Posted June 21, 2023
Following the implementation of PDGM and during the height of the COVID-19 pandemic – home health providers struggled significantly with Low-Utilization Payment Adjustments (LUPAs).
Since then, some providers have found ways to mitigate them, and others haven’t.
The other major headwind was the impact of the COVID-19 pandemic, Anthony D’Alonzo, division director and senior vice president of practice analytics and insights at Bayada Home Health Care, told HHCN.
Providers that were seeing increased LUPA rates saw significant impact on their bottom lines.
“If you are above the national average for LUPA rates, then you are, in essence, going to average a lower total billing amount, because you have a higher than projected number of patients who are not receiving the episodic-based payment,” D’Alonzo said.
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