The LTAC Difference: Why LTAC?

Overview

    • LTACs provide high quality care to chronically critically ill patients who are the most difficult and highest cost consumers of healthcare
    • Medicare LTAC criteria relaxed the 25-day LOS requirement, which provides significant flexibility in how LTACs can now be used to manage expensive care for a chronically ill population
    • LTACs provide aggressive interdisciplinary care to medically complex patients who require an extended recovery time in an acute care setting

LTAC Capabilities

    • Licensed as acute care hospitals
    • The Joint Commissions Accredited
    • 24-hour physician coverage, Physician directed care
    • ICU and targeted ER Coverage
    • Key capabilities to manage complex and expensive respiratory, wound, transplant and other cases
    • Full Lab, Radiology, Pharmacy, Ancillary, OR

LTAC Value Outcomes

    • Lower Readmissions: 44% lower odds of readmission as compared with IRFs, SNFs and home health for similar patients (RTI 2012)
    • Lower Cost per Day: Per day, LTAC costs are ˜20–35% less than acute are hospitals (MedPAR)
    • Episodic Cost Savings and Quality Gains: Use of LTACs associated with lower 90-day episodic costs, lower mortality and higher quality for sickest patients (MedPAC 2013, RTI 2007)
    • Value in Partnering with LTAC’s to Manage Chronic Critically Ill Patients

See diagram:

Medicare FFS DRG STACGMLOS

LTAC

GMLOS

Combined
DRG 207-20 (Vent) 10.5 31.8 42.3
DRG 870-871 (Septicemia w/ Vent) 7.9 29.9 37.8
DRG 177-179 (Resp. Infections) 4.7 21.9 26.6
DRG 189 (Pulmonary Edema) 4.5 21.7 26.2
DRG 682-683 (Renal Failure) 4.0 23.4 27.4