Changes in long-term care insurance revenue among service providers during the COVID-19 pandemic.

COVID-19 Long-term care services Revenue

Journal

BMC health services research
ISSN: 1472-6963
Titre abrégé: BMC Health Serv Res
Pays: England
ID NLM: 101088677

Informations de publication

Date de publication:
13 Apr 2024
Historique:
received: 06 06 2023
accepted: 06 03 2024
medline: 14 4 2024
pubmed: 14 4 2024
entrez: 13 4 2024
Statut: epublish

Résumé

The COVID-19 pandemic has impacted peoples' health-related behaviors, especially those of older adults, who have restricted their activities in order to avoid contact with others. Moreover, the pandemic has caused concerns in long-term care insurance (LTCI) providers regarding management and financial issues. This study aimed to examine the changes in revenues among LTCI service providers in Japan during the pandemic and analyze its impact on different types of services. In this study, we used anonymized data from "Kaipoke," a management support platform for older adult care operators provided by SMS Co., Ltd. Kaipoke provides management support services to more than 27,400 care service offices nationwide and has been introduced in many home-care support offices. The data used in this study were extracted from care plans created by care managers on the Kaipoke platform. To examine the impact of the pandemic, an interrupted time-series analysis was conducted in which the date of the beginning of the pandemic was set as the prior independent variable. The participating providers were care management providers (n = 5,767), home-visit care providers (n = 3,506), home-visit nursing providers (n = 971), and adult day care providers (n = 4,650). The results revealed that LTCI revenues decreased significantly for care management providers, home-visit nursing providers, and adult day care providers after the COVID-19 pandemic began. The largest decrease was an average base of USD - 1668.8 in adult day care. The decrease in revenue among adult day care providers was particularly concerning in terms of the sustainability of their business. This decrease in revenue may have made it difficult to retain personnel, and staff may have needed to be laid off as a result. Although this study has limitations, it may provide useful suggestions for countermeasures in such scenarios, in addition to support conducted measures.

Sections du résumé

BACKGROUND BACKGROUND
The COVID-19 pandemic has impacted peoples' health-related behaviors, especially those of older adults, who have restricted their activities in order to avoid contact with others. Moreover, the pandemic has caused concerns in long-term care insurance (LTCI) providers regarding management and financial issues. This study aimed to examine the changes in revenues among LTCI service providers in Japan during the pandemic and analyze its impact on different types of services.
METHODS METHODS
In this study, we used anonymized data from "Kaipoke," a management support platform for older adult care operators provided by SMS Co., Ltd. Kaipoke provides management support services to more than 27,400 care service offices nationwide and has been introduced in many home-care support offices. The data used in this study were extracted from care plans created by care managers on the Kaipoke platform. To examine the impact of the pandemic, an interrupted time-series analysis was conducted in which the date of the beginning of the pandemic was set as the prior independent variable.
RESULTS RESULTS
The participating providers were care management providers (n = 5,767), home-visit care providers (n = 3,506), home-visit nursing providers (n = 971), and adult day care providers (n = 4,650). The results revealed that LTCI revenues decreased significantly for care management providers, home-visit nursing providers, and adult day care providers after the COVID-19 pandemic began. The largest decrease was an average base of USD - 1668.8 in adult day care.
CONCLUSION CONCLUSIONS
The decrease in revenue among adult day care providers was particularly concerning in terms of the sustainability of their business. This decrease in revenue may have made it difficult to retain personnel, and staff may have needed to be laid off as a result. Although this study has limitations, it may provide useful suggestions for countermeasures in such scenarios, in addition to support conducted measures.

Identifiants

pubmed: 38614980
doi: 10.1186/s12913-024-10832-4
pii: 10.1186/s12913-024-10832-4
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

464

Subventions

Organisme : Joint research by SMS Co., Ltd.
ID : CRE30018

Informations de copyright

© 2024. The Author(s).

Références

Wu Z, McGoogan JM. Characteristics of and important lessons from the coronavirus disease 2019 (COVID-19) outbreak in China: summary of a report of 72 314 cases from the Chinese Center for Disease Control and Prevention. JAMA. 2020. https://doi.org/10.1001/jama.2020.2648 .
Powell T, Bellin E, Ehrlich AR. Older adults and covid-19: the most vulnerable, the hardest hit. Hastings Cent Rep. 2020;50(3):61–3. https://doi.org/10.1002/hast.1136 .
doi: 10.1002/hast.1136 pubmed: 32596888
Ammar A, Brach M, Trabelsi K, et al. Effects of COVID-19 home confinement on eating behaviour and physical activity: results of the ECLB-COVID19 international online survey. Nutrients. 2020;12(6):1583. https://doi.org/10.3390/nu12061583 .
doi: 10.3390/nu12061583 pubmed: 32481594 pmcid: 7352706
Roy J, Jain R, Golamari R, et al. COVID-19 in the geriatric population. Int J Geriatr Psychiatry. 2020;35(12):1437–41. https://doi.org/10.1002/gps.5389 .
doi: 10.1002/gps.5389 pubmed: 32748545 pmcid: 7436738
Ito T, Hirata-Mogi S, Watanabe T, et al. Change of use in community services among disabled older adults during COVID-19 in Japan. Int J Environ Res Public Health. 2021;18(3):1148. https://doi.org/10.3390/ijerph18031148 .
doi: 10.3390/ijerph18031148 pubmed: 33525441 pmcid: 7908432
Konetzka RT, White EM, Pralea A, et al. A systematic review of long-term care facility characteristics associated with COVID-19 outcomes. J Am Geriatr Soc. 2021;69(10):2766–77. https://doi.org/10.1111/jgs.17434 .
doi: 10.1111/jgs.17434 pubmed: 34549415 pmcid: 8631348
Ikegami N. Financing long-term care: lessons from Japan. Int J Health Policy Manag. 2019;8(8):462–6. https://doi.org/10.15171/ijhpm.2019.35 .
doi: 10.15171/ijhpm.2019.35 pubmed: 31441285 pmcid: 6706968
Campbell JC, Ikegami N. Long-term care insurance comes to Japan. Health Aff (Millwood). 2000;19(3):26–39.
doi: 10.1377/hlthaff.19.3.26 pubmed: 10812779
Report of long-term care insurance. Ministry of Health, Labour and Werfare website. https://www.mhlw.go.jp/toukei/list/84-1 . Accessed 30 May 2023.
How is the certification of need for nursing care done? Ministry of Health, Labour and Werfare website. https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/hukushi_kaigo/kaigo_koureisha/nintei/gaiyo2 . Accessed 30 May 2023.
Bankruptcies in the elderly welfare and nursing care business in 2020 [in Japanese]. Tokyo Shoko Research website. https://www.tsr-net.co.jp/news/analysis/20200108_00 . Accessed 30 May 2023.
Survey of social welfare corporation management trends [in Japanese]. Welfare And Medical Service Agency website. https://www.wam.go.jp/hp/sh-survey/ . Accessed 30 May 2023.
Ministry of Health, Labour and Werfare. Conversion of determined unit. 2019.
Ministry of Health, Labour and Werfare. Care management. 2017.
Tsutsui T, Muramatsu N. Care-needs certification in the long-term care insurance system of Japan. J Am Geriatr Soc. 2005;53(3):522–7. https://doi.org/10.1111/j.1532-5415.2005.53175.x .
doi: 10.1111/j.1532-5415.2005.53175.x pubmed: 15743300
Ministry of Health, Labour and Werfare. Statistics of benefits from long-term care insurance [in Japanese] (Kaigo Kyuhu-Hi-Tou Jittai Toukei). 2021.
Lopez Bernal J, Cummins S, Gasparrini A. Interrupted time series regression for the evaluation of public health interventions: a tutorial. Int J Epidemiol. 2017;46(1):348–55. https://doi.org/10.1093/ije/dyw098 .
doi: 10.1093/ije/dyw098
Japan's response to the novel coronavirus disease: declaration of a state of emergency. Japan Cabinet Office. Website. https://corona.go.jp/news/news_20200421_70 . Accessed 30 May 2023.
Linden A. Conducting interrupted time-series analysis for single- and multiple-group comparisons. Stata J. 2015;15(2):480–500. https://doi.org/10.1177/1536867X1501500 .
doi: 10.1177/1536867X1501500
Aramaki T. Management status of day care facilities in fiscal year 2017 [in Japanese]. Welfare And Medical Service Agency website. https://www.wam.go.jp/hp/wp-content/uploads/190628_No002.pdf2019 . Accessed 30 May 2023.
Report on the impact of the new corona - corporate management in the era of corona in 2020 [in Japanese]. Survey and Research Committee, Council of Managers of Social Welfare Corporations website. https://www.tcsw.tvac.or.jp/chosa/documents/keieichousazennbunn.pdf . Accessed 30 May 2023.
Survey on closure and dissolution of welfare and nursing care businesses for the elderly in 2020 [in Japanese]. Tokyo Shoko Research website. https://www.tsr-net.co.jp/news/analysis/20210120_01 . Accessed 30 May 2023.
Amarican Health Care Association. Nursing homes incurring significant costs and financial hardship in response to COVID-19. In: National Center For Assisted Living. https://www.ahcancal.org/News-and-Communications/Fact-Sheets/FactSheets/Survey-SNF-COVID-Costs.pdf . Accessed 30 May 2023.
Sama SR, Quinn MM, Galligan CJ, et al. Impacts of the COVID-19 pandemic on home health and home care agency managers, clients, and aides: a cross-sectional survey, March to June, 2020. Home Health Care Management, Practice. 2021;33(2):125–9. https://doi.org/10.1177/1084822320980415 .
doi: 10.1177/1084822320980415
Ministry of Health, Labour and Werfare. Support project for infection control measures at nursing care service establishments and facilities, etc., and project to provide consolation money to employees [in Japanese]. https://www.mhlw.go.jp/stf/seisakunitsuite/bunya/0000121431_00245 . Accessed 30 May 2023.
CMS. COVID-19 accelerated and advance payments. https://www.cms.gov/medicare/payment/covid-19/covid-19-accelerated-and-advance-payments . Accessed 11 Dec 2023.

Auteurs

Tomoko Ito (T)

Institute of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan. ittmkxo@gmail.com.
Health Services Research and Development Center, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan. ittmkxo@gmail.com.

Xueying Jin (X)

Health Services Research and Development Center, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan.
Department of Social Science, National Center for Geriatrics and Gerontology, 7- 430 Morioka-cho, Obu, Aichi, 474-8511, Japan.

Makiko Tomita (M)

Health Services Research and Development Center, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan.
Analysis & Innovation Dept., SMS Co., Ltd., Sumitomo Fudosan Shibakoen Tower, 2-11-1, Shibakoen, Minato-ku, Tokyo, 105-0011, Japan.

Shu Kobayashi (S)

Analysis & Innovation Dept., SMS Co., Ltd., Sumitomo Fudosan Shibakoen Tower, 2-11-1, Shibakoen, Minato-ku, Tokyo, 105-0011, Japan.

Nanako Tamiya (N)

Institute of Medicine, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan.
Health Services Research and Development Center, University of Tsukuba, 1-1-1 Tennodai, Tsukuba, Ibaraki, 305-8575, Japan.

Classifications MeSH