Beyond Compliance: How Strategic Payroll-Based Journals Drive Healthcare Growth
PBJ Is Not the Goal—Stability Is Many healthcare and home health organizations treat Payroll-Based Journal (PBJ) reporting like a compliance checkbox. They submit on time and move on. However, that approach leaves value on the table. PBJ data shows how care actually happens—who worked, when and where they worked, and how staffing choices affect cost, […]
Home Health After the CY 2025 Final Rule: Repricing Risk Through Workforce Strategy
Skip to content CY 2025 Home Health Final Rule: Turn Policy Into a People-Systems Advantage People Matter. Margin Follows. Last updated: February 11, 2026 Executive summary: CMS’s CY 2025 Home Health Prospective Payment System (HH PPS) final rule nudged rates and reaffirmed PDGM-era expectations for productivity, documentation quality, and measurable outcomes. The permanent behavioral adjustment […]
Rethinking Turnover in Home Healthcare: An HR Strategy Imperative, Not a Staffing Problem
Home healthcare is one of the fastest-growing sectors in the U.S. economy — and one of the most operationally fragile. Demand continues to accelerate due to aging demographics, expanded in-home care preferences, and reimbursement shifts. Yet many agencies operate in a constant state of workforce instability. Annual caregiver turnover rates frequently approach or exceed 70–80%, […]