Description
"With the implementation of the Patient-Driven Groupings Model (PDGM) in 2020, providers have had to adapt to the new system's incentive to maximize efficiency while maintaining a high quality of care. In their pursuit of efficient, quality care delivery under the PDGM, the most pressing challenges providers have encountered have been adjusting to the two 30-day payment periods within each 60-day episode, as well as navigating the fluctuating LUPA (Low Utilization Payment Adjustment) thresholds of 2-6 visits per each of the two 30-day periods. The Centers for Medicare & Medicaid Services (CMS) threw another curveball at providers with the publication of the 2022 Home Health Final Rule, which calls for nationwide implementation of Home Health Value-Based Purchasing (HHVBP) in 2023. The HHVBP further emphasizes the importance of efficient, quality-based care delivery.
In this session, we will explore utilization and LUPA trends identified in CMS claims data, strategies implemented by Sutter Care at Home and McBee to mitigate avoidable LUPA and enhance quality care delivery, and identify best practice recommendations for success under a value-based care delivery model."
Objectives
Review the common trends noted in LUPA and utilization based on CMS claims data.
Identify best practices for mitigating avoidable LUPA and enhancing quality patient care.
Describe successful strategies implemented at Sutter Care at Home for managing and mitigating avoidable LUPA and enhancing quality care delivery.
Review strategies for success under HHVBP.
Certificate
By completing/passing this course, you will attain the certificate HCAF Course Certificate
Learning credits
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