Hospital-Skilled Nursing Facility Integration and Participation in a Bundled Payment Initiative.

ABSTRACT:

Importance

Reduced institutional postacute care has been associated with savings in alternative payment models. However, organizations may avoid voluntary participation if participation could threaten their own revenues.

Objective

To characterize the association between hospital-skilled nursing facility (SNF) integration and participation in Medicare's Bundled Payments for Care Improvement Advanced (BPCI-A) program.

Design, setting, and participants

This is a cross-sectional analysis of hospital participation in BPCI-A beginning with its launch in 2018. Each SNF-integrated hospital was matched with 2 nonintegrated hospitals for each of 4 episode-specific analyses. Fifteen hospital-level variables were used for matching: beds, case mix index, days, area SNF beds, metro

SUBMITTER: Buxbaum JD 

PROVIDER: S-EPMC11329878 | biostudies-literature | 2024 Aug

REPOSITORIES: biostudies-literature