The government’s recent proposed rule that would cut Medicare payments to home health agencies by 2.2% in 2024. By law, the new system can’t cost more or less than it otherwise would have, but Medicare reinforced this year that it had “paid more under the new system than it would have under the old system” — and thus continued cuts to home health for next year. NAHC, the home health industry's lobbying group, said in its lawsuit that Medicare has been violating the requirement to keep things "budget-neutral" and threatens to put home health operators out of business.