Effects of payment changes on trends in post-acute care.

ABSTRACT:

Objective

To test how the implementation of new Medicare post-acute payment systems affected the use of inpatient rehabilitation facilities (IRFs), skilled nursing facilities (SNFs), and home health agencies.

Data sources

Medicare acute hospital, IRF, and SNF claims; provider of services file; enrollment file; and Area Resource File data.

Study design

We used multinomial logit models to measure realized access to post-acute care and to predict how access to alternative sites of care changed in response to prospective payment systems.

Data extraction methods

A file was constructed linking data for elderly Medicare patients discharged from acute care facilities between 1996 and 2003 with a diagnosis of hip fracture, stroke, or lower extremity joint replacement.

SUBMITTER: Buntin MB 

PROVIDER: S-EPMC2739024 | biostudies-literature | 2009 Aug

REPOSITORIES: biostudies-literature