Medicare Advantage Plans

EVV closed the billing gap.

Nobody closed
the staffing gap.

Agencies accept authorizations they cannot reliably staff. Visits go unfilled. Care plans fail silently. Members deteriorate. The plan absorbs the cost of an avoidable hospitalization that was 100 times more expensive than the visit that never happened. Quinable is the workforce safety net between authorized care and delivered care.

96.4%
Shift fill rate across all settings
3.2m
Avg time to confirmed caregiver
54K+
Credentialed caregivers in network
Days
To deploy. Not months. Not quarters.
The Real Gap

EVV solved a compliance problem.
Not an operational one.

EVV tells you a visit occurred when someone clocked in. It tells you nothing about the visits that never happened because the agency could not staff them.

What EVV Solves
Billing verification. Fraud detection. Compliance.
Did someone clock in at the right location?
Was the billed time accurate?
Did the visit occur as documented?
Was the visit staffed at all?
Was backup coverage available when the caregiver cancelled?
Did the agency have the workforce to complete the authorized episode?
What Quinable Solves
Staffing reliability. Visit completion. Network capacity.
54,000+ credentialed caregivers activate when agency bench runs out
96.4% fill rate. Backup confirmed in 3.2 minutes on average.
Every caregiver credentialed before every shift. Background, license, CPR, TB.
Predictive gap detection flags at-risk visits before they become missed care
Workforce data surfaced: fill rates, cancellation patterns, supply gaps by geography
Supports agency networks. Activates when agencies reach capacity, not instead of them.
Quinable closes the gap between authorized home care and delivered home care.
That gap is where avoidable hospitalizations live. And home care is the cheapest intervention a plan has to prevent them.
VP Care Management / Post-Acute Strategy
The Discharge Problem

Your discharge planners
are calling six agencies.

None can take the patient. Or they accept the case and cannot staff the visits. The member goes home with a care plan that looks complete on paper and fails by day three. That is not a documentation failure. It is a workforce failure.

Quinable activates when agencies cannot staff. Backup caregivers confirmed in under 4 minutes.
Care plans stay intact through the full episode. No silent deterioration from missed visits.
Every caregiver credentialed before arrival. Not just available. Verified.
Works alongside your existing agency network. Quinable is the release valve, not the replacement.
The Cost CascadeWhat one missed visit can become
Authorized Home Health Visit
Wound care, medication management, monitoring
$150
↓ visit not staffed
Missed Visit
Agency cannot staff. No backup. Care plan fails silently.
$0 care
↓ member deteriorates
Emergency Department Visit
Avoidable. Preventable. Expensive.
$3,500
↓ admitted
Inpatient Readmission
The outcome home health was supposed to prevent.
$20,000+
↓ with Quinable
Visit Staffed. Care Plan Intact.
Backup confirmed in 3.2 minutes. Member stays home.
$150
Network Adequacy Reality CheckContracted vs. functional capacity
Rural Counties: SE MichiganCapacity Gap
4 contracted agencies. 1 actively staffing. 3 declining MA patients.
Post-Discharge 48hr PlacementAccess Risk
35% of urgent placements delayed 24+ hrs due to staffing unavailability.
With Quinable Network AugmentationCoverage Active
54,000+ caregivers activate when agency capacity is exhausted. 96.4% fill rate.
VP Network Management / Provider Contracting
Network Adequacy

Your network looks
adequate on paper.

Your credentialing system shows contracted agencies across the service area. What it does not show: how many are actively accepting your members, how many can staff rural visits, and how many have the workforce to take new cases today.

Quinable supplements contracted networks. Functional capacity when agencies reach their limits.
Rural access gaps, MA patient declines, workforce shortfalls. Quinable activates where agencies cannot go.
Strengthen CMS network adequacy filings with real functional capacity, not just contracted provider lists.
SVP Medicare Advantage / Clinical Operations
The Budget Case

Home care is your cheapest
intervention. When it fails, you pay 100x.

Authorizing home health is cost containment. The logic only works if the visits actually happen. When agencies cannot staff the case, the care plan collapses and the plan absorbs the hospitalization that home care was supposed to prevent. Quinable protects the ROI of every home health authorization.

Care Management VP
Ensure care plans actually get delivered
Backup staffing confirmed in minutes. No more silent failures between authorization and delivery.
Primary Champion
Network Management
Functional capacity beyond contracted providers
54,000+ caregivers activate when agency networks run dry. Rural gaps, MA declines, workforce shortfalls covered.
Operational Approval
Medical Director / CMO
Reliable post-acute recovery reduces readmissions
Completed care plans. Consistent caregiver presence. Fewer deterioration events. Better transitions of care.
Clinical Validation
MA Plan Leadership
Reduce avoidable utilization at the source
Every unstaffed home visit is a potential ER visit. Quinable prevents the $150 miss from becoming a $20,000 admission.
Budget Approval
Partnership Model

How payers
work with Quinable.

Quinable enters as a workforce safety net in a defined pilot population. We do not replace your agency network. We activate when it reaches capacity, keeping care plans intact and members out of the hospital.

The most common entry point is the Director of Transitions of Care, the team that deals with discharge failures, post-acute placement gaps, and early recovery monitoring every single day.

Pilot PathwayTypical Entry Structure
1
Define the Population
Post-acute discharges, high-risk MA members, rural service gaps, or high no-show regions. Contained and measurable.
Weeks 1–2
2
Quinable Activates as Safety Net
When an agency cannot staff a visit, Quinable fills it. Credentialed caregiver confirmed in minutes. No disruption to existing workflows.
Days to deploy
3
Measure Visit Completion
Track fill rates and episode completion. Correlate to downstream ED and readmission data to build the business case.
Ongoing
4
Scale on Results
Programs demonstrating improved visit completion and reduced avoidable admissions expand to broader network support.
Month 3+
Start the Conversation

15 minutes.
The right conversation.

Not a pitch. A real conversation about whether Quinable fits your network, your population, and your utilization goals. We will tell you honestly if it does not.