They have been able to create capacity across all the settings. They look at the home as a setting of care. They look at housing as a setting of care. They look at all the different options where they have patients, and they work very hard on making sure the patient is in the right setting. They have to balance a few things, cost and quality and safety, but because they look at all the opportunities for where the patient can be, and they insure in all of them, they do a much better job of putting the patient in the right setting.
We struggle in some ways because we only insure in certain settings. Patients want to be in settings where they don't need to pay out of pocket, and many of those settings are already congested. They have done a better job of looking at all their opportunities for where the patient could be, and they have created options for the patients to be in those settings. In particular, they maximize care in the home. Their hospital beds are only slightly less costly than ours. And their nursing home beds are a lot lower—patients are really cared for where they can't be in the home setting. We know the patients value that, but the system also supports it if the patient can be there.