Medicare Rate Cuts 2026: How Home Health Leaders Can Survive HHPPS Challenges | w/ Victoria Kuklina

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Medicare Rate Cuts 2026: How Home Health Leaders Can Survive HHPPS Challenges | w/ Victoria Kuklina

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Episode Description

In this episode of Home Health Revealed, host Hannah Vale welcomes Victoria Kuklina, former CFO of Pinnacle and co-founder of FinHealth, for a deep dive into the 2026 PPS Proposed Rule and its widespread implications for home health agencies.

With potential Medicare rate cuts of 6.4%, supported by MedPac recommendation of 7% Post-Acute Care adjustment, and OBBBA impacts on the table, home health leaders face unprecedented financial pressures. Victoria shares insights from her upcoming white paper, explores contradictions in MedPAC’s data presented in the report and final recommendations, and explains what agency leaders should expect heading into 2026.

This episode covers critical topics for home health executives, including:

  • Startup realities and the year-end scramble facing the industry
  • The impact of RCD, DSO, and regulatory burdens on agency health
  • Strategies for financial leadership, budgeting, and proactive scenario planning
  • The ongoing disconnect between CMS policymakers and frontline providers
  • The industry’s future as the 85+ population is projected to triple in the coming years

If you’re responsible for preparing your agency for future challenges, this conversation is packed with actionable strategies and foresight to help you plan effectively.