Gravity Healthcare Hacks

Melissa Brown
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  • UPDATED MONTHLY

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. 

  1. Navigating the 2026 Final Rule: Strategies That Actually Work

    DEC 1

    Navigating the 2026 Final Rule: Strategies That Actually Work

    The 2026 Home Health Final Rule is late—but the impact is already here. In this episode, Melissa Brown (COO) sits down with Devin Kassi, Gravity’s VP of Home Health Operations, to break down what agencies should be doing right now to prepare for payment cuts, VBP changes, and rising operational demands. Together they unpack: What a 3–6% payment reduction really means for agency sustainabilityWhy your EMR might be costing you more than it’s saving youHow AI-driven clean claims, documentation support, and automated intake can reduce labor needs and boost marginsThe organizational restructuring every agency should be evaluating before 2026How to prepare for the proposed Value-Based Purchasing changes—especially new OASIS measures for bathing and dressingWhy recurring training, ongoing Oasis auditing, and external quality support are now essentialPractical, actionable steps to future-proof your operations before the Final Rule arrivesThis is Part 1 of a two-part conversation designed to give home health leaders a roadmap for navigating reimbursement cuts without compromising care or burning out their teams. Because in today’s environment, survival isn't about what you know—it's about how fast you can adapt. Support the show

    24 min

  2. NOV 12

    Beyond Therapy: How Specialty Physicians Can Drive PDPM Medicaid Success

    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 Vision Support the show

    24 min
  3. Bridging Generations in Senior Living with Chiriga Ofori

    OCT 1

    Bridging Generations in Senior Living with Chiriga Ofori

    What happens when you bring together seniors and young adults with special needs under one roof? In this episode, Melissa Brown sits down with Chiriga Ofori, CEO of Kinbridge at Oviedo, to explore her groundbreaking intergenerational assisted living model. Chiriga shares how her personal journey as a caregiver inspired her to reimagine senior living, blending wisdom, energy, and support across generations. From creating meaningful connections and combating isolation to making the greenhouse small-home model operationally sustainable, she reveals how Kinbridge is building true community. If you’re a senior living operator, healthcare professional, or just curious about new approaches to person-centered care, you’ll walk away with insights, inspiration, and practical advice. Support the show

    24 min
  4. PDPM Medicaid Uncovered: What Facilities Miss (and How to Get Ahead)

    SEP 2

    PDPM Medicaid Uncovered: What Facilities Miss (and How to Get Ahead)

    In this second half of our deep dive, Melissa Brown, COO of Gravity Consulting, continues her conversation with Melissa Keiter on the critical challenges—and opportunities—of PDPM Medicaid. This episode unpacks real-world strategies for facilities navigating the transition, from documentation pitfalls and audit risks to proactive coordination across nursing, MDS, therapy, and ancillary partners. You’ll hear insights on: Why supportive documentation is more important than everHow respiratory therapy, wound care, and psychological services can strengthen your PDPM scoresThe role of coordination between MDS, clinicians, and outside specialistsWhy a proactive, team-based mindset is essential to avoid leaving dollars—and care opportunities—on the tableWhether your state has already transitioned or is still under a rate freeze, this episode will help you prepare your staff, adjust your systems, and avoid the financial and operational risks of falling behind the curve. Support the show

    23 min

  5. AUG 1

    Will PDPM Medicaid Sink Your Facility? What You Need to Know Before You Fall Behind the Curve

    The clock is ticking. With the mandatory transition to PDPM Medicaid coming October 1st, many providers are still unprepared—and it’s already impacting their margins. In this episode, Melissa Brown is joined by Melissa Keiter, MDS expert and Lead Consultant for Nursing Services at Gravity Consulting, to break down the real-world implications of this sweeping policy shift. From reimbursement cuts to team readiness, they explore why relying on therapy-driven documentation is no longer enough—and what nursing homes must do to avoid sinking under PDPM Medicaid. You’ll learn: Why some facilities are already losing $5–$15 per patient per dayHow Section GG impacts your bottom line—and why nurse aides hold the keyWhat to do if your state is including therapy in the Medicaid rateTactical strategies for nursing-only statesHow to prepare your entire care team—from dietitians to social workersThis is part one of a two-part series. Don’t miss this critical conversation designed to help you protect your CMI and stay financially afloat during the transition. Support the show

    22 min

  6. JUL 9

    Real-World AI in Senior Living: Insights from Dr. Carol McKinley

    In this episode, Melissa Brown sits down with Dr. Carol McKinley, President and CEO of Simpson Senior Services, for a powerful conversation about how senior living providers can use AI to revolutionize care delivery. Dr. McKinley shares her deeply personal journey into senior care, the inspiration behind her passion for innovation, and how Simpson is using AMBA’s passive AI monitoring to spot critical health changes before they become emergencies. You’ll hear how this technology is: Reducing falls and hospital visitsSupporting frontline staff through real-time alertsImproving family communication and resident confidenceMaking data meaningful—even for non-clinical leadersPlus, learn how Simpson’s unique Tech Bar is empowering residents to take ownership of their health and wellbeing through hands-on access to smart health tools. If you’ve been burned by AI that promised everything and delivered little, this episode will restore your faith in what’s possible when technology is built for senior care instead of added onto it. Support the show

    46 min

  7. MAY 1

    Will AI Replace Humans in Healthcare? A Candid Discussion with Jeff Robinson

    Episode 56: Will AI Replace Humans in Healthcare? A Candid Discussion with Jeff Robinson In this episode, Melissa Brown, COO of Gravity Consulting, sits down with Jeff Robinson, founder of Senior Wellness Solutions, to tackle one of the most controversial questions in healthcare today: Will AI replace humans? Together, they explore how AI is already reshaping senior care, why the real threat isn’t the technology itself but resistance to change, and how smart integration of AI can actually empower healthcare workers—not replace them. Jeff shares powerful examples from real-world senior living and home health settings, highlighting both the opportunities and risks AI presents. If you're a healthcare executive, operator, or clinician wondering how to navigate AI without losing the human touch, this conversation is a must-listen. 🔹 How to evaluate AI platforms for your organization  🔹 Why human oversight remains essential  🔹 The future of AI in healthcare over the next 5–10 years  🔹 How the next generation of caregivers is already embracing innovation Don’t miss this thought-provoking episode packed with actionable insights! Support the show

    35 min

  8. APR 2

    Telehealth Forever—Why It’s Time to Make It Permanent

    In this episode of Gravity Healthcare Hacks, host Melissa Brown, COO of Gravity Healthcare Consulting, tackles the ongoing debate around telehealth—and why it's time for Congress to stop extending it six months at a time and make it permanent. Melissa shares personal and professional insights on the value of telehealth in clinical care, therapy, and everyday life. She makes the case for equal reimbursement, explains why telehealth doesn’t necessarily save money for providers, and calls on listeners to join the push for lasting policy change. If you believe in more accessible, efficient, and patient-centered care, this episode is for you. Support the show

    4 min
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About

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. 

Information

  • Creator
    Melissa Brown
  • Years Active
    2020 - 2025
  • Episodes
    63
  • Rating
    Clean
  • Copyright
    © 2025 Gravity
  • Show Website
    Gravity Healthcare Hacks