Overview

PDGM is HERE!

Success Comes From Continuous Operational Improvements: Lessons Learned in PDGM 2020 Q1

The Patient-Driven Groupings Model (PDGM) represents the most significant change in the Medicare home health program in the 21st Century. It radically changes the Medicare payment methodology, including the unit of payment, the case mix adjuster, Low Utilization Payment Adjustment standards, and payment for Non-Routine Medical Supplies.

Beginning in January 2020, the National Association for Home Care & Hospice (NAHC), in partnership with the NAHC Forum of State Associations, the Home Care & Hospice Financial Managers Association, and the Home Care Technology Association of America, will present two significant educational campaigns designed to enable home health agencies to achieve “high performer” status through continuous  operational improvements in financial, clinical, business analytics, and administrative operations as PDGM unfolds.

The first educational campaign, the PDGM In Real Time webinar series, will consist of six free webinars (Week on Wednesdays in February and March) that address a variety of PDGM-essential topics, combined with an open forum where participants share and gain insights with HHFMA experts about what is working and not working in the early weeks of PDGM.

The second will feature a series of 12 one-day intensive Summits across the country, from March 30 through April 14. These Summits will focus on PDGM-related continuous performance improvement in financial, clinical, data analytics, and administrative operations. These are not “run-of-the-mill” PDGM programs. Instead, these programs are based on real-time, nationwide experiences and data that provide the nationally-renowned expert faculty with the deepest understanding about how to achieve success in PDGM.

Comparable in format to the intensely valuable 2019 Summits, the 2020 PDGM National Summits will be your key to thriving under PDGM. The major difference is that we are now in PDGM and will have the experiences and data to fully discern the ingredients to success.

Faculty for these one-day programs once again will be comprised of leading national experts from top home health consulting firms who will provide you with the tools and knowledge to:

  • Gain a better understanding of what it takes to be a winner in PDGM;
  • Identify key steps that are proving successful in managing services under PDGM;
  • Recognize the actions that create unnecessary risks for your HHA; and
  • Determine the early clinical and financial benchmarks that distinguish the successful HHA from others.

Attending one of these summits will fully prepare you to undertake any needed course corrections in your PDGM management, along with reinforcing the actions that you have already taken to ensure a positive outcome throughout 2020 and beyond.

Commercial Support

If you’re interested in providing commercial support for the PDGM National Summits, please contact Christopher Adams at cta@nahc.org or 202-547-7424 ext. 3314.