Overview

There are five tables on the Hospitals and Agencies Analyze page under the Destinations tab. As always, the tables under the Destinations tab show providers who had admitted patients discharged from the selected hospital or agency. In the skilled nursing line of business, both skilled nursing destinations and home health destinations are shown for patients enrolled in Medicare FFS and for patients enrolled in Medicare Advantage.

Click on the Destinations tab near the top of the Analyze page. (Image below)

In this article

Scroll through the entire article to learn about all of the tables, or select a link to navigate directly to the tables by name.

• FFS SNF Destinations table
• Vendor Medicare Advantage SNF Destinations by Payer table
• CMS Medicare Advantage Skilled Nursing Destinations by Payer - 100% Complete table
• FFS Home Health Destinations table
• CMS Medicare Advantage Home Health Destinations by Payer - 100% Complete

Understanding the Metrics

FFS SNF Destinations table

As the table title identifies, this table displays skilled nursing facilities that admitted Medicare FFS patients discharged from the selected hospital. The metrics in the table will allow you to get a sense of the flow of patients from the selected hospital to the listed skilled nursing facilities. In addition, you can identify the top skilled nursing destinations, or evaluate the patients admitted to your facility during the reporting period.

Click on the above image to expand it. 

Claim Type Dropdown

At the top left of the table there is a dropdown that allows you to choose the claim type from which the metrics in the table will be calculated. The options are shown in the image below.

This drop down allows you to choose which patient type you want to focus on.

Metric		Description
SNF Name		The official entity name of the SNF as listed in CMS Provider Data (NPI) file
Favorites/Targets - not selected - selected		Click on these icons to make the listed organization a Favorite (heart icon) or a Target (target icon).
NPI		National Provider Identifier number for the provider. This is maintained by CMS.
Trella Inferred Parent Network		If the listed skilled nursing facility is aligned with a Trella Inferred Patent Network, the network ID is identified in this column.
ZIP Code		This is the ZIP Code the facility has listed as their primary location, as pulled from the NPI Registry file.
SNF Patients (Inpatient )		This metric is the count of distinct patients treated by the selected facility in the setting indicated (Inpatient, outpatient, etc.) who were admitted to the SNF in the row during the one year reporting period. The claim type listed in the column header will match what you chose with the Claim Type dropdown.
Affiliation %		This metric is the percentage of distinct SNF patients for the selected facility who were admitted to the SNF identified in each row during the one year reporting period.
Average Medicare Days Per Episode		This count is the average number of Medicare-covered days spent in the listed SNF for patients who were discharged from the selected hospital/agency and admitted to the SNF within 30 days after discharge during the one-year reporting period.
Inpatient ALOS		Average length of the inpatient stay for patients discharged from this hospital and subsequently admitted to the listed SNF during the one-year reporting period
Facility Specific Hospitalization Rate		Overall two-year hospitalization rate for patients who were discharged from the selected hospital, admitted to the listed SNF within 30 days of discharge, and hospitalized during their stay or within 30 days after discharge from a SNF stay.
Distinct Patients	20YY-Q#	This is the count of distinct patients treated by the selected facility who were admitted to the SNF in each row during the quarter listed in the column header.
SNF Readmission Rates	30-Day	These metrics are the percentage of patients who came from an inpatient setting into SNF and were subsequently readmitted to any inpatient setting within 30 days of the initial inpatient discharge
	60-Day	These metrics are the percentage of patients who came from an inpatient setting into SNF and were subsequently readmitted to any inpatient setting within 60 days of the initial inpatient discharge
	90-Day	These metrics are the percentage of patients who came from an inpatient setting into SNF and were subsequently readmitted to any inpatient setting within 90 days of the initial inpatient discharge
SNF Patient Risk Score		Average Hierarchical Condition Category (HCC) Patient Risk Score for the listed provider For more information, see Risk Scores and HCC
SNF Risk Category		Trella Health has created these categories to make a general comparison between agencies quick and easy. For more information, see Risk Scores and HCC

Vendor Medicare Advantage SNF Destinations by Payer table

This table displays skilled nursing facilities and metrics calculated from Medicare Advantage claims from the most current possible data.

The latest year of data available for Vendor Medicare Advantage metrics is shown at the top right of every page in Marketscape Insights. (see image) The Vendor Medicare Advantage (VMA) time period applies to the Vendor Medicare Advantage SNF Destinations by Payer table.

Vendor Medicare Advantage Data - Trella's Vendor MA data is sourced from open and closed claims data and covers approximately 73% of the Medicare Advantage population.

Claim Type Dropdown

At the top left of the table there is a dropdown that allows you to choose the claim type from which the metrics in the table will be calculated. The options are shown in the image below.

This drop down allows you to choose which patient type you want to focus on.

"By Payer" dropdown

Click on the "+" sign to the left of any listed skilled nursing facility's name to open the By Payer panel. (Arrow in image above)

This panel shows the MA payers for patients admitted to the listed skilled nursing facility.

Our data provider sometimes redacts information from claims before delivering the data to us. When that happens, we produce what metrics we can from the data and label the results as coming from an unknown source.

CMS Medicare Advantage Skilled Nursing Destinations by Payer - 100% Complete table

This table displays skilled nursing facilities and metrics drawn from the most recent available complete Medicare Advantage claims.

The latest year of data available for Medicare Advantage metrics (complete) is shown at the top right of every page in Marketscape Insights. (see image) The CMS Medicare Advantage (CMS MA) time period applies to the CMS Medicare Advantage Skilled Nursing Destinations by Payer - 100% Complete table. Complete MA claims data from CMS lags behind by two years.

Claim Type Dropdown

At the top left of the table there is a dropdown that allows you to choose the claim type from which the metrics in the table will be calculated. The options are shown in the image below.

This drop down allows you to choose which patient type you want to focus on.

"By Payer" dropdown

Click on the "+" sign to the left of any listed skilled nursing facility's name to open the By Payer panel. (Arrow in image above)

This panel shows the MA payers for patients admitted to the listed skilled nursing facility.

Metric Name		Description
Main Table
SNF Name/NPI		The name of the skilled nursing facility and the NPI as listed in the NPI registry.
Trella Inferred Patient Network		If the listed skilled nursing facility is aligned with a Trella Inferred Patent Network, the network ID is identified in this column.
ZIP Code		The ZIP code for the listed skilled nursing facility; from the NPI Registry
20YY	SNF Patients	The count of distinct Medicare Advantage patients discharged from the selected hospital who were admitted to the listed SNF within 30 days after discharge during 20YY - the most recent year of complete MA data available.
	SNF Affiliation %	The percentage of distinct Medicare Advantage patients discharged from the selected hospital who were admitted to the listed skilled nursing facility within 30 days after discharge during 20YY - the most recent year of complete MA data available.
By Payer dropdown
Parent Organization		Name of the parent organization for the listed contract
Organization Marketing		Name that the organization uses to market to beneficiaries for the listed contract
Plan Type		Type of plan offered to beneficiaries within the listed contract
Contract Number		The number listed on the Medicare Advantage Claim
Contract State		The state(s) associated with the listed contract
20YY	SNF Patients (Inpatient )	The count of distinct Medicare Advantage patients with the listed contract discharged from the selected hospital who were admitted to the listed skilled nursing facility within 30 days after discharge during 20YY - (the most recent year of complete MA data available) where the payer in the row was listed as the primary payer on the claim. The claim type listed in the column header will match what you chose with the Claim Type dropdown.
	SNF Affiliation %	The percentage of distinct Medicare Advantage patients with the listed contract discharged from the selected hospital who were admitted to the listed skilled nursing facility within 30 days after discharge during 20YY - (the most recent year of complete MA data available) where the payer in the row was listed as the primary payer on the claim.

FFS Home Health Destinations table

As the table title identifies, this table displays home health agencies that admitted Medicare FFS patients discharged from the selected hospital. The metrics in the table will allow you to get a sense of the flow of patients from the selected hospital to the listed home health agencies. In addition, you can identify the top home health destinations, or evaluate the patients admitted to your agency during the reporting period.

Click on the above image to expand it. 

Claim Type Dropdown

At the top left of the table there is a dropdown that allows you to choose the claim type from which the metrics in the table will be calculated. The options are shown in the image below.

This drop down allows you to choose which patient type you want to focus on.

Metric	Description
HHA Name	The official entity name of the Home Health Agency as listed in CMS Provider Data (NPI) file
NPI	National Provider Identifier number for the provider. This is maintained by CMS.
Favorites/Targets - not selected - selected	Click on these icons to make the listed organization a Favorite (heart icon) or a Target (target icon).
Trella Inferred Parent Network	If the listed home health agency is aligned with a Trella Inferred Patent Network, the network ID is identified in this column.
ZIP Code	This is the ZIP Code the facility has listed as their primary location, as pulled from the NPI Registry file.
HHA Patients (Inpatient )	This metric is the count of distinct Medicare FFS patients discharged from the selected hospital in the setting indicated (Inpatient, outpatient, etc.) who were admitted to the home health agency in the row during the one year reporting period. The claim type listed in the column header will match what you chose with the Claim Type dropdown.
Affiliation %	This metric is the percentage of distinct home health patients discharged from the selected facility who were admitted to the home health identified in each row during the one year reporting period.
Patient Admits - 20YY-Q#	This is the count of distinct patients discharged from the selected facility who were admitted to the home health agency in each row during the quarter listed in the column header. The counts in these admits are displayed graphically in the next column, "Trended Admits."
Trended Admits	This contains a graphical presentation of the patient admit metrics to the left. This shows a visual trend of the patient admits to allow a quick evaluation. If you compare the trended graphics between agencies in different rows, keep in mind that each row uses its own scale. The largest number for each agency in the row will "fill" the graphic from top to bottom; but for one agency that could represent 500 patients and for another, only 50.
Average Days Per Billing Period	This is the average length of home health stays for patients discharged from the selected facility and admitted to the listed home health agency. The length is calculated from admission to discharge for patients discharged during the one year reporting period.
Hospitalization Rate: Stay +30 Day	The overall two-year rate at which all patients admitted by the named home health agency were admitted to any hospital during or 30 days after discharge from their home health episode.
Readmission Rate: 30 Day	The percentage of patients discharged from the selected facility and admitted to the listed Home Health agency who were readmitted to any hospital within 30 days of the initial inpatient discharge.
Facility Specific Hospitalization Rate	The rate at which patients admitted ONLY FROM THIS FACILITY by the named Home Health agency were admitted to a short-term acute stay during or 30 days after discharge from their Home Health episode.
Mortality Rate: 30-Day	The rate at which patients expired within 30 days of receiving care from the agency in that row.
HHA Patient Risk Score	Average Hierarchical Condition Category (HCC) Patient Risk Score for the listed provider For more information, see Risk Scores and HCC
HHA Risk Category	Trella Health has created these categories to make a general comparison between agencies quick and easy. For more information, see Risk Scores and HCC

CMS Medicare Advantage Home Health Destinations by Payer - 100% Complete

This table displays home health agencies and metrics drawn from the most recent available complete Medicare Advantage claims.

Claim Type Dropdown

At the top left of the table there is a dropdown that allows you to choose the claim type from which the metrics in the table will be calculated. The options are shown in the image below.

This drop down allows you to choose which patient type you want to focus on.

"By Payer" dropdown

Click on the "+" sign to the left of any listed home health agency's name to open the By Payer panel. (Arrow in image above)

This panel shows the MA payers for patients admitted to the listed home health agency.

Metric Name		Description
Main Table
HHA Name/NPI		The name and NPI of the home health agency for which the metrics in the same row are displayed.
Trella Inferred Parent Network		If the listed home health agency is aligned with a Trella Inferred Patent Network, the network ID is identified in this column.
ZIP Code		The ZIP code for the listed home health agency; from the NPI Registry.
20YY	HHA Patients (Inpatient )	This metric is the count of distinct Medicare Advantage patients discharged from the selected facility in the setting indicated (Inpatient, outpatient, etc.) who were admitted to the home health agency in the row during the most recent year of available CMS Medicare Advantage data. The claim type listed in the column header will match what you chose with the Claim Type dropdown.
	HHA Affiliation %	Percentage of distinct Medicare Advantage patients discharged from the selected hospital who were admitted to the listed home health agency within 30 days after discharge and during 2023.
By Payer dropdown
Parent Organization		Name of the parent organization for the listed contract
Organization Marketing		Name that the organization uses to market to beneficiaries for the listed contract
Plan Type		Type of plan offered to beneficiaries within the listed contract
Contract Number		The number listed on the Medicare Advantage Claim
Contract State		The state(s) associated with the listed contract
20YY	HHA Patients (Inpatient )	The count of distinct Medicare Advantage patients with the listed contract discharged from the selected hospital who were admitted to the listed home health agency within 30 days after discharge during 20YY - (the most recent year of complete MA data available) where the payer in the row was listed as the primary payer on the claim. The claim type listed in the column header will match what you chose with the Claim Type dropdown.
	HHA Affiliation %	The percentage of distinct Medicare Advantage patients with the listed contract discharged from the selected hospital who were admitted to the listed home health agency within 30 days after discharge during 20YY - (the most recent year of complete MA data available) where the payer in the row was listed as the primary payer on the claim.