Navigating the Future of Home Health Amid Reimbursement Cuts: A Q&A with Wylie Butler, Lead Analyst for Post-Acute Care

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In this Q&A, lead home health analyst Wylie Butler discusses his reactions of the Centers for Medicare and Medicaid Services (CMS) 2024 proposed rule for home health and his outlook for the final rule, which we expect in late October or early November, 2023.

In this 30-minute discussion, you will learn:

  • How the proposed rule differed from market expectations
  • How the final rule will differ from the proposed rule
  • The most likely avenue for relief for providers, either through CMS or lawmakers

…and more.

A recording and transcript of the Q&A are available.


On June 30, CMS released its 2024 home health proposed rule, which is the most negative payment update in recent years. In response to the rule, the National Association for Home Care & Hospice announced a suit against CMS seeking to block the 2024 rule’s implementation and reverse 2023 cuts.

The home health proposed rule will now enter the public comment period. Capstone will be tracking lobbying efforts and pushback from public companies to the forthcoming cut, and gauging Congressional traction for a potential legislative fix. A final rule from CMS is likely to arrive in the final weeks of October or early November, setting the stage for late-year drama as the industry pushes for relief before the final rule takes effect. Capstone will continue to monitor events on Capitol Hill and at CMS for signs of any policy evolution affecting support for the industry.

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