ExpiredRestoring Case-Mix Levels Through UR-based Care Programs

  • December 4, 2014
    11:30 am - 1:00 am

2-Part Webinar Series – December 4, 2014 and December 11, 2014

11:30 a.m. to 1:00 p.m. Eastern – Audio Recording Available

2014 case-mix rebasing efforts have challenged home health providers as the value of their care as it relates to payment levels has changed significantly. In addition, these types of modifications to the HHRG structure are expected to continue as we move closer to the new care models mandated by the Affordable Care Act. Home health agencies who continue with pre-rebasing care production and delivery practices are experiencing marked decreases in the value of their patient programs. Furthermore, a quick review of the 2015 PPS Proposed Rule reveals additional modifications to traditional HHRG intrinsic that will affect case-mix in a similar manner; particularly as the effect of therapy on payment is decreased.

Learn how progressive home health providers are turning to a utilization review, case-modeled care approach to assure appropriate case-mix results for the patient programs they deliver. By rewiring their care and clinician management practices to address the contemporary concerns and requirements of home health in the new care landscape, these providers have re-energized their offices, front-line clinical staff, and patient programs. Clinical results improve significantly, case-mix outcomes increase to pre-rebasing levels, clinicians are managed for optimal results; and patients get better faster. These providers have paid themselves, in terms of case-mix levels greater than 1.3, to reinvent their care and agencies for the challenges of tomorrow. Identify how they did this, and how it will work for you, through this progressive 2-part webinar recounting actual case studies from UR-based home health providers like yourselves who have adopted this PPS compliant, patient-centered care approach.

 Program Objectives:

  • Identify the justification and the effects of 2014 case-mix rebasing on the fiscal results of home health providers.
  • Outline areas of the PPS HHRG model where home health underperformance exists that can compromise case-mix.
  • Demonstrate the outcomes achieved in case-mix and clinical areas through the utilization review, patient-centered care model.

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