In this episode of Home Health Revealed, hosts Hannah Vale and Joe Russell sit down with Lindsay Williams, founder of Four Pillars Hospice in Texas, for a truly powerful conversation on what it truly takes to open and grow a hospice agency today.

Lindsay shares her journey launching a hospice while navigating the realities of purchasing a location, serving rural communities across long distances, and building a team capable of wearing multiple hats. From salaries clinicians who balance care delivery with outreach, to the day to day decisions that shape a new agency's identity, Lindsay pulls back the curtain on the challenges and opportunities of building something meaningful.

This episode explores "the power of the pivot" when regulations, geography and resources don't align, how innovative staffing models can create stability and continuity, lessons learned from starting a hospice in rural Texas (and renting a jet to get from place to place). More than anything, this is a lesson about how flexibility, grit, and mission-driven leadership shape success.

• (00:00:02) - Home Health Revealed
• (00:00:32) - An Ohioan on the Issues
• (00:01:16) - Startup Four Pillars Hospice
• (00:04:00) - Hospice Care for Rural Communities
• (00:06:03) - Hospice: Utilizing the Community
• (00:07:15) - Hospice Care as a Rural Provider
• (00:12:48) - How Hospice Care is Collaborating
• (00:13:22) - Hospice CEO on Next Step
• (00:14:51) - Wonders of the World interview

Join us for a milestone celebration of Home Health Revealed by HealthRev Partners—our 100th episode! Reflect on four transformative years in home health: nationwide HHVBP rollout since 2022, PDGM-driven reimbursement cuts, climbing aide turnover near 35%, and the shift to value-based care and Medicare Advantage. We've covered it all—from staffing crises to AI tools and CMS final rules. Whether you're tackling AR aging, clinician burnout, or payer mix shifts, this retrospective delivers actionable takeaways from 100 episodes of industry truth.

A HUGE thank you to our guests, our listeners, and our partners. Here's to the next 100 episodes!

• (00:00:02) - Home Health Revealed: Turning 100 Episodes
• (00:01:19) - A Thanksgiving Special: Thank You
• (00:03:24) - Home Health Care: The Last Four Years
• (00:05:48) - Home Health Revealed: A 100-Episode Podcast
• (00:10:44) - Home Health Revealed: The Next 100 Episodes

Explore the essential updates from the official CMS Fact Sheet on the 2026 Home Health Final Rule in this episode of Home Health Revealed, hosted by Hannah Vale. This episode breaks down what the CMS rule means for home health agencies, covering payment changes, compliance updates, and care quality adjustments.

Key highlights include:

• A 2.4% market payment update, offset by adjustments, resulting in an overall 1.3% reduction in Medicare payments to home health agencies.

• Recalibrated PDGM case-mix weights and updated LUPA thresholds, changing how agencies need to plan visits and document care.

• Important changes to the Home Health Quality Reporting Program (QRP), including removal of the COVID-19 vaccination measure, as well as updates to OASIS data elements.

• The launch of a revised Home Health CAHPS survey, new value-based purchasing measures, and changes in quality measure weightings.

• New compliance provisions and revised provider enrollment rules designed to ensure program integrity and fight fraud.

Whether you’re an agency leader, clinician, or RCM professional, this episode provides everything you need to know direct from CMS guidance to keep your agency compliant, competitive, and prepared for 2026. Don’t miss Hannah’s expert take and practical tips for navigating the year’s most important regulatory updates.

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#HomeHealthRevealed #CMSFinalRule #HomeHealth2026

• (00:00:02) - Home Health Revealed
• (00:00:36) - CMS Final Rules for Home Health Services (2026)
• (00:03:28) - CMS Final Rule 1, Home Health Payment Rates
• (00:05:47) - CMS Rule 6, Home Health Quality Reporting Program (HHQ
• (00:12:36) - CMS Final Rule 2026 for DME POS