Who actually controls the post-acute capacity a health plan pays for and a hospital discharges into — resolved from public filings, with the evidence shown for every link.
Search any Medicare-enrolled skilled nursing, home health or hospice provider by name or CCN, and see which affiliation cluster it belongs to.
Where an operator also owns the therapy, pharmacy, staffing or physician services pointed at its own beds, its internal rules govern utilisation decisions. Facilities disclose these relationships on Worksheet A-8-1 of their Medicare cost report, naming the related organisation and its line of business.
Darker bars are operational services that plausibly bear on clinical and utilisation decisions. Lighter bars — home office and real estate — are near-universal and say little about clinical influence, so they are excluded from the headline figure.
The structural findings above are disclosures. Whether they translate into different care is a separate question, and one we committed in advance to answering either way. It was tested against CMS quality measures the clustering never saw.
CMS integration rules limit new D-SNP enrolment to parents holding an aligned Medicaid plan in the same service area from 2027, and disenroll unaligned members by 2030. This is enrolment-weighted at county level, by parent organisation.
Categories describe whether an aligned Medicaid plan is available to this parent in the member's state today. They determine whether that membership can be retained past 2030.
A link may carry several independent signals; shares sum above 100%.
Bar length and value are the number of clusters; hover for facilities covered.
Filter and sort the clusters themselves. Searching here matches provider names inside a cluster as well as the cluster's own state, id and CMS entity — or use the provider lookup at the top to go straight to a single facility.
| Cluster | Facilities | SNF | HHA | Hospice | States | CMS entities | No CMS entity | Captive anc. |
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