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Association Between COVID-19 Relief Funds and Hospital Characteristics in the US.
Cantor, Jonathan; Qureshi, Nabeel; Briscombe, Brian; Chapman, Justin; Whaley, Christopher M.
  • Cantor J; RAND Corporation, Santa Monica, California.
  • Qureshi N; RAND Corporation, Santa Monica, California.
  • Briscombe B; RAND Corporation, Arlington, Virginia.
  • Chapman J; RAND Corporation, Arlington, Virginia.
  • Whaley CM; RAND Corporation, Santa Monica, California.
JAMA Health Forum ; 2(10): e213325, 2021 10.
Article in English | MEDLINE | ID: covidwho-1482069
ABSTRACT
Importance In response to financial stress created by the reduction in care during the COVID-19 pandemic, hospitals received financial assistance through the Coronavirus Aid, Relief, and Economic Security (CARES) Act program. To date, the allocation of CARES Act funding is not well understood.

Objective:

To examine the disbursement of the High-Impact Distribution CARES Act funds and the association between financial assistance and hospital-level financial resources prior to the COVID-19 pandemic. Design Setting and

Participants:

This cross-sectional analysis of US-based hospitals and health systems assesses the hospital characteristics associated with CARES Act funding with linear regression models using linked hospital and health system-level information on CARES Act funding with hospital characteristics from Hospital Cost Report data. Exposures Hospital and health system CARES Act financial assistance. Main Outcomes and

Measures:

Hospital and health system affiliation, status, and financial health prior to the COVID-19 pandemic. Data analysis took place from December 2020 through June 2021.

Results:

The analysis included 952 hospital-level entities with an average payment of $33.6 million, most of which was received during the first payment round. Wide ranges existed in CARES Act funding, with 24% of matched hospitals receiving less than $5 million in funding and 8% receiving more than $50 million. Academic-affiliated hospitals, hospitals with higher pre-COVID-19 assets and hospitals with higher COVID-19 cases received higher levels of funding, while critical access hospitals received lower levels of financial assistance. A 10% increase in hospital assets, endowment size, and COVID-19 cases was associated with 1.4% (95% CI, 0.8% to 2.0%; P = .003), 0.2% (95% CI, 0.1% to 0.3%; P < .001), and 3.5% (95% CI, 2.8% to 4.2%; P < .001) increases in CARES Act funding, respectively. Conclusions and Relevance In this cross-sectional study of US hospitals and health systems, findings suggest that High-Impact Distribution CARES Act funds may have disproportionately gone to hospitals that were in a stronger financial situation prior to the pandemic compared with those that were not, but funds also went disproportionately to those that eventually had the most cases.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Financial Management / COVID-19 Type of study: Observational study / Randomized controlled trials Limits: Humans Language: English Journal: JAMA Health Forum Year: 2021 Document Type: Article

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Financial Management / COVID-19 Type of study: Observational study / Randomized controlled trials Limits: Humans Language: English Journal: JAMA Health Forum Year: 2021 Document Type: Article