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CommonSpirit Health at Home CEO Trisha Crissman says the organization has pivoted its five-year growth plan after a CMS home health provider enrollment moratorium disrupted its expansion approach. The revised strategy focuses on growing in current markets, identifying patients for home-based care earlier, improving value-based care and using technology to support clinical work. Details such as targets, investment amounts and a timeline for expansion remain undisclosed.
CommonSpirit Health at Home has reshaped its five-year growth strategy after a Centers for Medicare & Medicaid Services enrollment moratorium disrupted plans that relied heavily on opening new operations, CEO Trisha Crissman told Home Health Care News. The revised approach emphasizes expanding in markets where the organization already operates, identifying patients who may benefit from home-based care earlier and using technology to support clinicians and patient navigation.
Crissman said the prior plan was largely driven by de novo growth—launching services in new locations—and focused heavily on hospice. With the moratorium in place, the organization put some parts of that plan on hold and reassessed how to expand. She did not say when the paused plans might resume.
The revised priorities include expanding the organization’s geographical footprint and market share in existing areas, in line with CommonSpirit Health’s service needs and those of its hospital partners. The organization also works through 15 joint ventures with regional hospital systems, mainly in the Midwest, according to the report.
Other elements include earlier identification of patients who may qualify for home health, hospice or palliative care, closer coordination with physician practices and specialty clinics, and improving performance in value-based care. Crissman said the organization plans to use AI and digital tools to support clinician engagement, increase clinical capacity and help patients find appropriate care. The source does not identify specific products or deployment dates for those plans.
Growth Shifts Toward Existing Markets
The change shows how a federal enrollment restriction can affect a provider’s route to growth: when opening new operations becomes harder, the company says it will focus more on serving additional patients and gaining share where it already has a presence. That makes execution in current markets, partnerships and referrals more important to the plan.
The proposed move toward earlier care identification could also affect how patients are directed to services. Crissman said the goal is to help clinicians recognize eligibility and discuss care options before another acute episode. That is the company’s stated objective; the interview provides no outcome data showing how many patients may be reached or what effect the approach will have on hospital use, costs or quality.
Technology is presented as a way to support that work and reduce administrative demands. Crissman said the organization began implementing ambient scribing technology and a referral management platform in 2026. She linked administrative efficiency and financial performance to the resources available for reinvestment, but gave no savings figures or return-on-investment results.
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Moratorium Alters Expansion Plans
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 the supplied report.
The report says CMS enacted the home health provider enrollment moratorium on May 13, but does not specify the year in that passage. Crissman described the restriction as a reason the organization had to reconsider a growth plan that depended substantially on de novo expansion. The interview was published by Home Health Care News in October 2026.
Crissman has led CommonSpirit Health at Home as president and CEO since September 2024, after serving as interim president from 2023. The strategy discussion came as the organization was also working on operational projects, including the two technology implementations she said began during the summer of 2026.
“We’ve had to re-evaluate opportunities for our growth and expansion until that is lifted. We’ve pivoted.”
— Trisha Crissman, CommonSpirit Health at Home president and CEO, speaking to Home Health Care News
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Targets and Timing Remain Undisclosed
The interview does not provide growth targets, budget figures, market-by-market plans or a schedule for the five-year strategy. It also does not say which parts of the original de novo plan are paused, whether they could restart, or when the CMS moratorium may be lifted.
Crissman described goals for earlier referrals, better clinical outcomes and lower total cost of care across eight clinically integrated networks and shared populations with CommonSpirit Health. The source gives no baseline measures, specific targets or results to show how progress will be evaluated. It also does not specify which AI or digital systems will be adopted beyond the ambient scribing and referral management tools already being implemented.
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Implementation Will Shape Progress
For the remainder of 2026, Crissman said the organization will continue work on ambient scribing and referral management technology, seek to reduce administrative complexity and lay groundwork for growth initiatives intended to support the plan through 2030. She said financial performance is one measure she will use to judge the year, while describing the technology and operational work as ongoing.
Further detail on market expansion, patient access programs, technology deployment and performance measures would help clarify how the strategy is progressing. The supplied report does not give a date for a further announcement or a milestone for lifting or changing the CMS moratorium.
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Key Questions
What changed in CommonSpirit Health at Home’s five-year growth strategy?
The organization has shifted away from a plan that depended heavily on opening new operations and hospice expansion. Crissman said the revised priorities include gaining share in current markets, earlier identification of patients for home-based care, value-based care and technology use.
Why did the company revise its expansion approach?
CEO Trisha Crissman said a CMS enrollment moratorium for home health providers led the organization to reassess expansion opportunities and pause some parts of its original plan. The report does not specify when the moratorium will end.
What services does CommonSpirit Health at Home provide?
According to the report, it provides home health, hospice, palliative care and home infusion services to more than 16,000 patients across 15 states.
How does the plan aim to identify patients earlier?
Crissman said the organization plans to work with physician enterprises, primary care providers and specialty clinics to identify eligibility and discuss transitions to home health, hospice or palliative care earlier. The report gives no patient volume target or measured result.
What details about the five-year plan are still unknown?
The report does not provide financial targets, investment amounts, market-level expansion plans or a detailed schedule. It also does not say when paused de novo growth plans might resume or what measurable outcomes will be used to judge the strategy.
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