Managing Medicare Advantage Costs through better PAC

Most health plans have keen insight on curbing costs for hospitalizations and emergency department use. Far fewer have the knowledge needed to tame the costs associated with post-acute care, such as reducing dependence on Skilled Nursing Facilities (SNFs), limiting the variability in home care quality and rates, and making sure members have what they need to be self-sufficient as they heal at home. Guiding care to the home is the single best way for health plans to bend the cost curve.

  • Post-acute care accounts for 1 of every 4 dollars spent by a Medicare Advantage plan
  • 20 – 25% of that is waste that can be eliminated through better management

With the low-hanging fruit for cost reductions long picked over, integrated solutions – and particularly post-acute care integration – offer significant potential for savings for Medicare Advantage plans.

  • Discover best practices on how to use home health to drive down costs and lower your Medicare bid
  • Use advanced analytics to identify the appropriate setting and level of care
  • Analyze data of practice patterns and use it to choose preferred providers
  • Understand benchmarks for SNF use and how to manage length of stay
  • Evaluate your post-acute care program, determine pain points and areas of cost variability
  • Reduce readmissions through collaboration with the patient, family caregivers, home health nurses, and primary care and specialist providers
  • Refine Fraud, Waste and Abuse and translate that into savings for your home health and post-acute care programs

Realizing the Potential of Post-Acute Care

Listen to Gary Jacobs, Executive Vice President of Strategic Relationships of CareCentrix, as he discusses the importance of realizing the potential of post-acute care partnerships. 

Post-acute care (PAC) can account for approximately 40% of a Medicare Advantage plan's cost for a 90-day episode of care. However, an integrated PAC solution has the potential to reduce total per episode costs by as much as 25%. Today, a number of systemic issues impede health plan efforts to reduce post-acute care costs, improve quality and simplify the administration of these services. But that is about to change with the introduction of new health plan and PAC partnership models built on value-based payment approaches. 


  • About the challenges health plans face in managing PAC delivery and costs. 
  • The value-improvement opportunity presented by an integrated PAC partnership model. 
  • Details on the critical features of a health plan / PAC partnership solution. 

The homefront | CareCentrix

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