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Who’s Defunding Your Parents’ Care?

What happens when the Medicare Home Health Benefit faces sweeping CMS payment cuts? That’s the critical issue tackled in this powerful episode with hosts Elyssa Katz and Dr. Steven Landers. As CMS proposes over $1 billion in Medicare Home Health Benefit reductions for 2026, the threat posed by these CMS payment cuts has never been more urgent. In this episode, Elyssa Katz opens with the context behind the 2026 Home Health Proposed Rule, released by the Centers for Medicare and Medicaid Services. Dr. Steven Landers, a nationally recognized expert on home health policy and care delivery, breaks down what the Medicare Home Health Benefit really is—and why it is so vital to patients who are homebound, aging, or recovering from complex conditions. Together, they walk through the devastating downstream impacts of CMS payment cuts: access delays, provider shutdowns, and life-threatening care denials. Drawing from personal experience and national data, Dr. Landers highlights how these payment reductions have already triggered over 1,000 home health agency closures since 2019—and why future cuts could destabilize an already strained ecosystem. The episode also examines the paradox at the center of the issue: home healthcare is not just cost-effective—it’s the care model most preferred by patients. Despite its lower cost to the system, CMS continues to propose cuts that risk increasing institutional care and emergency room use—ultimately driving costs up, not down. This is not just a policy discussion. It’s a conversation about lives. Elyssa and Dr. Landers explore what patients lose when home healthcare is deprioritized: dignity, autonomy, and often their very health. They also address what policymakers should be measuring—outcomes, access, and long-term costs—rather than just near-term budgets. Listeners will leave this episode with a deep understanding of the stakes, the data, and the path forward. Whether you're in healthcare, public policy, or simply care about equitable access to essential services, this conversation offers the clarity and conviction you need to advocate for real change. 00:00 Medicare Home Health Support 06:33 Healthcare Access Crisis Looms 08:41 Home Health Agency Closures Loom 11:04 Proposed Home Health Funding Cuts 16:19 Home Care Benefits Recovery 18:35 "Home Health: Preferred Cost-Cutting Solution" 21:31 Investigating Provider Fraud Concerns 26:05 Adaptive Golf and Therapy Impact 26:59 Home Health Talent Crisis 30:12 Advocate for Home Health Care 34:26 Advocacy Strategies for Diverse Issues