Archive for post-acute care

 

MedPAC Mulls Uniform Outcome Measures to Complement Unified Post-Acute Payments

In support of its proposal that Medicare adopt a unified payment system for post-acute-care services, the Medicare Payment Advisory Commission is exploring how to develop uniform outcome measures to support such a new payment system.

Under the MedPAC vision, articulated at its early April public meeting, skilled nursing facilities, home health agencies, long-term-care hospitals, and inpatient rehabilitation facilities would see their outcomes quantified based on their performance on a series of quality measures.

Meanwhile, there has been little congressional interest in the unified post-acute payment proposal so far.  While some aspects of such a proposal could be implemented administratively, the comprehensive system would require legislation.

Learn more about the Medicare uniform outcomes measures proposal, the unified post-acute care payment proposal, how they interact, and the prospects for both from this article in Provider magazine.…

Socio-Economic Factors’ Role in Skilled Nursing Facility Finances

Skilled nursing facilities located in communities with higher-than-typical numbers of low-income and minority patients are under greater financial stress than comparable facilities located in other communities.

Nursing homes that serve higher proportions of Medicaid patients the same challenge.

And both of these conditions detract from the quality of care such facilities provide.

These are the findings of a new study published in the journal Health Services Research.

According to the study,

Medicaid-dependent nursing homes have a 3.5 percentage point lower operating ratio. Those serving primarily racial minorities have a 2.64-point lower quality rating. A 1 percent increase in the neighborhood population living in poverty is associated with a 1.20-point lower quality rating, on a scale from 10 to 50, and a 1 percent increase in the portion of neighborhood black residents is associated with a 0.8 percentage point lower operating ratio and a 0.37 lower quality rating.

 Learn more from the study “Geographic Disparities in Access to Nursing Home Services: Assessing Fiscal Stress and Quality of Care,” which appears in the Health Services Research.  Find a link to the study here.…

Little Rhyme or Reason to Post-Stroke Care Choices

Despite medical recommendations that stroke patients choose inpatient rehabilitation facilities for their post-acute care, significant numbers of patients continue to seek such care in skilled nursing facilities.

And experts do not understand why.

The choices, according to a new study, are based primarily on recommendations by hospitals and are being made despite a recommendation by the American Heart Association and American Stroke Association that patients turn to inpatient rehab facilities rather than skilled nursing facilities for post-stroke care.  Researchers found no apparent reason for the choices patients make between the two types of facilities.

Learn more about where stroke patients receive their post-discharge care and why they do so in the study Unexplained Variation for Hospitals’ Use of Inpatient Rehabilitation and Skilled Nursing Facilities After an Acute Ischemic Stroke, which can be found here, on the web site of the journal Stroke.

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