CommonSpirit Health At Home’s New 5-Year Growth Strategy

TL;DR

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CommonSpirit Health at Home CEO Trisha Crissman outlined a five-year growth strategy that shifts away from a plan heavily reliant on opening new locations, following a federal enrollment moratorium on home health providers. The company plans to expand in markets where it already operates, strengthen earlier access to home-based services, and improve value-based care, while using technology to support clinical and administrative work.

CommonSpirit Health at Home is revising its five-year growth strategy after a Centers for Medicare & Medicaid Services enrollment moratorium disrupted plans that relied heavily on opening services in new areas, CEO Trisha Crissman told Home Health Care News. The organization now plans to grow in markets where it already operates, connect patients with home-based care earlier and strengthen its work in value-based care.

Crissman said the moratorium prompted the organization to pause some parts of its expansion plan and reassess how to reach more patients. The revised approach emphasizes expanding its geographic footprint and market share in existing service areas, including areas where CommonSpirit Health has hospital partners and markets served through joint ventures with regional health systems. The company has 15 joint ventures, primarily in the Midwest, according to the interview.

A second focus is identifying patients who may qualify for home health, hospice or palliative care earlier in their care. Crissman described working with CommonSpirit physician enterprises, specialty clinics and primary care providers to develop referral pathways and help clinicians recognize eligibility. She said the aim is to connect people with an appropriate level of care before another acute health episode; the interview does not report measured results from this approach.

The third area is improving performance in value-based care across eight clinically integrated networks and shared patient populations with CommonSpirit Health. Crissman also described plans to use artificial intelligence and other digital tools to support clinician engagement, patient navigation and clinical capacity. The organization has begun implementing ambient scribing technology and a referral-management platform, she said, with the latter intended to reduce administrative work tied to admissions.

Growth Within Existing Markets

The strategy change shows how a federal enrollment restriction can affect a provider’s plans to enter new areas. Rather than relying as heavily on new launches, CommonSpirit Health at Home says it will seek growth by serving more people in places where it already has operations and partnerships. That could make the organization’s existing referral relationships and local capacity more central to its expansion, though the interview provides no market-by-market targets.

Earlier identification of eligibility could also affect when patients and families learn about home health, palliative care or hospice options. Crissman linked the work to earlier conversations about care needs and patients’ wishes, particularly near the end of life. The stated goals are strategic aims, not evidence that access or outcomes have already changed. The company’s technology investments are also tied to a practical constraint: reducing administrative tasks may free staff capacity, but no specific time savings or financial return was reported.

A Moratorium Reshapes Expansion

CommonSpirit Health at Home is the home-based care arm of CommonSpirit, a Catholic health care organization, and is 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 source report.

Crissman has served as president and CEO since September 2024, after holding the role on an interim basis beginning in 2023. She told Home Health Care News that the organization’s original five-year plan was largely driven by de novo growth—opening services in new locations—and had a strong hospice focus. The CMS moratorium, which the report says took effect May 13, led the company to put some components on hold and identify other ways to expand. The excerpt does not specify the moratorium’s year or provide further details about its scope.

Crissman also said the company’s 2026 priorities include improving its bottom line and EBITDA, reducing administrative complexity and reinvesting in growth. She cited ambient documentation and referral-management tools as initiatives underway, alongside planning for strategies intended to support growth through 2030.

“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

Targets and Moratorium Timing

The interview does not give a date for when the enrollment moratorium may be lifted, specify which planned launches have been paused, or set a timeline for the revised growth initiatives. It also does not provide projected revenue, EBITDA, market-share or patient-volume targets for the five-year plan.

Reported technology deployments and strategy goals should not be read as proof of outcomes. The source does not quantify expected savings, changes in clinician capacity, patient access or quality. It also does not say which markets or clinical services will receive the earliest expansion efforts.

Implementation Through 2030

CommonSpirit Health at Home expects to continue work on its current technology projects and develop the initiatives intended to support growth through 2030, Crissman said. The company’s stated next steps include expanding in existing markets, building earlier referral pathways with clinicians and pursuing value-based care improvements across its networks.

Further details on launch locations, milestones and performance measures have not been provided in the source material. The timing and effect of any future change to the CMS moratorium also remain relevant to whether the company can resume the new-market growth it has put on hold.

Key Questions

What changed in CommonSpirit Health at Home’s five-year plan?

The company is shifting away from a strategy heavily reliant on opening services in new markets. CEO Trisha Crissman said it will focus more on growth in current markets, earlier access to care and value-based care while the CMS enrollment moratorium affects expansion plans.

What services does CommonSpirit Health at Home provide?

According to the source report, it provides home health, hospice, palliative care and home infusion services across 15 states.

How does the revised strategy aim to reach patients earlier?

Crissman described working with primary care providers, specialty clinics and physician enterprises to identify eligibility and create pathways into home health, hospice and palliative care earlier in a patient’s care.

What technology is the organization implementing?

Crissman said the company began implementing ambient scribing technology and a referral-management platform. She also described broader plans to use AI and digital tools for clinician engagement, capacity and patient navigation; the interview did not quantify results.

When will the company resume opening services in new markets?

The source does not provide a date. Crissman said some components of the plan had been put on hold pending the moratorium, but the timing of any change or resumed launches was not specified.

Source: rss