CASE STUDY
Reducing SNF Length of Stay 21.6% Through VBR
Without Disrupting the SNF Network
Program Results
%
LOS REDUCTION
ALOS
$2,880
Savings Per Episode
READMISSIONS STABLE
NETWORK ADEQUACY MAINTAINED
These outcomes reflect utilization improvements achieved after implementing the value-based reimbursement model described in this 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
Overview
Most Medicare Advantage plans have already achieved SNF network adequacy. But many still operate through hundreds of one-off facility agreements that make performance-based reimbursement difficult to implement at scale.
What changed
A national Medicare Advantage plan partnered with MNS to transition its existing SNF network into a value-based reimbursement model using a standardized participation framework — without renegotiating hundreds of contracts or disrupting provider participation.
Why it matters
This case study shows how MA plans can introduce pay-for-outcomes contracts across an existing SNF network while reducing avoidable SNF days and preserving provider participation.
Request Your SNF Network Alignment Snapshot
See how your current SNF model compares to leading
Medicare Advantage plans and ACOs.
Identify where reimbursement design, network structure, and operational infrastructure may be limiting performance – and where top-performing organizations are taking a different approach.
Explore Related Insights:
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.
