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The Model Cutting Readmissions in Half—Visit Us at PALTmed

  • Writer: Lauren Ferrer
    Lauren Ferrer
  • Mar 25
  • 3 min read

Hospital readmissions remain one of healthcare’s most persistent and costly challenges, with national rates at 23.7%. The Moxie Health Group is operating far below that benchmark, demonstrating what a more coordinated, physician-led model can achieve. 

  

This week, Moxie is bringing that model to a national stage. 

 

Four women smiling for a selfie by a fence, holding iced and hot drinks. They wear casual outfits and two have blue caps. Bright, sunny day.

From March 26 to 28, The Moxie Health Group will present at the Post-Acute and Long-Term Care (PALTC) Medical Association Annual Conference in Anaheim, joining clinicians, medical directors, and healthcare leaders from across the country working to shape the future of post-acute and long-term care. 

  

The conference, hosted by the nation’s leading medical specialty society dedicated to PALTC providers, brings together a multidisciplinary community focused on improving outcomes for patients across skilled nursing facilities, assisted living communities, home care, hospice, and beyond. 

  

A Model Built on Measurable Outcomes 

  

At the center of our presentation is one key metric: return-to-hospital (RTH) rates. 

  

Often used as a benchmark for quality, high readmission rates can signal gaps in transitional care, medication management, or patient education. Nationally, that benchmark sits at 23.7%. 

  

Our numbers tell a different story. 

  

  • November 2025: 11.55% 

  • December 2025: 12.74% 

  • January 2026: 10.6% 

  

These consistently lower rates reflect a system designed not just to treat patients, but to anticipate and prevent complications before they escalate. 


Graph showing RTH performance with success rates and cases for Nov '25 to Jan '26. Lines track data against US benchmark. Purple theme.

  

Through coordinated specialty care—spanning pulmonary, acute care cardiology, and infectious disease—The Moxie Health Group delivers an integrated, physician-led approach that keeps patients stable within post-acute settings and out of the hospital whenever possible. 

  

Why It Matters Now 

  

The urgency behind this work is growing. 

  

Across the country, skilled nursing facilities are navigating staffing shortages, rising patient acuity, and increasing discharge complexity. At the same time, hospitals are under pressure, with beds occupied by patients who no longer require acute care but lack safe post-acute placement options. 

  

The result is a ripple effect across the entire healthcare system: delayed procedures, strained emergency departments, and rising costs. 

  

Research suggests that nearly 27% of hospital readmissions are preventable, often tied to breakdowns in coordination, communication, or follow-up care. 

  

The Moxie Health Group’s model is built to address exactly those gaps. 

  

Closing the Gaps in Post-Acute Care 

  

At its core, our approach focuses on speed, communication, and precision. 

  

Faster after-hours response ensures that changes in patient condition are addressed in real time. Stronger facility partnerships allow care teams to work in alignment rather than in silos. And data-driven clinical insights guide decision-making at every level. 

  

Those insights are powered by MoxieLink, the company’s proprietary, HIPAA-compliant platform designed to streamline care delivery, now available on the PointClickCare Marketplace


Smartphone and laptop displaying healthcare data on a vibrant blue patterned background. The screens show lists of medical centers and records.

  

By unifying patient records, integrating AI-powered transcription, and automating coding validation, MoxieLink allows providers to spend less time on documentation and more time where it matters most—with patients. 

  

Its clinical-first design supports proactive care through features like census screening, which identifies high-risk patients for daily follow-ups, and built-in quality review systems that ensure accuracy, compliance, and continuity. 

  

The platform has already earned international recognition, named a finalist in the 2025 MEDICA Start-up Competition—placing it among the top emerging healthcare technologies worldwide. 

  

A Broader Vision for Care 

  

Behind the data is a larger mission: strengthening the entire continuum of care. 

  

When post-acute facilities are supported, hospitals can operate more efficiently. When providers have the right tools and communication systems, care becomes more consistent. And when patients receive timely, coordinated treatment, outcomes improve across the board. 

  

It’s a model designed not just to reduce readmissions, but to restore balance to a system under pressure. 

  

Bringing the Conversation to Anaheim 

  

At PALTmed’s Annual Conference, The Moxie Health Group will bring these insights directly to the clinicians and decision-makers working on the front lines of post-acute care. 

  

The goal is simple: share what’s working, learn from peers across the field, and continue building solutions that meet the moment healthcare is in. Because as the demands on post-acute care grow, so does the need for models that are not only innovative—but proven. 

  

Visit The Moxie Health Group at Booth 111 to connect with the team and learn more and follow @themoxiehealthgroup on Instagram for updates throughout the conference. 

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