Medicare Advantage plans decide which post-acute providers receive referrals
More than half of Medicare beneficiaries are now enrolled in Medicare Advantage, and those plans run narrow post-acute networks selected on measured performance. A skilled nursing facility that cannot report readmission rates, length of stay and functional improvement to a plan simply drops out of the referral flow. That has moved analytics and quality reporting from a management convenience to a condition of receiving patients at all, and it explains why that segment compounds at 15.6% against a market rate of 10.4%. Operators buy the reporting module because the referral depends on it.
Market Impact: Reimbursement variance near 6% from








