Lower post-acute spend. Partner on value.
Puzzle partners with ACOs and payors on value-based post-acute programs designed to reduce total cost of care in the highest-risk Medicare, MA, and dual-eligible populations — with the operational lift on us.
A vendor line-item is a cost. Puzzle is an aligned partner.
Puzzle bills its own clinical services separately, so hospitals and SNFs don't invoice for the program. Our commercial framework is designed to align with total cost of care in your attributed population.
Attribution
We work off your attributed lives — MSSP, MA, D-SNP, or commercial — and identify the sub-population where post-acute is driving the most claims.
Deployment
Puzzle physiatry providers work inside the SNFs where your patients land, backed by a care coordination team. Puzzle bills its own clinical services separately — the SNF, hospital, and ACO don't invoice for the program.
Alignment on outcomes
Reduced SNF LOS, avoidable readmissions, and downstream ED utilization show up as claims savings. We build value-based frameworks with ACO and payor partners to align on those outcomes over time.
Puzzle sits between hospital, SNF, and payor — and gets all three moving in the same direction.
Post-acute is where the incentives normally diverge: the hospital owns the readmission, the SNF owns the stay, and the payor owns the claims. Puzzle's program is designed to make all three win at the same time.
- Better outcomes. Physiatry-led coverage reduces SNF LOS and readmissions.
- Lower cost. Fewer avoidable ED visits and downstream claims.
- Better patient experience. One care team from hospital bed to home.
- Better clinician experience. Hospital, SNF, and payor teams work off one plan.
Arvon CIN with Corewell Health: Top 5% nationally in post-acute spend reduction.
From a period of rising post-acute claims to top-5% national performance — see how Puzzle's clinical program supported an MSSP ACO's post-acute turnaround.
Model Puzzle inside your risk book.
Send us the shape of your attributed population and a sample of your post-acute claims. We'll walk through attribution logic, the value-based framework, and projected impact.