Savings and outcomes under Medicare's bundled payments initiative for skilled nursing facilities.

ABSTRACT:

Background

Model 3 of Medicare's Bundled Payments for Care Improvement (BPCI) was a voluntary alternative payment model that held participating skilled nursing facilities (SNFs) accountable for 90-day costs of care. Its overall impact on Medicare spending and clinical outcomes is unknown.

Methods

Retrospective cohort study using Medicare claims from 2012 to 2017. We used an interrupted time-series design to compare participating vs matched control SNFs on total 90-day Medicare payments and payment components (initial SNF stay, readmissions, and outpatient/clinician), case mix (volume, proportion Medicaid, proportion black, number of comorbidities), and clinical outcomes (90-day readmission, mortality and healthy days at home, and length of initial SNF stay), overall and amon

SUBMITTER: Joynt Maddox KE 

PROVIDER: S-EPMC8649071 | biostudies-literature | 2021 Dec

REPOSITORIES: biostudies-literature