Is More Always Better? Financially Motivated Therapy and Patient Outcomes in Skilled Nursing Facilities.

ABSTRACT:

Objective

To determine if financially motivated therapy in Skilled Nursing Facilities (SNFs) is associated with patient outcomes.

Design

Cohort study using 2018 Medicare administrative data.

Setting and participants

13,949 SNFs in the United States.

Participants

934,677 Medicare Part A patients admitted to SNF for post-acute rehabilitation (N=934,677).

Interventions

The primary independent variable was an indicator of financially motivated therapy, separate from intensive therapy, known as thresholding, defined as when SNFs provide 10 or fewer minutes of therapy above weekly reimbursement thresholds.

Main outcome measures

Dichotomous indicators of successful discharge to the community vs institution and functional improvement on measures of transf

SUBMITTER: Prusynski RA 

PROVIDER: S-EPMC10837324 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature