Trella Health Announces Publication of Industry Trend Report and Release of Quarter Two 2019 Data


November 21, 2019


ATLANTA, GA –Trella Health, the leading source for current and complete post-acute outcomes data and performance analytics, published its most recent Industry Trend Report and announced the release of a new quarterly data set. The new data set will be available on Friday, November 22nd, and Trella’s customers will have access to CMS claims data through quarter two of 2019.


According to Trella’s CEO, Ian Juliano, “Trella strives to not only provide the most recent and complete data in the market, but also to offer analysis and insights into the post-acute care market. Our latest trend report is an example of that.”

The Industry Trend Report breaks down the most recent national and state-level trends in the hospice, home health, and skilled nursing markets, as well as insights into Medicare beneficiaries and post-acute discharge instructions. Key takeaways from the trend report, which analyzed CMS claims data through the first quarter of 2019, include:


  • From Q1 2018 to Q1 2019, the total number of Medicare beneficiaries grew by 1.4 million, an increase of 2.5%. Medicare fee for service (FFS) beneficiaries declined by .4%, while Medicare Advantage beneficiaries increased by 7.7% to 22.1 million.

  • Home health surpassed skilled nursing as the most likely post-acute referral destination. 23.3% of inpatient discharges were coded for home health compared to 21.1% referred to SNF. This is the first reporting period where home health was instructed at a higher rate than SNF.

  • Hospice average length of stay (ALOS) increased from 74.5 to 77.9 days from Q1 2018 to Q1 2019. The additional 3.4 days represents a 5% longer stay and is the highest ALOS we’ve seen since reporting on the metric.


Of note, Trella introduced a new section on skilled nursing after launching a solution for skilled nursing facilities (SNF) in Spring 2019. In addition, Trella dedicated a portion of the report to PDGM to assist home health organizations in preparing for the rule to take effect in January 2020. Trella is devoted to continually investigating and sharing trends around admissions, utilization, and other metrics to serve as resource to the post-acute community.

Find Trella’s latest Industry Trend Report here:


About Trella Health

Trella Health provides post-acute business development leaders with the most complete picture of care activity in their service areas so they can explore new opportunities for growth. As one of only a few companies in the country deemed an Innovator under the Centers for Medicare and Medicaid Services’ Virtual Research Data Center Program, Trella has access to 100% of Medicare Part A and Part B claims data. Trella analyzes 1.2 billion claims annually and presents relevant insights to nearly 10,000 users so they can build higher-performing care networks, serve more patients, and reduce the cost of care.

Ashton Harrison

With a diverse background of sales and healthcare marketing, Ashton manages Trella’s events, press releases, and media and association relations. After graduating from Florida State University with a major in communications, she began her career at Greenway Health, a EHR company, where she found her passion for the healthcare industry. At Trella Health, she’s able to do all the things she loves about marketing — engaging at events, interactions with partners, and creating marketing pieces that share insight on Trella’s journey.