CASE STUDY
Reducing SNF Length of Stay 37%
Without Adding UM Burden
Program Results
%
Shorter Stays
Days Reduced
$4200
Savings Per Episode
STABLE READMISSIONS
2,500+ EPISODES MANAGED
By incentivizing safe discharge home, these results were achieved without added UM burden or network disruption.
Reducing SNF Length of Stay 37% Without Adding UM Burden
How Episodic Reimbursement Reduced Routine UM Touchpoints While Improving SNF Performance.
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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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 21.6% Through Value-Based Reimbursement Without Disrupting the SNF Network
How one national Medicare Advantage plan transitioned its existing SNF network to a declining average daily rate reimbursement model through MNS.
Operational Brief – The Operating Model Behind Scalable SNF Networks
A practical brief designed to share internally with network, contracting, and clinical leadership teams.
