PlayMaker Health Reveals Q2 2018 Post-Acute Industry Trends

Regional Home Health and Hospice Metrics for Average Length of Stay, Case Mix Weight, Discharges, and more.

NASHVILLE, TN – December 18, 2018Home health and hospice providers in the South and West have higher average lengths of stay (ALOS) than other regions of the country, yet the country has seen an overall reduction in ALOS, according to new data available today from PlayMaker Health.

“As providers prepare to face some of the most comprehensive reimbursement changes within the history of the industry in the form of PDGM (Patient-Driven Groupings Model), they require visibility into the trends that will affect how they plan for strategic growth in the years ahead,” says Ginger Voss, VP of Strategic Partnerships with PlayMaker Health. “Evolving patient mix and understanding the available opportunities in the market allows business leaders to develop a data-driven approach to sustained success.”

In home health, there continues to be wide differences among geographical regions in average length of stay with the South having a Q2 ALOS of 80.4 days vs 62.4 in the West, 57.2 in the Midwest, and 49.0 in the Northeast. Similarly, the South had the highest average CMW (1.072), the highest recert percent (44%), and the lowest LUPA percent (7.1%). All regions, however, have seen a decline in ALOS over the past four quarters. It will be imperative for home health agencies to evaluate their individual patient population to understand how these regional differences impact them under PDGM.

Home Health
Q3 2017-Average LOS Midwest: 60.3 Northeast: 50.2 South: 83.8 West: 63.9
Q4 2017-Average LOS Midwest: 59.1 Northeast: 49.2 South: 83.8 West: 63.2
Q1 2018-Average LOS Midwest: 58.3 Northeast: 49.8 South: 80.9 West: 62.3
Q2 2018-Average LOS Midwest: 57.2 Northeast: 49.0 South: 80.4 West: 62.4

Regional differences among hospice ALOS have remained steady with the South and West at 82.2 and 80.6 days for Q2, respectively, versus much lower 71.3 and 64.3 for the Midwest and Northeast. In Q2, three regions had greater than 30% hospice discharge rates in seven or fewer days (Midwest 32.8%, Northeast 34.6%, and South 30.7%). The West has remained under 30% for the past eight quarters. Referral community education remains at the forefront of the hospice benefit.

Q3 2017-Average LOS Midwest: 73.5 Northeast: 66.9 South: 83.5 West: 82.5
Q4 2017-Average LOS Midwest: 74.9 Northeast: 68.4 South: 84.4 West: 82.7
Q1 2018-Average LOS Midwest: 72.3 Northeast: 64.7 South: 82.1 West: 81.2
Q2 2018-Average LOS Midwest: 71.3 Northeast: 64.3 South: 82.2 West: 80.6

“Our ability to provide insight in to metrics, which include EHR referral activity, claims data, and business development activity, directly affects how our home health and hospice clients do business, and gives them a clear advantage over simply having claims information,” says John Griscavage, CEO of PlayMaker Health.

PlayMaker Health will deliver post-acute industry trends and white papers with each quarterly market data update throughout 2019 and beyond.

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Seth West
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