Administrator Perspectives on the Impact of COVID-19 on the Administration of the Patient Driven Payment Model in U.S. Skilled Nursing Facilities.
| Autor: | Meehan A; Brown University, Providence, RI, USA., Brazier JF; Brown University, Providence, RI, USA., Grabowski DC; Harvard Medical School, Boston, MA, USA., Rahman M; Brown University, Providence, RI, USA., Shield RR; Brown University, Providence, RI, USA., Gadbois EA; Brown University, Providence, RI, USA. |
|---|---|
| Jazyk: | angličtina |
| Zdroj: | Medical care research and review : MCRR [Med Care Res Rev] 2024 Jun; Vol. 81 (3), pp. 223-232. Date of Electronic Publication: 2024 Feb 29. |
| DOI: | 10.1177/10775587241233018 |
| Abstrakt: | The Patient Driven Payment Model (PDPM) was implemented in U.S. skilled nursing facilities (SNFs) in October 2019, shortly before COVID-19. This new payment model aimed to reimburse SNFs for patients' nursing needs rather than the previous model which reimbursed based on the volume of therapy received. Through 156 semi-structured interviews with 40 SNF administrators from July 2020 to December 2021, this qualitative study clarifies the impact of COVID-19 on the administration of PDPM at SNFs. Interview data were analyzed using modified grounded theory and thematic analysis. Our findings show that SNF administrators shifted focus from management of the PDPM to COVID-19-related delivery of care adaptations, staff shortfalls, and decreased admissions. As the pandemic abated, administrators re-focused their attention to PDPM. Policy makers should consider the continued impacts of the pandemic at SNFs, particularly on delivery of care, admissions, and staffing, on the ability of SNF administrators to administer a new payment model. Competing Interests: Declaration of Conflicting InterestsThe author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: D.C.G. reports receiving fees unrelated to this work from the Medicare Payment Advisory Commission, AARP, Analysis Group, and GRAIL. Other authors declare that there is no conflict of interest. |
| Databáze: | MEDLINE |
| Externí odkaz: |
|