
<oai_dc:dc xmlns:dc="http://purl.org/dc/elements/1.1/" xmlns:oai_dc="http://www.openarchives.org/OAI/2.0/oai_dc/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/oai_dc/ http://www.openarchives.org/OAI/2.0/oai_dc.xsd">
  <dc:title>Changes in ownership of skilled nursing facilities from 2016 to 2021 : variation by geographic location and quality</dc:title>
  <dc:title>ASPE research brief</dc:title>
  <dc:creator>Oliveira, Iara, author.</dc:creator>
  <dc:creator>Blanco, Martin (Of Office of Behavioral Health, Disability, and Aging Policy), author.</dc:creator>
  <dc:subject>Ownership</dc:subject>
  <dc:subject>Quality of Health Care -- statistics &amp; numerical data</dc:subject>
  <dc:subject>Skilled Nursing Facilities -- statistics &amp; numerical data</dc:subject>
  <dc:subject>Skilled Nursing Facilities -- trends</dc:subject>
  <dc:subject>State Government</dc:subject>
  <dc:description>In April 2022, the Centers for Medicare &amp; Medicaid Services (CMS) publicly released datasets on hospital and skilled nursing facility (SNF) mergers and acquisitions, consolidation, and other changes of ownership transactions dating back to 2016. Publication of these data supports the Administration’s goal of improving transparency and accessibility of information that can be readily used for research to help address questions about how ownership structures in these markets are changing, the extent of market consolidation, and whether those changes affect access to care, quality, and prices. A recent report released by ASPE found frequent changes of ownership in hospitals and SNFs between 2016 and 2021, with wide variation across states, and that ownership changes among hospitals were more common in medium and larger hospitals, and hospitals with low profit margins. This brief focuses on change of ownership transactions for SNFs and analyzes variation by geographic location and quality of nursing homes being sold.</dc:description>
  <dc:publisher>Washington, D.C. : Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation, July 7, 2022</dc:publisher>
  <dc:contributor>United States. Department of Health and Human Services. Office of the Assistant Secretary for Planning and Evaluation, issuing body.</dc:contributor>
  <dc:contributor>United States. Department of Health and Human Services. Office of Behavioral Health, Disability, and Aging Policy, issuing body.</dc:contributor>
  <dc:type>Technical Report</dc:type>
  <dc:format>Text</dc:format>
  <dc:format>Illustrations</dc:format>
  <dc:format>1 online resource (1 PDF file (10 pages))</dc:format>
  <dc:identifier>nlm:nlmuid-9918573888106676-pdf</dc:identifier>
  <dc:identifier>9918573888106676</dc:identifier>
  <dc:identifier>http://resource.nlm.nih.gov/9918573888106676</dc:identifier>
  <dc:language>English</dc:language>
  <dc:coverage>United States</dc:coverage>
  <dc:rights>The National Library of Medicine believes this item to be in the public domain. https://creativecommons.org/publicdomain/mark/1.0</dc:rights>
</oai_dc:dc>
