The Impact of Green House Adoption on Medicare Spending and Utilization.

ABSTRACT:

Objective

To evaluate the impact of the Green House (GH) model of nursing home care on Medicare acute hospital, other hospital, skilled nursing facility, and hospice spending and utilization.

Data sources/study setting

Medicare claims and enrollment data from 2005 through 2010 merged with resident-level minimum data set (MDS) assessments.

Study design

Using a difference-in-differences framework, we compared Medicare Part A and hospice expenditures and utilization in 15 nursing homes that adopted the GH model relative to changes over the same time period in 223 matched nonadopting nursing homes. We applied the same method for residents of GH homes and for residents of "legacy" homes, the original nursing homes that stay open alongside the GH home(s).

Principal findi

SUBMITTER: Grabowski DC 

PROVIDER: S-EPMC5338209 | biostudies-literature | 2016 Feb

REPOSITORIES: biostudies-literature