Effects of competition on the cost and quality of inpatient rehabilitation care under prospective payment.

ABSTRACT:

Objective

To determine the effect of competition in postacute care (PAC) markets on resource intensity and outcomes of care in inpatient rehabilitation facilities (IRFs) after prospective payment was implemented.

Data sources

Medicare claims, Provider of Services file, Enrollment file, Area Resource file, Minimum Data Set.

Study design

We created an exogenous measure of competition based on patient travel distances and used instrumental variables models to estimate the effect of competition on inpatient rehabilitation costs, length of stay, and death or institutionalization.

Data extraction methods

A file was constructed linking data for Medicare patients discharged from acute care between 2002 and 2003 and admitted to an IRF with a diagnosis of hip fracture or

SUBMITTER: Colla CH 

PROVIDER: S-EPMC3029852 | biostudies-literature | 2010 Dec

REPOSITORIES: biostudies-literature