The effect of integration of hospitals and post-acute care providers on Medicare payment and patient outcomes

The effect of integration of hospitals and post-acute care providers on Medicare payment and patient outcomes

Collection:
Health Policy and Services Research
Series Title(s):
Research brief (Leonard Davis Institute of Health Economics)
Author(s):
Konetzka, R. Tamara, author
Stuart, Elizabeth A., author
Werner, Rachel M., author
Contributor(s):
Leonard Davis Institute of Health Economics, issuing body.
Publication:
Philadelphia, PA : Leonard Davis Institute of Health Economics, 2018
Language(s):
English
Format:
Text
Subject(s):
Economics, Hospital
Home Care Services -- economics
Insurance, Health, Reimbursement
Medicare -- economics
Outcome Assessment, Health Care
Reimbursement Mechanisms
Skilled Nursing Facilities -- economics
United States
Genre(s):
Technical Report
Abstract:
Key Findings. Vertical integration between hospitals and skilled nursing facilities (SNFs) increases Medicare payments for the first 60 days of care by $2,424 (17%), compared to hospital-SNF pairs that are not vertically integrated. These integrated hospital--SNF pairs also experience a decline in 30-day rates of rehospitalization or death of 5 percentage points on a base rate of 31.3%. Vertical integration between hospitals and home health agencies (HHAs) has little effect on Medicare payments and patient outcomes, nor does informal integration in either setting.
Copyright:
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. (More information)
Extent:
1 online resource (1 PDF file (2 unnumbered pages))
Illustrations:
Illustrations and Portraits
NLM Unique ID:
101731565 (See catalog record)
Permanent Link:
http://resource.nlm.nih.gov/101731565