Skilled Nursing Facility Participation in Bundled Payments Was Related to Small Increases in Nurse Staffing Levels.

Medicare bundled payments nurse staffing levels skilled nursing facility

Journal

Journal of applied gerontology : the official journal of the Southern Gerontological Society
ISSN: 1552-4523
Titre abrégé: J Appl Gerontol
Pays: United States
ID NLM: 8606502

Informations de publication

Date de publication:
03 2023
Historique:
pubmed: 3 11 2022
medline: 22 2 2023
entrez: 2 11 2022
Statut: ppublish

Résumé

Medicare implemented Bundled Payments for Care Improvement (BPCI) Model 3 in 2013, in which participating skilled nursing facilities (SNFs) were accountable for episode costs. We performed comparative interrupted time series analyses to evaluate associations between SNF BPCI participation and nurse staffing levels, using Medicare claims, resident assessments, and facility-level and market-level files of 2010-2017. For persistent-participating SNFs, BPCI was associated with improved certified nursing assistant (CNA) staffing levels (differential change = .03 hours,

Identifiants

pubmed: 36321398
doi: 10.1177/07334648221137060
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

456-463

Auteurs

Meiling Ying (M)

Department of Public Health Sciences, Division of Health Policy and Outcomes Research, 6923University of Rochester School of Medicine and Dentistry, Rochester, New York, USA.
Department of Urology, Dow Division of Health Services Research, 12266University of Michigan Medical School, Ann Arbor, MI, USA.

Helena Temkin-Greener (H)

Department of Public Health Sciences, Division of Health Policy and Outcomes Research, 6923University of Rochester School of Medicine and Dentistry, Rochester, New York, USA.

Caroline P Thirukumaran (CP)

Department of Public Health Sciences, Division of Health Policy and Outcomes Research, 6923University of Rochester School of Medicine and Dentistry, Rochester, New York, USA.
Department of Orthopaedics, 6923University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.

Karen E Joynt Maddox (KE)

Cardiovascular Division, Department of Medicine, 12275Washington University School of Medicine, St Louis, MI, USA.
Center for Health Economics and Policy, 12275Institute for Public Health at Washington University in St Louis, St. Louis, Missouri, USA.

Robert G Holloway (RG)

Department of Neurology, 6923University of Rochester School of Medicine and Dentistry, Rochester, NY, USA.

Yue Li (Y)

Department of Public Health Sciences, Division of Health Policy and Outcomes Research, 6923University of Rochester School of Medicine and Dentistry, Rochester, New York, USA.

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Classifications MeSH