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CommonSpirit Health at Home CEO Trisha Crissman says the organization has reshaped its five-year growth plan after a federal enrollment moratorium disrupted its de novo expansion approach. The plan focuses on growing in existing markets, identifying patients for home-based services earlier, improving value-based care and using technology to support clinicians. The source does not specify targets, budgets or a timeline for lifting the moratorium.
CommonSpirit Health at Home has reworked its five-year growth strategy after a Centers for Medicare & Medicaid Services enrollment moratorium disrupted a plan that relied heavily on opening new operations, president and CEO Trisha Crissman said in an interview with Home Health Care News. The revised approach emphasizes expansion in markets where the organization already operates, earlier identification of patients who may qualify for home-based care, and technology investments.
Crissman said the previous strategy was largely based on de novo growth and focused heavily on hospice. With the moratorium in place, some planned components have been put on hold while the organization reassesses where and how it can expand. She said the company has identified other ways to serve more patients in existing markets while restrictions remain.
The strategy has three broad growth priorities: expanding geographic coverage and market share in current markets; helping physicians identify patients who may qualify for home health, hospice or palliative care earlier; and improving performance in value-based care. Crissman said expansion is intended to align with CommonSpirit Health’s hospital network and its regional hospital partners. The organization has 15 joint ventures, mainly in the Midwest, she said.
Technology is intended to support all three priorities. Crissman described plans to use AI and digital tools to support clinician engagement, increase clinical capacity and improve patient navigation. She also cited ongoing implementation of ambient scribing technology and a referral-management platform, which she said could reduce documentation and administrative work tied to admissions.
Growth Shifts Toward Existing Markets
The moratorium changes the available route for growth at a provider whose earlier plan depended substantially on opening new operations. A shift toward building market share where services already exist could allow CommonSpirit Health at Home to pursue expansion without relying on the same pace of new-market entry, though the interview does not quantify the expected reach or financial effect.
The focus on earlier referrals could also affect when patients and families learn about home health, palliative care and hospice options. Crissman said the organization wants to work with primary care providers and specialty clinics so care needs and eligibility are recognized before another acute health episode. That is the company’s stated aim; the source provides no outcome data showing how the approach has affected access, patient experience or costs.
For clinicians, the technology work is presented as an operational support effort as well as a growth tool. Crissman said reducing administrative burden could free capacity for patient care. The organization’s ability to realize those benefits, and to generate the financial returns it expects from its investments, remains to be measured.
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Moratorium Alters Expansion Plans
Home Health Care News reported the strategy in an interview with Crissman. The source says CMS enacted an enrollment moratorium on home health providers on May 13, but does not give the year, duration, geographic scope or detailed terms. Crissman said the measure led the organization to pause parts of its growth plan and reconsider expansion opportunities.
CommonSpirit Health at Home is based in Loveland, Ohio, and is the home-based care arm of CommonSpirit, a Catholic health care organization. It provides home health, hospice, palliative care and home infusion to more than 16,000 patients across 15 states, according to the report. Crissman became president and CEO in September 2024 after serving as interim president from 2023.
In addition to the five-year plan, Crissman said the organization’s 2026 priorities include continuing technology implementation, reducing administrative complexity and growing EBITDA, a measure of operating earnings. She described financial growth as a way to support reinvestment and the organization’s mission; the interview did not report current financial results or targets.
“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, in an interview with Home Health Care News
Targets and Moratorium Terms Unreported
The source does not identify the moratorium’s year, scope, duration or end date, or explain which specific expansion activities it prevents. It is also unclear when the paused components of the growth plan might resume or whether the organization expects the restriction to be lifted.
CommonSpirit Health at Home did not provide numerical targets for geographic expansion, market-share gains, patient growth, financial returns or improvements in quality and total cost of care. Crissman described the intended role of AI and digital tools, but the report does not specify which systems will be deployed, on what schedule, or how the organization will assess their effects.
Implementation and Results to Watch
The organization’s next steps, as described by Crissman, include continuing implementation of ambient scribing and referral-management technology, planning for growth through 2030, and developing earlier identification and referral pathways with physician groups. The interview does not provide dates for the technology rollout or name the markets where expansion is planned.
Future updates would clarify how the company measures progress in existing markets, clinician capacity, patient access and value-based care performance. The timing of any return to paused expansion plans will depend, at least in part, on the moratorium’s terms and status, which were not detailed in the report.
Key Questions
What is CommonSpirit Health at Home changing in its growth strategy?
CEO Trisha Crissman said the organization is shifting away from a plan that relied heavily on opening new operations. Its revised priorities include growing in current markets, identifying patients for home-based care earlier, improving value-based care and using technology to support clinicians.
Why did the organization revise its plan?
Crissman said a CMS enrollment moratorium on home health providers, enacted May 13 according to the source, disrupted the organization’s de novo-driven expansion strategy. The source does not specify the moratorium’s year, scope or end date.
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.
How will technology fit into the strategy?
Crissman said the organization is implementing ambient scribing and a referral-management platform, and plans to use AI and digital tools to support clinician engagement, clinical capacity and patient navigation. The source does not give rollout dates or results.
Has CommonSpirit Health at Home set measurable growth targets?
The interview did not provide numerical targets for patient growth, market share, financial performance or clinical outcomes. Crissman said the organization aims to grow EBITDA and improve care and operational capacity, but specific measures and timelines were not reported.
Source: rss
