Part 3: Innovative Trends in SNF Utilization Among ACOs for 2022

Unlocking the Triple Aim: Coordinated Care Across the Continuum

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In the pursuit of healthcare excellence, strategic coordination across the care continuum is the key to success. ACOs that have realized shared savings have, on average, managed to achieve a remarkable 14% reduction in expenditures across these crucial realms of care. However, the most striking impact has been seen in skilled nursing facilities (SNFs) and long-term care (LTC) settings, where expenditures have dropped by an astonishing 30%. This is not just a financial achievement; it's a testament to our commitment to providing patients with more effective, cost-efficient, and patient-centered care. Let's keep driving progress and making healthcare better for all. 💪🏥 #TripleAim #PatientCenteredCare #HealthcareStrategy

2022 MSSP Performance Data

In 2022, 155 out of 482 ACOs were granted the SNF waiver through their participation in the MSSP. What's intriguing is that these 155 ACOs demonstrated an average SNF annual per capita expenditure of $701, which stands in contrast to the $814 seen in all other MSSP ACOs. However, an interesting twist emerged in 2022, when the public health emergency led to the 3-midnight rule SNF waiver becoming accessible to all Medicare populations, irrespective of ACO and MSSP status.

While the waiver was made available to all, the key to success lies in refining our operations and workflows to proactively identify patients who meet SNF admission criteria before the three-midnight threshold. The variance in SNF costs is likely attributed to the enhanced coordination of care between SNFs and ACO participants. It's worth noting that when applying for the SNF waiver, an ACO forms a participating SNF network tailored for the MSSP population, always keeping patient choice at the forefront. This illustrates the ongoing commitment to delivering patient-centered, cost-effective care. 🏥💡

SNF 3-Day Waiver Comparison

2022 MSSP Performance Data

#TripleAim #PatientCenteredCare #HealthcareStrategy #SNFWaiver #ACOs

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Does your ACO have a preferred post-acute care network including SNF but also other settings of care?

• Yes
• Only preferred network with SNF
• No preferred network