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CommonSpirit Health at Home is reworking a five-year growth strategy that had relied heavily on new hospice operations, after a CMS enrollment moratorium changed its expansion options. CEO Trisha Crissman outlined priorities including expanding in existing markets, identifying patients for home-based care earlier and using technology to support clinicians. The company has not provided specific growth targets or a timeline for lifting the moratorium.
CommonSpirit Health at Home is reshaping its five-year growth plan after a Centers for Medicare & Medicaid Services enrollment moratorium disrupted expansion plans that relied heavily on opening new operations, CEO Trisha Crissman told Home Health Care News. The revised strategy emphasizes growing in current markets, connecting patients to home-based services earlier and improving performance in value-based care arrangements.
Crissman said the company has put some elements of its original plan on hold while it reassesses opportunities during the moratorium. The earlier strategy was largely driven by de novo growth—starting services in new locations—and focused heavily on hospice. The moratorium, which the report says CMS enacted on May 13, 2026, changed what forms of expansion the company could pursue. The source does not specify the moratorium’s exact scope or which planned locations were affected.
The revised plan has three main growth avenues. CommonSpirit Health at Home aims to expand its geographic footprint and market share in places where it already operates, coordinating with CommonSpirit Health hospitals and its 15 joint ventures with regional hospital systems. It also plans to identify eligibility for home health, hospice and palliative care earlier through physician practices, specialty clinics and primary care providers, so patients can be connected with an appropriate service before another acute health episode.
A third priority is improving clinical quality, patient outcomes and total cost of care among populations served through eight clinically integrated networks and shared arrangements with CommonSpirit Health. Crissman said technology, including AI and digital tools, is intended to support clinician engagement, capacity and patient navigation. The company is also implementing ambient scribing and a referral-management platform, which she said are intended to reduce documentation and administrative work.
Growth Shifts Toward Existing Markets
The change matters because the moratorium has altered the company’s route to expansion, prompting it to place greater weight on growing services within its current footprint rather than relying on new operations. For patients and referral partners, the stated focus on earlier identification could affect when people are offered home health, palliative care or hospice, though the company has not reported measurable results from the revised approach.
The plan also links growth to financial performance and care delivery. Crissman said increasing EBITDA and the bottom line would provide resources to reinvest in growth and support the organization’s mission. She described reducing administrative complexity and increasing capacity as aims of the technology and centralized-function work. These are stated objectives, not reported outcomes; the interview provides no financial targets, projected patient volumes or quantified savings.
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A Plan Reshaped by the Moratorium
CommonSpirit Health at Home is the home-based care arm of CommonSpirit Health, a Catholic health care organization. Based in Loveland, Ohio, it provides home health, hospice, palliative care and home infusion services to more than 16,000 patients across 15 states, according to Home Health Care News. The organization also works through 15 joint ventures with regional hospital systems, described by Crissman as predominantly in the Midwest.
Crissman has been president and CEO since September 2024, after serving as interim president from 2023. In the interview, she said the company’s 2026 priorities include implementing ambient scribing technology, introduced that summer, and a referral-management platform intended to ease the admissions process. She said those initiatives require substantial work and are part of preparations for growth through 2030.
“A lot of the five-year growth strategy has been halted because it’s been dominantly de novo-driven and heavily hospice-focused.”
— Trisha Crissman, CommonSpirit Health at Home president and CEO, speaking to Home Health Care News
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Targets and Timing Remain Unspecified
The interview does not give specific growth targets, planned market additions, patient-volume goals or deadlines for the three strategic avenues. It also does not quantify anticipated effects on clinical outcomes, costs, administrative workload or staffing. Crissman said some parts of the former plan are on hold, but did not identify each affected initiative.
The report says the CMS moratorium began May 13, 2026, but the source material does not establish when it will end, detail its precise rules or say how those rules apply to each proposed expansion. The company’s ability to resume the previously planned de novo growth therefore remains unclear.
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Implementation Continues Through 2026
Crissman said CommonSpirit Health at Home will continue work on its ambient scribing and referral-management systems while laying groundwork for longer-term growth through 2030. The company is also expected to pursue earlier care identification with physician enterprises and seek greater performance across its clinically integrated networks, though the interview provides no public milestones or launch dates.
Further details to watch for include whether the moratorium changes, which markets the organization targets, and whether it publishes measures showing the effect of technology and earlier referrals on patient access, outcomes or costs. For now, the strategy’s direction is clear, but its timetable and results are not.
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Key Questions
What changed in CommonSpirit Health at Home’s five-year growth plan?
The company is shifting away from a plan that relied heavily on opening new operations, particularly hospice services. CEO Trisha Crissman said it will instead emphasize growth in existing markets, earlier identification of patients for home-based care and value-based care performance.
Why is the company changing its expansion strategy?
Crissman said a CMS enrollment moratorium enacted on May 13, 2026, disrupted the company’s de novo-driven growth approach. The source does not detail the moratorium’s exact scope or when it may be lifted.
Which services does CommonSpirit Health at Home provide?
According to Home Health Care News, the organization provides home health, hospice, palliative care and home infusion services to more than 16,000 patients across 15 states.
What role will technology play in the strategy?
Crissman said AI and digital tools are intended to support clinicians, expand capacity and improve patient navigation. The organization is implementing ambient scribing and referral-management technology, but the interview does not report measured results from those projects.
Has CommonSpirit set measurable growth targets?
The interview does not provide specific targets for market expansion, patient volume, financial performance or clinical outcomes. Crissman said growing EBITDA and the bottom line in 2026 would indicate success, without giving numerical goals.
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