Medicare Advantage Plans

Did You Know?

  • 1/3 of all seniors who receive post-acute care could get the same clinical results in less expensive settings, or with no additional treatment.
  • Nearly 45% of a patient's functional recovery occurs after discharge from a skilled nursing facility (SNF) episode.
  • The amount of therapy a person receives in a SNF is significantly related to their recovery and the cost of the episode.
  • The SNF length of stay can be reduced by as much as 30% without impacting the overall clinical outcome.
  • The number of inappropriate SNF admissions can be reduced by over 50%.

Managed Medicaid Plans

Did You Know?

  • Frailty is highly correlated with age and is a significant factor in hospitalizations, readmissions, falls, other accidents and nursing home placement.
  • A person's functional ability is highly predictive of the amount and type of caregiver assistance needed.
  • Up to 70% of those members that qualify for nursing home care can safely live in the community.
  • The biggest enemy of efficiency and cost control in a Health Plan is unwarranted practice variation.
  • A reliable, scalable system of functional assessment combined with care plan development can dramatically improve cost management and quality of life for members.