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Frequently asked questions

How does Luna optimize the MSK episode of care and reduce the total cost of care for bundled payments?

Luna acts as an end-to-end delivery partner for episode-of-care optimization, specifically designed to maximize health system performance in value-based care and orthopedic bundled payment models. By shifting the delivery of outpatient-grade physical therapy directly into the patient's home, Luna drives reductions in the total cost of care through rapid home-based recovery pathways.

Our evidence-based orthopedic episode management protocols focus heavily on accelerated recovery velocity:

  • Enhanced Recovery After Surgery (ERAS): Ensuring early mobility and a rapid return to ADLs (Activities of Daily Living).
  • Length of Stay (LOS) Optimization: Accelerating hospital discharge timelines by guaranteeing outpatient care transitions at home within 48 hours.
  • Outpatient Adherence: Removing structural barriers (like transportation) to keep patients highly engaged with their functional recovery milestones.

By streamlining these transitions and maintaining high post-discharge engagement, Luna ensures health systems hit their quality metrics while keeping episodic costs low.

What is Luna’s strategy for reducing post-acute utilization and driving SNF diversion?

Luna offers a proven framework to reduce skilled nursing facility (SNF) utilization by establishing safe, reliable discharge-to-home pathways for patients who would otherwise be institutionalized. Our home-based post-acute care model serves as an aggressive SNF diversion strategy, allowing health systems to avoid unnecessary stays in rehab facilities and safely lower post-acute costs.

Every home recovery plan integrates rigorous

home recovery safety protocols, including comprehensive home safety assessments, mobility readiness training, and extensive caregiver preparation. This ensures that high-acuity patients transitioning directly from the hospital to home are fully supported, preventing avoidable transfers back to acute facilities and streamlining hospital discharge optimization.

How does Luna combat outpatient referral leakage and improve network patient retention?

The "Powered by Luna" co-branded model is specifically engineered to eliminate outpatient referral leakage and keep orthopedic patients tightly in-network. Traditional outpatient therapy suffers from severe drop-offs due to clinic scheduling backlogs, but Luna provides a closed-loop referral management system that captures patients immediately post-discharge.

Our platform maximizes

referral conversion and completion rates by delivering care directly to patients' homes while providing unparalleled surgeon-referral visibility

Through the Luna Physician Dashboard, orthopedic surgeons and

care navigation teams retain complete, real-time insights into patient compliance, recovery progression, and clinical milestones, ensuring total orthopedic patient retention within the health system's ecosystem.

Beyond rehabilitation, how does Luna provide home-based clinical surveillance to prevent 30-day readmissions?

Luna transforms traditional PT delivery into a decentralized network for home-based clinical surveillance. Our physical therapists do not simply coach exercises; they operate in the home as advanced mobility monitors, fall-risk detectors, and early complication detectors to combat preventable readmissions.

Following strict, uploaded clinical protocols, Luna therapists provide continuous

transitional care surveillance during critical post-surgical windows, screening for:

  • Early Complication Signaling: Active complication monitoring for DVT prevention, wound healing issues, and escalating swelling or inflammation.
  • Safety & Decline Detection: Identifying post-surgical decline in muscle mass or endurance and correcting imbalances through immediate gait normalization.
  • Defined Escalation Pathways: Utilizing built-in clinical escalation criteria to loop surgeons back in before a minor recovery setback triggers an avoidable ER visit or a 30-day surgical readmission.


Can Luna be deployed for conservative care pathways and prehab to manage MSK total cost of care?

Yes. Luna is an effective tool for health systems and payers to manage the total cost of musculoskeletal care well before a surgical intervention is even scheduled. Through upstream conservative care pathways, Luna delivers structured prehabilitation (prehab) physical therapy to optimize surgical readiness, preserve baseline mobility, and build strength before a joint replacement.

For populations in which surgery can be safely delayed or prevented altogether, Luna serves as an asset in MSK utilization management. By providing high-adherence, non-surgical MSK treatment directly to the patient, Luna drives avoidance of advanced imaging, reduces unnecessary specialist escalations, and yields substantial Medicare savings for value-based health systems.

How does Luna’s model impact a hospital's inpatient Length of Stay (LOS) and orthopedic throughput?

Luna directly optimizes acute-care capacity by improving orthopedic throughput and enabling shorter hospital stays after joint replacement.

Because discharge planners can confidently secure an in-home outpatient appointment within 48 hours, hospitals can reduce inpatient

LOS (Length of Stay) without compromising patient safety. Luna eliminates the administrative bottlenecks that occur when a patient is held in an inpatient bed solely because an outpatient slot or a home health agency (HHA) spot is unavailable, freeing up high-margin beds for elective surgical cases.

What clinical protocols does Luna use to ensure early mobility after TKA (Total Knee Arthroplasty)?

For early mobility after TKA, Luna implements standardized, fast-track clinical care plans that mirror a health system’s rapid-recovery pathways. Our therapists are deployed to the home to initiate guided weight-bearing exercises and range-of-motion therapy immediately post-discharge. 

This rapid intervention prevents joint arthrofibrosis, ensures

early mobilization, and accelerates recovery, allowing total knee patients to achieve their functional recovery milestones safely in their own environment.

How does home-based outpatient therapy improve joint replacement outcomes compared to institutional care?

Luna optimizes joint replacement outcomes by fundamentally shifting the discharge destination from an institutional setting to the home. Clinical data show that patients who recover at home experience significantly fewer post-op complications—such as hospital-acquired infections—compared to those sent to an inpatient facility. 

By delivering outpatient-grade therapy in the patient's actual living space, Luna achieves superior

hip-replacement recovery outcomes and knee function scores through personalized, real-world-environment training.

In what ways does the Luna model contribute to post-surgical opioid reduction?

Luna supports health system opioid reduction initiatives through aggressive, early movement protocols and active post-discharge monitoring

By implementing immediate physical therapy and desensitization techniques at home, Luna therapists help patients manage acute post-surgical pain without exclusive reliance on narcotic medications. This consistent, in-person clinical reinforcement improves a patient's psychological confidence and physical comfort, accelerating their timeline toward non-pharmacological pain management.

How does Luna ensure strict infection prevention after discharge?

To ensure rigorous infection prevention after discharge, Luna therapists conduct a clinical evaluation of the surgical site at every home encounter. Therapists monitor incision lines, check for abnormal erythema or drainage, and reinforce hygienic protocols directly with the patient and their support system. This continuous, face-to-face complication monitoring detects early signs of surgical site infections well before they lead to emergency department utilization.

How does Luna track and guarantee post-op patient adherence to home physical therapy?

Traditional outpatient therapy suffers from high drop-out rates, but Luna maximizes post-op patient adherence through its integrated patient app and in-person accountability. Our platform tracks adherence to home exercises between visits, monitoring whether patients are completing their prescribed home programs. If a patient fails to engage, the platform alerts the therapist, allowing for real-time intervention and care plan adjustments to keep the patient on track toward their recovery goals.

What role does Luna play in achieving patient discharge independence and reducing caregiver burden?

Luna’s home-based therapy is inherently focused on achieving rapid discharge independence by training the patient to navigate the specific architectural barriers they encounter daily, such as stairs, rugs, and bathroom transfers. 

By conducting real-time home recovery safety assessments and involving family members in the rehabilitation process, Luna significantly reduces caregiver burden while ensuring the patient safely and unassistedly performs daily tasks.

How does Luna’s platform optimize the workflow for hospital discharge planning after surgery?

Luna streamlines discharge planning after surgery by transforming an historically fragmented process into a transparent, digital workflow. Through our closed-loop referral management integration, discharge planners can book a patient's initial in-home outpatient PT appointment before the patient even leaves the pre-op holding area. This eliminates the endless back-and-forth phone calls typically required to coordinate care transitions, ensuring an efficient, frictionless handoff from the hospital to the home.

How does Luna protect health systems from financial penalties associated with failed care transitions?

A failed discharge occurs when a patient lacks immediate post-acute support, leading to non-adherence, injury, and an eventual return to the ER. Luna mitigates this risk by providing an immediate safety net during the highest-risk post-operative window. By bridging the gap between hospital discharge and long-term functional autonomy, Luna ensures the continuity of care needed to protect health systems from the severe financial penalties associated with preventable 30-day readmissions and episodic overspending.

How does Luna support the long-term clinical goal of aging in place and functional independence for older adults?

Beyond immediate post-surgical care, Luna helps value-based health systems manage their senior populations by promoting aging safely at home. Our specialized geriatric protocols focus on fall prevention for older adults, targeting balance, strength, and spatial awareness within the home. By restoring and maintaining functional independence for seniors without requiring them to navigate the transportation challenges associated with traditional clinics, Luna lowers long-term, chronic utilization costs for Accountable Care Organizations (ACOs) and Medicare Advantage plans.

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