For the first time, Trella Health’s annual report is fully interactive. Select your states, toggle metrics, and pull the figures behind every trend. From admissions to cost of care and TEAM readiness, every benchmark is yours to explore. Fill out the form to get started.
Trella Health’s Post-Acute Market Intelligence Report is here: your annual resource for timely insights and strategic guidance in the ever-evolving post-acute care landscape. As part of our continued mission to drive performance transparency and empower data-driven decisions, this year’s report takes a deeper look at the forces shaping care delivery, market dynamics, and organizational strategy.
Backed by robust claims data and expert perspectives, the 2026 edition offers fresh analysis to help you understand where the industry is headed and how to stay ahead of the curve.
Medicare Advantage now covers 55.4% of beneficiaries (January 2026), with 30 states above 50% penetration. But the pace has cooled sharply — annual growth slowed from +2.0 points (2023–24) to +0.7 points (2024–25), signaling a new, more mature phase of the MA era.
In 2025, 22.6% of fee-for-service inpatient discharges were instructed to home health — essentially flat year over year. Yet nearly half of discharges (47%) still leave with no post-acute instruction at all, underscoring the referral opportunity that remains on the table.
Hospice admissions grew 4.1% between 2024 and 2025 to nearly 1.68 million — the strongest growth since the pandemic. Utilization crossed a milestone: 51.9% of Medicare mortalities now occur on hospice care, up from 50.8% a year earlier.
As fee-for-service home health volume continues its multi-year decline, MA volume has climbed past it — reshaping which payers, authorization workflows, and rate structures agencies must build around.
CMS’s Transforming Episode Accountability Model (TEAM) brings mandatory, episode-based accountability to acute care. This year’s report benchmarks readmission rates, discharge adherence, and total cost of care across TEAM episode categories — giving home health and skilled nursing partners an early read on where they’ll need to prove value.
