Cut 90-day episode cost by ≥ 8%, SNF length-of-stay by ≥ 3 days, and SNF/HHA readmissions by ≥ 15% via a quality-graded preferred network and active care-coordination across the post-acute episode.
Cut 90-day episode cost by ≥ 8%, SNF length-of-stay by ≥ 3 days, and SNF/HHA readmissions by ≥ 15% via a quality-graded preferred network and active care-coordination across the post-acute episode.
Preferred-Network Referral Share from 35 to ≥ 80 (monthly). Average Preferred-Partner Star Rating from 3.1 to ≥ 4.0 (quarterly). SNF Discharge Rate (HRRP / BPCI cohorts) from 31 to ≤ 22 (monthly).
14 weeks.
Integrates with Post-acute network analytics (CarePort / NaviHealth / WellSky), ADT feed to SNF / HHA partners (Direct Trust / Carequality), Patient choice tooling (CMS Care Compare integration), Episode cost analytics (Archway / Remedy Partners feed) through the AEROSS Execution Mesh. All writes are credit-metered, CAPS-gated, and audit-stamped.
CMS BPCI-A — episode-level accountability; 90-day post-discharge spend; IMPACT Act — standardized post-acute assessment data (SPADEs); CMS Patient-Driven Payment Model (PDPM) for SNF + PDGM for HHA; Stark / AKS — preferred-network selection must be quality-based, not volume-rebated All agent actions inherit AEROSS CAPS governance — autonomy ceilings, human approval gates, and a tamper-evident audit log.