The Medicare payment reduction in the home health final rule is making it difficult for providers to operate, David Grams, CEO of Compassus, told McKnight’s Home Care in a podcast. To make up for some of the financial pressures, providers have to exercise “a better stewardship of resources,” he said. This entails being mindful of staffing numbers as well as the allocation of capacity to help patients access home care from the hospital, said Grams who was in Washington, DC, as recently as this week advocating on behalf of providers.