大象APP

U.S. flag

SHARE:

FacebookXEmail AHRQPrint

Search All Research Studies

 

大象APPResearch Studies Date

Topics

大象APPResearch Studies

Sign up:

Research Studies is a compilation of published research articles funded by 大象APPor authored by 大象APPresearchers.

Results

1 to 4 of 4 Research Studies Displayed
Gupta S, Zengul FD, Blackburn J
Hospital-based skilled nursing facility survival: organizational and market-level predictors.
This study examined the organizational and market-level factors associated with the survival of hospital-based skilled nursing facilities (HBSNFs) after implementation of the prospective payment system (PPS) reimbursement being applied in 1998, which disincentived hospitals from either purchasing an SNF or utilizing their excess capacity to establish one within a hospital. This reversed an incentive program from 1983. The authors examined American Hospital Association survey data to plot event histories of all U.S. acute care hospitals with an open HBSNF in 1998 and whether they closed its HBSNF during a 22-year period (1998-2020). Primary independent variables included hospital size, ownership, total margin, market competition, and Medicare Advantage penetration, with the variables lagging by 1 year. Results showed that HBSNFs located in large, not-for-profit hospitals and those operating in less competitive markets had greater odds of surviving.
AHRQ-funded; HS023345.
Citation: Gupta S, Zengul FD, Blackburn J . Hospital-based skilled nursing facility survival: organizational and market-level predictors. Health Care Manage Rev 2024 Oct-Dec; 49(4):254-62. doi: 10.1097/hmr.0000000000000411..
Keywords: Hospitals, Long-Term Care, Payment
Werner RM, Konetzka RT, Qi M
The impact of Medicare copayments for skilled nursing facilities on length of stay, outcomes, and costs.
The objective of this study was to investigate the impact of Medicare's skilled nursing facility (SNF) copayment policy, with a large increase in the daily copayment rate on the 20th day of a benefit period, on length of stay, patient outcomes, and costs. The investigators concluded that Medicare's SNF copayment policy was associated with shorter lengths of stay and worse patient outcomes, suggesting the copayment policy had unintended and negative effects on patient outcomes.
AHRQ-funded; HS024266.
Citation: Werner RM, Konetzka RT, Qi M . The impact of Medicare copayments for skilled nursing facilities on length of stay, outcomes, and costs. Health Serv Res 2019 Dec;54(6):1184-92. doi: 10.1111/1475-6773.13227..
Keywords: Medicare, Nursing Homes, Payment, Long-Term Care, Healthcare Costs, Elderly, Hospitalization, Hospital Discharge
Makam AN, Nguyen OK, Kirby B
Effect of site-neutral payment policy on long-term acute care hospital use.
The purpose of this study was to assess the projected effect of the Centers for Medicare and Medicaid Services new site-neutral payment policy, which aims to decrease unnecessary long-term acute care hospital (LTACH) admissions by reducing reimbursements for less-ill individuals by 2020. The investigators concluded that the site-neutral payment policy may limit LTACH access in existing LTAC-scarce markets, with potential adverse implications for recovery of hospitalized older adults.
AHRQ-funded; HS022418.
Citation: Makam AN, Nguyen OK, Kirby B . Effect of site-neutral payment policy on long-term acute care hospital use. J Am Geriatr Soc 2018 Nov;66(11):2104-11. doi: 10.1111/jgs.15539..
Keywords: Policy, Hospitalization, Payment, Long-Term Care, Healthcare Costs, Medicare, Elderly, Hospitals
Abrahamson K, Miech E, Davila HW
Pay-for-performance policy and data-driven decision making within nursing homes: a qualitative study.
The researchers explored ways in which data were collected, thought about and used by nursing home employees as a result of participation in a pay-for-performance (P4P) program. Their findings indicated that participants in the Minnesota Performance-based Incentive Payment Program鈥檚 quality improvement (QI) projects perceived a change in the rate and manner in which they gathered, used, and considered data in their QI decisions.
AHRQ-funded; HS018464
Citation: Abrahamson K, Miech E, Davila HW . Pay-for-performance policy and data-driven decision making within nursing homes: a qualitative study. BMJ Qual Saf. 2015 May;24(5):311-7. doi: 10.1136/bmjqs-2014-003362..
Keywords: Nursing Homes, Long-Term Care, Payment, Provider Performance, Shared Decision Making, Policy, Quality Improvement, Quality of Care

Related Content

Research Findings & Reports