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A Solution To Reduce Medicare Spending Per Beneficiary For Hospital Systems, ACO’s, Healthcare Plans and Skilled Nursing Facilities

T h e C o m m u n i t y I n t e g r a t i o n M o d e l

Post-Acute Medicare Spending and The Affordable Care Act

The Community Integration Model (CIM) was created to assist hospitals, ACO's and Medicare Advantage Plans in reducing the post-acute Medicare Spending Per Beneficiary (MSPB), specifically as it pertains to post-acute Skilled Nursing Facility (SNF) spending.

The CIM speeds up the discharge process while evaluating all Non-Medicare post-acute options, beginning with the least restrictive option to most costly post-acute spending category (SNF). It involves increased patient and family choice as to where they optimally recover creating a Patient-Centered Model of Care.

The Community Integration Model also directly affects top and bottom line revenues for hospitals by producing a significantly reduced MSPB Measure and Readmissions rates, as well as reducing length of stay.

Contact Information

Tel: (480) 626-2450

428 S Gilbert Rd, Suite #113

Gilbert, Arizona 85296

info@CommunityIntegrationModel.com

Information About The CIM Model

While it is more probable to assume that most Medicare dollars are spent in the acute hospital, it may be surprising to learn that according to CMS, 40.3% of all Medicare spending during a patient’s MSPB Episode occurs after the elderly patient is discharged from the hospital.

Data shows that within the traditional Continuum of Care, a high percentage of Medicare patients are discharged to SNFs.

In fact, the highest post acute cost category is SNF expenses. Read more >

The Community Integration Model

Information For Administrators

A recent study showed that 50% of all SNF admissions from hospitals were “medically unnecessary” resulting in higher Medicare spending and increased hospital penalties and soon physician penalties.

Information For Payer Sources

The Community Integration Model can significantly increase your bottom line. For every avoidable SNF admission, a Healthpan can save approximately $6,300.00 which can be directed right into your bottom line.