Implementing the Patient Driven Payment Model-Perspectives from Skilled Nursing Facility Administrators.
| Autor: | Liu Z; Harvard University T.H. Chan School of Public Health, Boston, MA, USA., Meehan A; Brown University School of Public Health, Providence, RI, USA., Brazier JF; Brown University School of Public Health, Providence, RI, USA., Shield R; Brown University School of Public Health, Providence, RI, USA., Gadbois EA; Brown University School of Public Health, Providence, RI, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of applied gerontology : the official journal of the Southern Gerontological Society [J Appl Gerontol] 2024 Jun; Vol. 43 (6), pp. 688-699. Date of Electronic Publication: 2024 Jan 03. |
| DOI: | 10.1177/07334648231223296 |
| Abstrakt: | Objective: To explore skilled nursing facility (SNF) administrator retrospective perspectives on their preparation for and initial implementation of the Patient Driven Payment Model (PDPM), the new Medicare payment system for SNFs enacted on October 1, 2019. Methods: 156 interviews at 40 SNFs in eight U.S. markets were conducted and qualitatively analyzed. Results : Administrators retrospectively expressed feeling well-prepared for the PDPM implementation. Advance preparation focused on training staff regarding patient assessment and documentation. Administrators also recognized increased incentives for admitting patients with more complex needs and prepared accordingly. Therapy staffing reductions were concentrated in contract employees, while SNF-employed therapists were less affected. Conclusion: Policy makers and industry experts should consider the long-term impact of changing financial incentives through payment reform, and ensure that reimbursement best reflects the cost of providing services while prioritizing high-quality care. PDPM's effect on care quality and access to care should continue to be monitored. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. |
| Databáze: | MEDLINE |
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