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Post-Acute Industry Trends Quarterly

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Your source for post-acute industry trends

Use these condensed trend reports and insights to quickly see the state of the post-acute industry. Feel free to to share this page, check back for quarterly updates, and use the charts in your own presentations.

Latest data available as of March 2023

(Click on each chart to enlarge)

National FFS Admissions | 2022 Q3

Home Health
Year-over-year home health admissions decreased from 845.2k to 772.1K (8.6%) between 2021 Q2 and 2022 Q2.

Hospice
Year-over-year hospice admissions decreased slightly from 372.5K to 372.3K (-0.1%) between 2021 Q3 and 2022 Q3.

Skilled Nursing
Year-over-year skilled nursing admissions increased by 5.8%, from 441.0K in 2021 Q3 to 466.4K in 2022 Q3.

FFS Inpatient Discharge Instructions | 2022 Q3

Home Health
The percentage of inpatient stays instructed to seek home health services declined slightly between the rolling four quarters ending in 2021 Q3 (24.2%) and the rolling four quarters ending in 2022 Q3 (23.0%).

Hospice
The percentage of inpatient stays instructed to seek hospice services remained consistent between the rolling four quarters ending in 2021 Q3 and the rolling four quarters ending in 2022 Q3 at slightly above 4.0%.

Skilled Nursing
The percentage of inpatient stays instructed to seek skilled nursing care increased slightly between the rolling four quarters ending in 2021 Q3 (18.6%) and the rolling four quarters ending in 2022 Q3 (20.0%).

National Medicare-Eligible Enrollment

Medicare Advantage enrollment continues to increase. Medicare beneficiaries enrolled in a Medicare Advantage plan represented 46.1% of Medicare-enrolled beneficiaries in 2022, a 3.1 percentage point increase from 2021 and a 12.5 percentage point increase from 2017.

Note about FFS admissions data:
FFS home health, hospice, and skilled nursing admissions are based on claims initially released by CMS to their virtual research data center and accessible by Trella Health. As such, the true number of admissions could be higher when claims that were filed after the initial release are factored in. Trella Health uses the initially released data for earlier quarters to provide a more accurate directional trend analysis for the latest available data.