Outlier Payments and LUPA Thresholds: How CMS’s 2026 Adjustments Affect Short Episodes
The 2026 CMS Home Health Proposed Rule brings important changes to how agencies are reimbursed for short episodes of care. Two areas—Low Utilization Payment Adjustment (LUPA) thresholds and outlier payments—will see updates that could affect agency financials, especially for patients requiring fewer visits. Understanding LUPA Thresholds LUPA thresholds determine how many visits must occur within […]
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