Postacute care outcomes and medicare payments for patients treated by physicians and advanced practitioners who specialize in nursing home practice.

ABSTRACT:

Objective

To measure the association between clinician specialization in nursing home (NH) practice and outcomes of patients who received postacute care in skilled nursing facilities (SNFs).

Data sources

Medicare claims and NH assessments for 2 118 941 hospital discharges to 14 526 SNFs in January 2012-October 2014 and MD-PPAS data for 52 379 clinicians.

Study design

Generalist physicians and advanced practitioners with ≥ 90 percent of claims for NH-based care were considered NH specialists. The primary clinician during each SNF stay was determined based on plurality of claims during that stay. We estimated the effect of being treated by a NH specialist on 30-day rehospitalizations, successful discharge to community, and 60-day episode-of-care Medicare payments (Parts

SUBMITTER: Ryskina KL 

PROVIDER: S-EPMC6505420 | biostudies-literature | 2019 Jun

REPOSITORIES: biostudies-literature