CASE STUDY
Reducing SNF Length of Stay 21.6% Through VBR
Without Disrupting the SNF Network
How One Medicare Advantage Plan Transitioned Its Existing SNF Network to a Declining Average Daily Rate Model With MNS
Program Results
%
Shorter Stays
Days Reduced
$2,880
Savings Per Episode
STABLE READMISSIONS
NETWORK ADEQUACY MAINTAINED
By incentivizing safe discharge home, these results were achieved without added UM burden or network disruption.
Reducing SNF LOS by 21.6%
Without Disrupting the SNF Network
How One Medicare Advantage Plan Transitioned Its SNF Network from One-Off Agreements to a Performance-Based Model Using Declining Average Daily Rates
Overview
What changed
Why it matters
This case study shows how MA plans can implement performance-based reimbursement across an existing SNF network while reducing avoidable SNF days and preserving provider participation. It also demonstrates how reimbursement design can support more efficient transitions of care and help ensure patients receive the right care, at the right time, in the right setting.
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See Related Content:
Case Study - Reducing SNF Length of Stay 37% Without Adding UM Burden
How Episodic Payment Shifted Post-Acute Clinical Management to SNFs and MNS
Operational Brief – The Operating Model Behind Scalable SNF Networks
Learn how leading MA plans are replacing fragmented one-off SNF agreements with standardized participation frameworks that improve administrative efficiency, increase network visibility, and support scalable value-based reimbursement.
A practical brief designed to share internally with network, contracting, and clinical leadership teams.
