Gravity Healthcare Hacks

Author: Melissa Brown

Melissa Brown, COO, of Gravity Healthcare Consulting, will monthly provide industry expertise and tips to help keep your feet firmly on the ground in the world of healthcare. 
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Beyond Therapy: How Specialty Physicians Can Drive PDPM Medicaid Success
Wednesday, 12 November, 2025

As more states transition to PDPM for Medicaid, therapy is no longer the primary driver of case mix index (CMI). So where do providers turn next?In this episode, Melissa Brown, COO of Gravity Healthcare Consulting, sits down with Dr. Rehan Shah, nephrologist and co-founder of CardioRenal Vision (CRV), to explore how cardiology, nephrology, and pulmonology services can transform PDPM Medicaid outcomes.Together, they discuss:Why therapy-driven CMIs are declining under PDPM MedicaidHow specialty physician programs improve documentation, acuity capture, and reimbursement accuracyThe power of on-site care models—from dialysis to respiratory therapy—to reduce hospitalizations and boost CMIPractical steps for aligning physicians, MDS coordinators, and facility leadershipIf your organization is preparing for PDPM Medicaid—or already navigating the transition—this episode offers actionable insights to help you strengthen performance, accuracy, and margins under the new model.🎧 Hosted by: Melissa Brown, COO, Gravity Healthcare Consulting 📍 Guest: Dr. Rehan Shah, Co-Founder, CardioRenal VisionSupport the show