HHAeXchange published its 2026 Homecare Insights: Provider Voices survey, aggregating operational data from 465 home- and community-based services (HCBS) agencies.
Compliance ranked as the #1 business priority for HCBS providers for the second consecutive year, with “ensuring a competitive advantage” ranking last, signaling a broader strategic focus on operational stability over outward growth.
Regulatory pressures negatively impacted 52.1% of agencies over the last 12 months, driven by authorization changes, Medicaid rate cuts, payment delays, and enhanced Electronic Visit Verification (EVV) rules.
Over half of providers (57.1%) are actively using, testing, or evaluating AI tools—primarily targeting scheduling/shift filling (37.8%), compliance tracking (34.5%), and claims processing (27.1%).
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