.
PDGM and the 30-Day Period: How Payment Timing Drives Home Health Cash Flow
How PDGM's 30-day period and the 5-day NOA deadline drive home health cash flow, why late NOAs cost 1/30 per day, and how LUPAs swing a period's value.
· 4 min read
FY 2027 Hospice Payment Changes: The Final Rule (CMS-1851-F), the New Cap, and the SSVI
The FY 2027 hospice final rule (CMS-1851-F): a +2.3% update, the new $36,174.75 aggregate cap, the SSVI integrity score, and a mandatory election addendum.
· 5 min read
Home Health Accounting
Aveanna Healthcare’s Q2 revenue beat puts operating trends and outlook in focus
Aveanna Healthcare’s second-quarter revenue beat puts demand, labor costs, reimbursement, margins, and outlook under investor scrutiny, with practical accounting lessons for home-based care providers.
· 2 min read
Homecare Accounting
MaineCare Cuts Off $47.9 Million Home Health Biller Amid Billing Investigation
MaineCare suspended payments to Community Home Health Care after allegations of billing for services not provided. The provider received nearly $48 million from 2019 through 2025 but remains licensed.
· 2 min read
News
Nova Leap Posts Record Q2 as Revenue and Adjusted EBITDA Surge
Nova Leap Health reported record second-quarter 2026 revenue, operating income and Adjusted EBITDA, supported by acquisitions and expansion across North America.
· 3 min read
News
Home care’s technology priorities sharpen around compliance, scheduling and billing
A new home care survey identifies compliance, scheduling and billing as leading technology priorities while highlighting growing AI use and the need for stronger financial data practices.
· 3 min read
News
Flushing Medicaid Alarm: Nearly $733 Million Billed by Queens Social Adult Day-Care Centers
A New York investigation examines $733 million in Medicaid billing by Flushing social adult day-care centers, alleged kickbacks, oversight failures, and compliance lessons for healthcare providers.
· 3 min read
Home Health Accounting
Pennant’s Q2 revenue jumps 35.8% as home health and hospice fuel expansion
Pennant’s Q2 2026 revenue rose 35.8% as home health and hospice growth drove earnings, margins, and an upgraded full-year outlook.
· 3 min read
News
Alignment Healthcare’s accounting questions intensify as shares and confidence slide
Alignment Healthcare faces lawsuit-related accounting scrutiny, falling shares, and divided valuation signals as investors reassess earnings quality and growth prospects.
· 3 min read
News
Does Medicare cover home health care? A guide to eligibility, services, and costs
Learn when medicare cover home health care, who qualifies, what services cost, and how to appeal denials.
· 11 min read
Home Health Accounting
Pennsylvania charges 19 in alleged $4 million home healthcare billing fraud
Pennsylvania authorities charged 19 people over alleged $4 million Medicaid home healthcare fraud involving fake shifts, impossible hours, and unperformed services.
· 3 min read
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