ACO Post-Acute Network

At Cascala, we understand that a robust post-acute care network is crucial for ACOs to succeed in value-based care models. Our platform is designed to help ACOs optimize their partnerships with Skilled Nursing Facilities (SNFs), creating a win-win scenario that improves patient outcomes, reduces costs, and enhances network performance.

The Current Post-Acute Landscape: Challenges and Opportunities

Recent data highlights the significant opportunity and need for improved ACO-SNF partnerships:
<10%
of SNFs are currently represented within ACOs
70%
of ACOs have no SNF participation
$24k
median SNF stay in the United States
Despite these challenges, SNFs present a significant opportunity for improved resident outcomes and reduced costs to Medicare ACOs.

Cascala Empowers PCPs

Our Care Transitions Platform is designed to seamlessly integrate into your workflow, providing you with the right information at the right time:

Data-Driven Partner Selection

Included in Cascala's Services
Analyze SNF performance metrics to identify high-quality partners
Included in Cascala's Services
Provide insights on SNF specialties, capacity, and outcomes
Included in Cascala's Services
Support data-backed decisions on which SNFs to include in your preferred network

Streamlined Pre-Admission Support

Included in Cascala's Services
Offer SNFs comprehensive patient summaries for informed admission decisions
Included in Cascala's Services
Facilitate faster acceptance/denial responses, improving referral efficiency
Included in Cascala's Services
Enhance clinical readiness for admission, reducing delays and improving patient experience

Early Risk Identification & Intervention

Included in Cascala's Services
Use AI to identify high-risk patients before and during SNF stays
Included in Cascala's Services
Enable SNFs to implement targeted interventions, reducing readmissions and ED visits
Included in Cascala's Services
Support "treat-in-place" strategies to maintain SNF census and avoid potential readmissions

Optimized Resource Utilization

Included in Cascala's Services
Provide SNFs with prioritized clinical, ancillary, and therapy orders
Included in Cascala's Services
Improve care team coordination and communication
Included in Cascala's Services
Support efficient decision-making processes for admissions and care planning

Quality Improvement Initiatives

Included in Cascala's Services
Track and report on key quality measures, including rehospitalization rates and functional improvements
Included in Cascala's Services
Identify opportunities for quality enhancement across your SNF network
Included in Cascala's Services
Facilitate collaborative quality improvement projects between ACOs and SNF partners

Length of Stay (LOS) Optimization

Included in Cascala's Services
Implement cohort-specific LOS benchmarking
Included in Cascala's Services
Identify opportunities for appropriate LOS reduction
Included in Cascala's Services
Support timely discharge planning and transitions back to the community

Network Performance Management

Included in Cascala's Services
Provide real-time insights into SNF performance metrics
Included in Cascala's Services
Enable data-driven conversations with SNF partners about quality and efficiency
Included in Cascala's Services
Support value-based contracting initiatives with SNFs

Enhanced Referral Management

Included in Cascala's Services
Guide referrals to high-performing SNFs within your network
Included in Cascala's Services
Optimize network utilization based on patient needs and facility specialties
Included in Cascala's Services
Improve patient and provider satisfaction with the referral process

Bridging the Gap: Fostering
Meaningful ACO-SNF Collaboration

Cascala’s platform is designed to address the key challenges in ACO-SNF partnerships:

Incentive Alignment

We help ACOs create financial models that incentivize SNF participation, ensuring that SNFs can share in the savings generated through improved care coordination and outcomes.

Data Integration

Our platform seamlessly integrates data from ACOs, hospitals, and SNFs, providing a comprehensive view of patient care across the continuum.

Care Coordination

We facilitate real-time communication between ACOs and SNFs, ensuring that care plans are followed and transitions are smooth.

Performance Tracking

Our analytics tools allow ACOs to monitor SNF performance, identify areas for improvement, and recognize high-performing partners.

Education and Support

We provide resources to help SNFs understand and succeed in value-based care models, fostering stronger partnerships with ACOs.