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Home Health Care News: Bayada Nonprofit Executive Director On The At-Home Care Medicaid Squeeze, Industry Consolidation

By Morgan Gonzales

22, Mar 2026

Why This Matters

Medicaid reimbursement rates are not keeping pace with wage inflation, making it difficult for providers to offer competitive pay.
Workforce availability remains a top challenge. Investments must be made for home-based care to be an attractive, long-term career path and to meet growing demand.
Providers and referral sources should prioritize directing appropriate patients to home care to maximize value and system efficiency.

Efficiency, quality, and diversification key to navigating economic challenges

Home Health Care News explores the mounting financial pressures facing the home-based care industry, particularly constrained Medicaid reimbursement rates and broader economic challenges impacting both states and managed care plans. Sue Moss of BAYADA emphasizes that providers are struggling to maintain competitive wages as inflation outpaces reimbursement, creating a major bottleneck in sustaining the workforce.

To navigate these challenges, providers are focusing on efficiency, quality improvement, and diversifying revenue streams, while also bracing for potential industry consolidation. Advocacy efforts are centered on increasing Medicaid funding, aligning reimbursement with wage growth, and eliminating fraud and waste to ensure sustainability.

Despite these hurdles, demand for home-based care continues to grow, reinforcing the need for systemic investment and policy reform.

"We are really leaning into being an exceptionally compliant and high-quality provider, and I think that’s really an exciting opportunity as we think about making the Medicaid program more sustainable, and also focusing on program integrity."

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Sue Moss, Senior Vice President of Payer Strategy and Government Affairs, BAYADA Home Health Care

About BAYADA

BAYADA is a global leader in home health care, providing high-quality nursing, therapy, rehab, hospice, and personal care services for people of all ages and abilities.

A nonprofit built on the values of compassion, excellence, and reliability, BAYADA is transforming care delivery so millions of individuals in need can stay safe at home with comfort, independence, and dignity.

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