CareThreads Podcast
Banding Together to Prevent Devastating Home Healthcare Rate Cuts; Featuring Kevin Scalia – EVP, Corporate Development, Netsmart Joanne Cunningham – CEO, Partnership for Quality Home Healthcare

Banding Together to Prevent Devastating Home Healthcare Rate Cuts

Kevin Scalia, EVP, Corporate Development, Netsmart
Joanne Cunningham, CEO, Partnership for Quality Home Healthcare

Home healthcare providers face an uncertain future following a proposed rate cut by Centers for Medicare and Medicaid Services (CMS). The proposal would implement a permanent -7.69% cut to Medicare home health services beginning in January 2023. The Partnership for Quality Home Healthcare (PQHH) says the rate cut proposal would equal $1.33 billion in 2023 alone. More cuts have also been proposed for the years to come which could reach $18 billion over the next 10 years. Providers and home health advocates are fighting back, urging passage of the Preserving Access to Home Health Act of 2022. The legislation seeks to delay cuts to allow time to implement a payment system update based on full, current and accurate information. Advocates say CMS should treat home health consistently – and apply the same budget methodology principles as it does in analyzing budget neutrality in the skilled nursing facility payment system.

In this episode, Netsmart EVP of Corporate Development Kevin Scalia talks with Joanne Cunningham, CEO of PQHH, about the proposed rate cuts to home healthcare services, which come at a time of increasing interest in care at home.

Listen in as we discuss:

  • How the proposed cuts would have a devastating impact on home healthcare access and growth
  • The Preserving Access to Home Health Act of 2022…and the urgent need for advocacy to pass it
  • What you specifically can do to support efforts already underway in Washington
  • The increased use of technology in post-acute care delivery…connecting clinicians and caregivers for patient-centric care 

If you want to hear more episodes like this one, look for the Netsmart CareThreads podcast on Apple Podcasts, Google Podcasts, Spotify or Stitcher.

You might also enjoy

Fighting for Disability Rights | Netsmart CareThreads Podcast

Lessons Learned Over Four Decades of Fighting for Disability Rights

Kevin Mallot, SVP and Managing Director, Human Services, Netsmart
Robert Stack,
President and CEO, Community Options

July 30, 2026

In this episode of the CareThreads Podcast, Robert Stack, President and CEO of Community Options, shares lessons from more than four decades of advancing disability rights and expanding community-based support for people with intellectual and developmental disabilities. He discusses workforce challenges, what motivates caregivers and how AI is helping reduce documentation burdens so providers can focus more on the people they serve.

More
Care at Home Industry Outlook Host and Guest

The Outlook for Care at Home in 2026

Maria Warren, VP Post-Acute Strategy and Client Alignment, Netsmart
Dr. Steve Landers,
Former President, National Alliance for Care at Home

April 09, 2026

What does the care at home landscape look like in 2026? In this episode, Dr. Steve Landers, former CEO of the National Alliance for Care at Home, shares his thoughts on the forces shaping care at home today and what providers should be preparing for as we move through the year.

More
Voices of Care Podcast | From Fragmentation to Fabric

Voices of Care: From Fragmentation to Fabric

Kevin ScaliaStrategic Advisor, Netsmart

AJ PetersonSenior Vice President & General Manager, CareGuidance, Netsmart

David StrocchiaSenior Vice President & Managing Director, Provider Solutions, Netsmart 

February 10, 2026

Join Netsmart industry experts for a conversation about the history of healthcare digitization in three distinct eras, from paper clipboards through early electronic health records to the modern era of AI and automation. Hear how modernized technology eases administrative burdens for community-based care providers, empowers clinicians to provide confident care and gives individuals greater ownership of their healthcare journey.

More