HOME-BASED CARE MID-YEAR MARKET UPDATE

The U.S. home-based care market (defined herein as Hospice, Home Health, and Home Care) is at a pivotal moment, driven by an aging population, increasing preference for care in the home, evolving reimbursement models, and continued emphasis on value-based care. As healthcare delivery shifts beyond traditional institutional settings, home-based services are playing an increasingly critical role in improving patient outcomes, enhancing the care experience, and reducing the total cost of care.

In this mid-year update, Ziegler provides an overview of the home-based care market, including the distinct roles of Hospice, Home Health, and Home Care, as well as its perspective on industry trends shaping their continued growth. By examining regulatory drivers, reimbursement dynamics, care delivery innovations, and the evolving competitive landscape, this mid-year update aims to inform stakeholders about the challenges, future direction, and increasing opportunity within home-based care across the healthcare continuum.

In this issue:

• Reimbursement Update
• Moratorium Highlights
• Provisional Period of Enhanced Oversight (PPEO)
• CMS Fraud & Program Integrity Initiatives
• ‘One Big Beautiful Bill’ — Medicaid Landscape Shift
• Workforce & Labor Market Trends
• CY2027 Home Health Proposed Rule: Enhanced Regulatory Integrity and Oversight
• M&A Activity & Rate Environment