Medicare payment policy in skilled nursing facilities: Lessons from a history of mixed success.
J Am Geriatr Soc
; 69(12): 3358-3364, 2021 12.
Article
in English
| MEDLINE | ID: covidwho-1440772
ABSTRACT
The current policy environment for rehabilitation in skilled nursing facilities (SNFs) is complex and dynamic, and SNFs are facing the dual challenges of recent Medicare payment policy change that disproportionately impacts rehabilitation for older adults and the COVID-19 pandemic. This article introduces an adapted framework based on Donabedian's model for evaluating quality of care and applies it to decades of Medicare payment policy to provide a historical view of how payment policy changes have impacted rehabilitation processes and patient outcomes for Medicare beneficiaries in SNFs. This review demonstrates how SNF responses to Medicare payment policy have historically varied based on organizational factors, highlighting the importance of considering such organizational factors in monitoring policy response and patient outcomes. This historical perspective underscores the mixed success of previous Medicare policies impacting rehabilitation and patient outcomes for older adults receiving care in SNFs and can help in predicting SNF industry response to current and future Medicare policy changes.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Rehabilitation
/
Skilled Nursing Facilities
/
Prospective Payment System
/
Medicare
Type of study:
Experimental Studies
/
Observational study
/
Prognostic study
Limits:
Aged
/
Humans
Country/Region as subject:
North America
Language:
English
Journal:
J Am Geriatr Soc
Year:
2021
Document Type:
Article
Affiliation country:
Jgs.17490
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