Whitepaper
A Spotlight on Home Health Case Management
Health system partners with McBee to incorporate clinical best practices for LUPA and Outlier management for home health business
DOWNLOAD NOW
After the Patient-Driven Groupings Model (PDGM) rollout, many home health organizations needed to shift their models and optimize their performance. Low Utilization Payment Adjustments (LUPA) and outlier rates are two key-performance indicators in measuring success and outcomes under the new model. The importance of these two metrics is rooted in the PDGM reimbursement structure as the Centers for Medicare & Medicaid Services (CMS) moves to a stronger emphasis on more efficient and effective case management for value-based care delivery.
Download our complimentary whitepaper to learn how a home health organization partnered with McBee to implement key case management strategies, improve clinical operations, optimize technology, and improve processes. The collaborative, team-focused approach of the partnership enabled the home health organization to:
- Reduce LUPA rate by 35%
- Reduce outlier rate by 58%
