10nov-tw-postacutecharts10nov-tw-postacutecharts.pptVIP

Research and analysis by Avalere Health Research and analysis by Avalere Health Research and analysis by Avalere Health Research and analysis by Avalere Health Maximizing the Value of Post-acute CareChart PackNovember 2010 Source: The Moran Company. Analysis of 2008 Medicare acute-care hospital data sorted by APR-DRG grouper. Note: SOI is measured by the 3M APR-DRG Grouper. Chart 1: Short-term Acute-care Hospital (STACH) and PAC Severity of Illness (SOI), in Prior STACH Stay Patient severity of illness varies by PAC setting. Source: Medicare Payment Advisory Commission. (June 2010). Data Book: Healthcare Spending and the Medicare Program. Washington, DC. *Data from Medicare Payment Advisory Commission. (March 2010). Report to the Congress: Chapter 3. Washington, DC. Includes fee-for-service beneficiaries only. Facility Type Number of Facilities (2009) Number of Beneficiaries Treated (2008)* Estimated Medicare Spending (2009) Long-term Acute Care Hospital 432 115,000 $4.9 billion Inpatient Rehabilitation Facility 1,196 332,000 $5.7 billion Skilled Nursing Facility 15,053 1.6 million $25.5 billion Home Health Agency 10,422 3.2 million $18.3 billion Post-acute care accounted for approximately 12% of all Medicare spending in 2008. Chart 2: Medicare Patient Volume and Spending for Fee-for-Service Beneficiaries, by PAC Provider Type The number of facilities and patient volume differ by PAC setting. Many patients receive care in multiple PAC settings during a given episode. Acute Hospital (AH) Skilled Nursing Facility (SNF)31.3% AH4.6% SNF2.7% HH7.8% OT1.8% Home Health (HH)31.8% AH6.0% HH1.5% OT2.7% Inpatient Rehabilitation Facility (IRF)5.4% HH2.8% OT1.3% Outpatient Therapy (OT) 6.0% Source: Research Triangle Institute. (2009). Examining Post Acute Care Relationships in An Integrated Hospital System. Waltham, MA. Note: Percentages indicate share of beneficiaries who completed transition through that point. Includes only patterns representing more t