Hospice & Home Health News 2026June12

Kierstin Reed • June 11, 2026

GAO releases report on hospice payment.

On June 9, the Government Accountability Office (GAO) released a report entitled Medicare Hospice: Action Needed to Pay More Efficiently for Routine Home Care. The report covers the frequency of hospice routine home care visits and how estimated per-visit payment rates for hospice routine home care compare across selected hospices as well as to home health per-visit payment rates. The report divides hospices into quintiles based on visits with the lowest quintile ("low visit hospices") averaging 2.5 visits per beneficiary per week and the highest quintile (high visit hospices) averaging 5.5 visits per beneficiary per week. The report concludes that because Medicare’s hospice daily payment rates are the same regardless of the number of visits delivered, Medicare effectively paid low-visit hospices twice as much per visit as high-visit hospices, on average. GAO also concluded that Medicare effectively paid more per visit under hospice payment rates than it would have under rates for comparable home health visits. LeadingAge generally supports hospice payment reform but has not taken a position on whether a per visit model for routine home care is the best path forward. LeadingAge is still reviewing the details and methodology of report and will write a comprehensive summary in the coming days. LeadingAge will also use the July Hospice Member Network meeting to dive into this issue in more detail with members and asks that hospice members read the report and come prepared to discuss how what GAO prepared aligns or does not align with their experience and cost profile.

Hospice PEPPER Reports Ready for Download: What's Changed and What's Next. 

The Centers for Medicare and Medicaid Services (CMS) released the FY 2025 Program for Evaluating Payment Patterns Electronic Report (PEPPER) for hospices. PEPPER helps hospices review billing data to make sure claims are accurate. Members can learn how to access their reports here. In addition to the individual hospice reports, CMS released a User Guide for hospices and a sample report. The User Guide outlines what has changed in the report. First, top terminal diagnosis categories are updated to follow the more current Clinical Classifications Software Refined (CCSR) diagnosis categories. Second, the reports will have one target area removed: Continuous Home Care (CHC) Provided in an Assisted Living Facility (ALF). And finally, one target area updated: Long Length of Stays now includes episodes with length of stay equal to or greater than 180 days. Previously, only episodes with a length of stay greater than 180 days met the numerator criteria. On May 28, CMS announced that PEPPER reports are relaunching for all Medicare facilities types including home health and skilled nursing.

Hospice PEPPER Webinar June 24. 

The Centers for Medicare and Medicaid Services (CMS) will host a webinar on Wednesday, June 24 at 1 p.m. ET to provide hospices and stakeholders with guidance on navigating the recent changes to the Program for Evaluating Payment Patterns Electronic Report (PEPPER) for hospices. This will also include a review of the reports published in June 2026. Attendees can submit questions to CMS_CBRPEPPER@cms.hhs.gov. Sign up for the webinar here.

Here is your weekly  Home Health Weekly Recap from National.

Here is your weekly  Hospice Weekly Recap from National.

By Kierstin Reed July 23, 2026
LeadingAge Webinar on Tenant Compliance Must-Dos for Affordable Senior Housing, August 19, 2-3:15 p.m. ET. Join the LeadingAge housing community for a webinar by compliance expert Jenny DeSilva, who will review unique rules and requirements for HUD-assisted senior housing communities. Participants will receive practical guidance to stay prepared for HUD oversight while supporting older adults as they age in community. Register here . Affordable housing Weekly Recap . Here is your weekly Affordable Housing Weekly Recap
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Department of Education Updates List of Professional Degree Programs Due to Court Order On July 10, 2026, the Department of Education provided an update to its List of Professional Degree Programs Due to Court Order. This list was originally issued on June 29, 2026 in response to a court order that preliminarily set aside and stayed certain aspects of the definition of “professional degree” under ED’s Reimagining and Improving Student Education (RISE) final rule . For the duration of the court’s preliminary stay, ED is treating an interim list of programs as awarding professional degrees for the purpose of administering statutory loan limits. This interim list of programs includes audiology/audiologist, speech-language pathology/pathologist, physical therapy/therapist, occupational therapy/therapist, physician associate/assistant, and registered nursing/registered nurse. The July 10th update clarifies that that the 6-digit Classification of Instructional Programs (CIP) codes for the Registered Nursing/Registered Nurse (MSN) (51.3801) and Nursing Practice (DNP) (51.3818) include any program within the same four-digit CIP code, as assigned by the institution or determined by the Secretary, provided it awards the same credential. ED is also amending the Clinical Psychology program entry (42.2801) to include the Ph.D. designation, which was inadvertently not included in the initial list. LeadingAge opposed the rulemaking that is the basis for this litigation because of the likely negative impact to educational pipelines for several fields that are integral to the aging services sector, including nursing and rehab therapies. In addition to keeping members up to date on this ongoing litigation, we are also assessing several legislative proposals that aim address the implications of the RISE rule’s “professional degree” definition. Senate, House Members Reintroduce the Welcome Back to the Health Care Workforce Act. Senators Tim Kaine (D-VA) and Lisa Murkowski (R-AK) and Representatives Raja Krishnamoorthi (D-IL) and Adam Smith (D-WA) introduced the Welcome Back to the Health Care Workforce Act on July 16. This bill would help internationally educated health care professionals overcome common barriers to entering the health care workforce in the United States. It would create a grant program administered by the Health Resources and Services Administration to:  Support communities in developing local- and state-level partnerships between health care organizations, community-based organizations, higher education, and state and local governments to help connect internationally educated health care professionals with the resources they need to enter the health care workforce. Address barriers internationally educated health care professionals trying to enter the health care workforce face by: Assisting with obtaining overseas academic or training records and providing support throughout the U.S. licensing and credentialing process. Developing work-readiness, peer support, mentoring, and culturally competent career counseling opportunities. Establishing opportunities to complete necessary prerequisite courses, continuing education training, and English-language learning. Supporting growth opportunities to address classroom and clinical instructor shortages. Giving priority to partnerships focused on supporting health care workers serving rural communities or filling a workforce shortage within a community. LeadingAge supports this bill. Here is your weekly Workforce Weekly Recap
By Kierstin Reed July 23, 2026
COVID “Up to Date” Definition Will Not Change
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CPR for ALL Direct Care Staff
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CMS to Roll Out Risk-Based Survey This September The Centers for Medicare & Medicaid Services (CMS) released memo QSO-26-14-NH on July 16 announcing that the Risk-Based Survey will be implemented in nursing homes nationwide beginning September 8, 2026. LeadingAge called the announcement “a significant win”, noting that we have long advocated for this survey reform, both in our meetings with CMS and communications with the Department of Health & Human Services. CMS estimates that approximately 12% of nursing homes will be eligible for the Risk-Based Survey based on a combination of factors including Five-Star Quality Rating System ratings and other metrics. CMS additionally intends to identify these high performing nursing homes on Nursing Home Care Compare with a special icon and will identify any surveys completed using the Risk-Based Survey model on the survey results page, the form CMS-2567, and the CMS data catalogue. CMS will begin training surveyors in August and September and training materials, survey resources, and other supporting materials will be publicly available. Learn more here . LeadingAge is pleased with this development and will continue to pursue reforms to improve the nursing home survey and certification process.
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Stay up to date on the latest affordable senior housing news, policy updates, and resources. Click the link below to view this week's recap. Affordable housing Weekly Recap . Here is your weekly Affordable Housing Weekly Recap
By Kierstin Reed July 16, 2026
FY2027 Hospice Wage Index Final Rule Heads to OMB.
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