Medicare payment reform and provider entry and exit in the post-acute care market.

ABSTRACT:

Objective

To understand the impacts of Medicare payment reform on the entry and exit of post-acute providers.

Data sources

Medicare Provider of Services data, Cost Reports, and Census data from 1991 through 2010.

Study design

We examined market-level changes in entry and exit after payment reforms relative to a preexisting time trend. We also compared changes in high Medicare share markets relative to lower Medicare share markets and for freestanding relative to hospital-based facilities.

Data extraction methods

We calculated market-level entry, exit, and total stock of home health agencies, skilled nursing facilities, and inpatient rehabilitation facilities from Provider of Services files between 1992 and 2010. We linked these measures with demographic informa

SUBMITTER: Huckfeldt PJ 

PROVIDER: S-EPMC3796101 | biostudies-literature | 2013 Oct

REPOSITORIES: biostudies-literature