Care at home helps people heal, manage chronic illness, and age with dignity in the place they feel safest. For more than 385,000 Floridians each year, home health care is not a luxury — it is essential. Skilled nurses, therapists, social workers, and aides help patients remain stable and independent in their homes, often preventing unnecessary hospitalizations.
The Centers for Medicare & Medicaid Services recently finalized changes to the Home Health Prospective Payment System for 2026. While CMS made adjustments in response to concerns from the home health community, the final rule still includes a 1.3% overall reduction in payments, totaling roughly $220 million less in federal funding nationwide. Even modest cuts threaten access to care, particularly for not-for-profit providers that reinvest every dollar into patient services.
These reductions arrive at a time when Floridians need more support, not less. Florida is home to 4.9 million residents age 65 and older — nearly 22% of the population — one of the highest proportions in the nation. That number continues to grow. Home health care allows older adults to remain independent, avoid preventable hospitalizations, and receive consistent care from professionals who understand their needs.
At Empath Health, the impact of at-home care is evident every day. Teams support individuals and families across the region through a coordinated approach to care. Each year, more than 80,000 Floridians are served through Empath Health’s Full Life Care model, which includes home health, palliative care, hospice, and Programs of All-Inclusive Care for the Elderly (PACE). This integrated approach ensures continuity while addressing physical, emotional, and social needs with compassion.
Care at home is not only preferred by patients; it is also a smart investment. Home-based care reduces hospital readmissions, lowers overall health care costs, and improves outcomes. Yet despite these benefits, Medicare home health has faced repeated payment reductions year after year. The cumulative impact has strained providers, contributed to agency closures in some communities, and increased pressure on hospitals and emergency departments.
When reimbursement fails to reflect the true cost of care, families feel the consequences directly: fewer home visits, longer wait times, and limited service availability. For patients recovering from surgery or managing conditions such as heart failure or COPD, delays in care can lead to avoidable complications or hospitalizations.
As a mission-driven, not-for-profit organization and a proud member of the National Alliance for Care at Home, Empath Health stands with providers nationwide who believe high-quality care should never be compromised. Protecting access to home-based care means protecting dignity, independence, and quality of life.
Floridians deserve to understand how federal payment decisions affect care in their own communities. Home health care is a cornerstone of Florida’s health care system, and its importance will only grow as the population ages. Sustaining access will require deliberate action from policymakers to ensure the long-term stability of this essential benefit.
Empath Health remains committed to standing beside families and advocating for the care they rely on. Home health care has long helped Florida families stay strong. Protecting access protects peace of mind, stability, and dignity for those who need it most.
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Tarrah Lowry is COO of Empath Health.