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Home‑health and Hospice Leaders Urge Payment Fixes, Wider Use of Telehealth to Preserve Rural Access
Summary
Home‑health and hospice executives told lawmakers that recent reimbursement cuts, administrative burdens and rising Medicare Advantage enrollment threaten home‑based care; witnesses urged telehealth expansion and performance‑based payment adjustments.
WASHINGTON — Executives representing home‑health and hospice providers told the House Ways and Means Health Subcommittee that payment cuts, administrative complexity and Medicare Advantage practices are straining the sector and reducing access, especially in rural areas.
Dana Madison, an administrator of family‑owned home‑health agencies in West Texas, described decades of payment changes and regulatory shifts that have compressed rural agency margins. She recounted the transition from cost‑based reimbursement to interim payment…
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