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Post-Acute Industry Trends Quarterly

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 2024

(Click on each chart to enlarge)

National Fee-For-Service Admissions | 2023 Q3*

National FFS Admissions, 2019 Q1 - 2023 Q3

Home Health
Year-over-year home health admissions decreased from 772.1K to 742.9K (-3.8%) between 2022 Q2 and 2023 Q2.

Hospice
Year-over-year hospice admissions increased slightly from 372.3K to 375.2K (+0.8%) between 2022 Q3 and 2023 Q3.

Skilled Nursing
Year-over-year skilled nursing admissions decreased by 20.8%, from 469.7K in 2022 Q3 to 372.0K in 2023 Q3.

Fee-For-Service Inpatient Discharge Instructions | 2023 Q3

FFS Inpatient Discharge Instructions, 2019 Q4 - 2023 Q3

Home Health
The percentage of inpatient stays instructed to seek home health services declined between the rolling four quarters ending in 2022 Q3 (23.0%) and the rolling four quarters ending in 2023 Q3 (22.5%).

Hospice
The percentage of inpatient stays instructed to seek hospice services minimally declining between the rolling four quarters ending in 2022 Q3 (4.1%) and the rolling four quarters ending in 2023 Q3 (4.0%).

Skilled Nursing
The percentage of inpatient stays instructed to seek skilled nursing care increased slightly between the rolling four quarters ending in 2022 Q3 (20.0%) and the rolling four quarters ending in 2023 Q3 (20.2%).

National Medicare-Eligible Enrollment**

Medicare Advantage enrollment continues to increase. Medicare beneficiaries enrolled in a Medicare Advantage plan represented 52.9% of beneficiaries enrolled in both Medicare Parts A and B in 2023, a 3-percentage point increase from 2022 and a 16.2 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.

**Note about Medicare Advantage enrollment data:
As of December 2023, we’ve refined our Medicare Advantage enrollment data sources from using the “Original Medicare Beneficiaries” and “Medicare Advantage and Other Health Plan Beneficiaries” to using the “Original Medicare Part A and Part B Beneficiaries” and “Medicare Advantage and Other Health Plan Part A and Part B Beneficiaries”. This adjustment aligns the Medicare Advantage and Traditional Medicare enrollment definitions to be more similar.