Medicare's bundled payment model did not change skilled nursing facility discharge patterns.

ABSTRACT:

Objectives

To evaluate whether participation in Medicare's voluntary Bundled Payments for Care Improvement (BPCI) model was associated with changes in discharge referral patterns to skilled nursing facilities (SNFs), specifically number of SNF partners and discharge concentration.

Study design

Retrospective observational study using difference-in-differences analysis.

Methods

We used Medicare claims data from 2010 to 2015 to identify admissions for lower joint replacement surgery and the following medical conditions: congestive heart failure, renal failure, sepsis, pneumonia, urinary tract and kidney infections, chronic obstructive pulmonary disease, and stroke. We used difference-in-differences analyses to assess changes in discharge patterns among BPCI-participating

SUBMITTER: Zhu JM 

PROVIDER: S-EPMC6788623 | biostudies-literature | 2019 Jul

REPOSITORIES: biostudies-literature