|Clinical Category||Episodic Cost||ALOS||30-day Re-hospitalization %||DC Community %|
|Major joint replacement / spinal surgery||$10297||19.1||10.7%||80%|
CORE recently scanned the CY 2018 claims file to identify national trends on SNF length of stay and discharge disposition by clinical category, with the results displayed above. These figures, although interesting, do not come close to telling the complete story. Healthcare is a local business, and outcomes vary significantly in different markets. SNF providers in more innovative markets, in which referral hospitals engage in risk-based payment (whether it be via an ACO or Bundled Payment Program), typically experience external pressure to reduce average length of stay and the associated episodic spend. Understanding episodic benchmarks in your local market is critical in order to develop an effective hospital marketing strategy.