References
- Keehan SP, Cuckler GA, Poisal JA, et al. National Health Expenditure Projections, 2019–28: expected Rebound In Prices Drives Rising Spending Growth: national health expenditure projections for the period 2019–2028. Health Aff. 2020;39(4):704–714. doi:10.1377/hlthaff.2020.00094
- Hartman M, Martin AB, Benson J, Catlin A; National Health Expenditure Accounts Team. National Healthcare Spending In 2018: growth Driven By Accelerations In Medicare And Private Insurance Spending: US healthcare spending increased 4.6 percent to reach $3.6 trillion in 2018, a faster growth rate than that of 4.2 percent in 2017 but the same rate as in 2016. Health Aff. 2020;39(1):8–17. doi:10.1377/hlthaff.2019.01451
- U.S. Census Bureau. U.S. Older Population Grew From 2010 to 2020 at Fastest Rate Since 1880 to 1890. U.S. Department of Commerce. Available from: https://www.census.gov/library/stories/2023/05/2020-census-united-states-older-population-grew.html#:~:text=The%20U.S.%20population%20age%2065,the%20United%20States%20in%202020. Accessed October 17, 2023.
- Urban Institute The US Population is Aging. Available from: https://www.urban.org/policy-centers/cross-center-initiatives/program-retirement-policy/projects/data-warehouse/what-future-holds/us-population-aging. Accessed October 17, 2023.
- Fulmer T, Reuben DB, Auerbach J, Fick DM, Galambos C, Johnson KS. Actualizing Better Health And Healthcare For Older Adults: commentary describes six vital directions to improve the care and quality of life for all older Americans. Health Aff. 2021;40(2):219–225. doi:10.1377/hlthaff.2020.01470
- Foley KT, Luz CC. Retooling the healthcare workforce for an aging America: a current perspective. Gerontologist. 2021;61(4):487–496. doi:10.1093/geront/gnaa163
- Rahman M, Norton EC, Grabowski DC. Do hospital-owned skilled nursing facilities provide better post-acute care quality? J Health Econ. 2016;50:36–46. doi:10.1016/j.jhealeco.2016.08.004
- American Healthcare Association. State of Skilled Nursing Facility (SNF) Industry; 2022. Available from: https://www.ahcancal.org/News-and-Communications/Fact-Sheets/FactSheets/2022%20State%20of%20the%20SNF%20Industry%20Report.pdf. Accessed October 17, 2023.
- Patel N, Singhal S. What to Expect in US Healthcare in 2023 and Beyond, McKinsey & Company; 2023. Available from: https://www.mckinsey.com/industries/healthcare/our-insights/what-to-expect-in-us-healthcare-in-2023-and-beyond. Accessed October 17, 2023.
- Health Information Technology for Economic and Clinical Health (HITECH) Act, Title XIII of Division A and Title IV of Division B of the American Recovery and Reinvestment Act of 2009 (ARRA), Pub. L. No. 111-5, 123 Stat. 226 (Feb. 17, 2009) (full-text), codified at 42 U.S.C. §§300jj et seq.; §§17901 et seq.
- Patient Protection and Affordable Care Act of 2010, Pub. L. No. 111–148, 124 Stat. 119 (2010), Codified as Amended 42 U.S.C. § 18001.
- Wang YC, Chou MY, Liang CK, Peng LN, Chen LK, Loh CH. Post-acute care as a key component in a healthcare system for older adults. Ann Geriatric Med Res. 2019;23(2):54. doi:10.4235/agmr.19.0009
- American Hospital Association. Fact Sheet: post-acute Care; 2019. Available from: https://www.aha.org/system/files/media/file/2019/07/fact-sheet-post-acute-care-0719.pdf. Accessed October 17, 2023.
- MedPAC. Report to the Congress: medicare Payment Policy; 2021. Available from: https://www.medpac.gov/document/march-2021-report-to-the-congress-medicare-payment-policy/. Accessed October 17, 2023.
- CMS. Custodial Care vs. Skilled Care. Available from: https://www.cms.gov/Medicare-Medicaid-Coordination/Fraud-Prevention/Medicaid-Integrity-Education/Downloads/infograph-CustodialCarevsSkilledCare-%5BMarch-2016%5D.pdf. Accessed October 17, 2023.
- Murphy B. The Difference Between Nursing Homes and Skilled Nursing Facilities, Hebrew Senior Life; 2021. Available from: https://www.hebrewseniorlife.org/blog/difference-between-nursing-homes-and-skilled-nursing-facilities. Accessed October 17, 2023.
- Centers for Medicare & Medicaid Services. Medicare Coverage of Skilled Nursing Facility Care; 2022. Available from: https://www.medicare.gov/Pubs/pdf/10153-Medicare-Skilled-Nursing-Facility-Care.pdf. Accessed October 17, 2023.
- American Geriatrics Society. American Geriatrics Society Position Statement: Achieving High-Quality Multicultural Geriatric Care. American Geriatrics Society; 2016.
- Yurfosky M, Ouslander JG. Medical care in skilled nursing facilities (SNFs) in the United States. UpToDate; 2021. Available from: https://www.uptodate.com/contents/medical-care-in-skilled-nursing-facilities-snfs-in-the-united-states. Accessed October 17, 2023.
- Shi L, Singh DA. Delivering Health Care in America: A Systems Approach. 8 ed. Jones and Bartlett; 2022.
- Medicaid and CHIP Payment and Access Commission (MACPAC). Estimates of Medicaid nursing facility payments relative to costs. MACPAC Issue Brief; 2023. Available from: https://www.macpac.gov/wp-content/uploads/2023/01/Estimates-of-Medicaid-Nursing-Facility-Payments-Relative-to-Costs-1-6-23.pdf. Accessed October 17, 2023.
- Advisory Board. Bundled payment did not significantly lower Medicare spending, research shows; 2023. Available from: https://www.advisory.com/daily-briefing/2018/07/25/bpci. Accessed October 17, 2023.
- Marselas K. Skilled nursing profits will shrink through 2026, even as other post-acute lines gain: analysis. McNights Long-Term Care News; 2023. Available from: https://www.mcknights.com/news/skilled-nursing-profits-will-shrink-through-2026-even-as-other-post-acute-lines-gain-analysis/. Accessed October 17, 2023.
- Lord J, Landry A, Savage GT, Weech-Maldonado R. Predicting nursing home financial distress using the Altman Z-Score. J Healthcare Org Provision Financing. 2020;57.
- Harris-Kojetin L, Sengupta M, Park-Lee E, et al. Long-term care providers and services users in the United States: data from the National Study of Long-Term Care Providers, 2013-2014. Vital Health Statistics. 2016;38:x–xii.
- Sharma BAB, Ullrich R, Mackinney F, C. A, Mueller KJ. Trends in Nursing Home Closures in Nonmetropolitan and Metropolitan Counties in the United States, 2008-2018. Iowa City, Iowa, USA; 2021.
- Flinn B. Nursing Home Closures and Trends, June 2015 – 2019. LeadingAge; 2020. Available from: https://leadingage.org/wp-content/uploads/drupal/Nursing%20Home%20Closures%20and%20Trends%202020.pdf. Accessed October 17, 2023.
- Taylor M. 128 Nursing Homes Closed in 2022: numbers by State. Beckers Hospital Review; 2023. Available from: https://www.beckershospitalreview.com/post-acute/128-nursing-homes-closed-in-2022-numbers-by-states.html#R10. Accessed October 17, 2023.
- U.S. Bureau of Labor Statistics. Employment, Hours, and Earnings from the Current Employment Statistics Survey (National), Nursing and Residential Care Facilities; 2023. Available from: https://data.bls.gov/timeseries/CES6562300001?amp%253bdata_tool=XGtable&output_view=data&include_graphs=true. Accessed October 17, 2023.
- Harrington CA, Hailer L, Mollot RJ, Mukamel DB. Examining California nursing home profitability and related factors before and during the COVID −19 pandemic. J Am Geriatr Soc. 2023;71(8):2530–2538. doi:10.1111/jgs.18356
- Chang CH, Mainor A, Raymond S, Peck K, Colla C, Bynum J. Inclusion of nursing homes and long-term residents in Medicare ACOs. Med Care. 2019;57(12):990–995. doi:10.1097/MLR.0000000000001223
- Centers for Medicare and Medicaid Services. Skilled Nursing Facility 3-Day Rule Waiver; 2023. https://www.cms.gov/medicare/medicare-fee-for-service-payment/sharedsavingsprogram/downloads/snf-waiver-guidance.pdf. Accessed October 17, 2023.
- Devine EB, Totten AM, Gorman P, et al. Health information exchange use (1990-2015): a systematic review. eGEMs. 2017;5(1):27. doi:10.5334/egems.249
- Kruse CS, Marquez G, Nelson D, Palomares O. The use of health information exchange to augment patient handoff in long-term care: a systematic review. Appl Clin Inform. 2018;9(04):752–771. doi:10.1055/s-0038-1670651
- Bennett RE, Tuttle M, May K, Harvell J, Coleman EA (2007). Health information exchange in post-acute and long-term care case study findings: final report. Aging Long-Term Care Policy.
- Naylor MD, Kurtzman ET, Grabowski DC, Harrington C, McClellan M, Reinhard SC. Unintended consequences of steps to cut readmissions and reform payment may threaten care of vulnerable older adults. Health Aff. 2012;31(7):1623–1632. doi:10.1377/hlthaff.2012.0110
- Cross DA, Adler-Milstein J. Investing in post-acute care transitions: electronic information exchange between hospitals and long-term care facilities. J Am Med Dir Assoc. 2017;18(1):30–34. doi:10.1016/j.jamda.2016.07.024
- Cross DA, McCullough JS, Adler-Milstein J. Drivers of health information exchange use during postacute care transitions. Am J Manag Care. 2019;25(1):e7–e13.
- HIMSS (2021) Understanding the Information Blocking Rule and Its Application in Skilled Nursing Facilities. https://www.himss.org/resources/information-blocking-rule-and-its-application-skilled-nursing-facilities-white-paper.
- Centers for Medicare & Medicaid Services. Bundled Payments for Care Improvement Initiative Fact Sheet; 2014. Available from: https://www.cms.gov/newsroom/fact-sheets/bundled-payments-care-improvement-initiative-fact-sheet-0. Accessed July 25, 2023.
- Lewin Group. CMS Bundled Payments for Care Improvement Initiative Models 2-4: year 3 Evaluation & Monitoring Annual Report; 2018. Available from: https://downloads.cms.gov/files/cmmi/bpci-models2-4yr3evalrpt.pdf. Accessed October 17, 2023.
- Centers for Medicare & Medicaid Services. BPCI Advanced; 2022. Available from: https://innovation.cms.gov/innovation-models/bpci-advanced. Accessed October 17, 2023.
- LaPointe J. Orgs Troubled by Post-Acute Care’s Role in New Bundled Payments; 2022. Available from: https://revcycleintelligence.com/news/orgs-troubled-by-post-acute-cares-role-in-new-bundled-payments. Accessed October 17, 2023.
- Ying M, Temkin-Greener H, Thirukumaran CP, Maddox KEJ, Holloway RG, Li Y. Skilled nursing facility participation in a voluntary Medicare bundled payment program: association with facility financial performance. Med Care. 2022;60(1):83–92. doi:10.1097/MLR.0000000000001659
- Ly DP, Cutler DM. Factors of US hospitals associated with improved profit margins: an observational study. J Gen Intern Med. 2018;33(7):1020–1027. doi:10.1007/s11606-018-4347-4
- Kaufman NS. Net revenue per adjusted discharge continues to drive success. J Healthcare Manage. 2013;58(1):8–11. doi:10.1097/00115514-201301000-00003
- Definitive Healthcare. Healthcare Analytics & Provider Data|Definitive Healthcare. Available from: https://www.defhc.com. Accessed October 17, 2023.
- IBM Corp. IBM SPSS Statistics for Windows (Version 28.0) [Computer Software]. IBM Corp; 2023.
- Centers for Medicare and Medicaid Services. The Skilled Nursing Facility Value-Based Purchasing (SNF VBP) program; 2023. Available from: https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/value-based-programs/snf-vbp/snf-vbp-page. Accessed October 17, 2023.
- Burke RE, Xu Y, Rose L. Skilled Nursing Facility Performance and Readmission Rates Under Value-Based Purchasing. JAMA Network Open. 2022;5(3):e220721. doi:10.1001/jamanetworkopen.2022.0721
- Sharma H, Hefele JG, Xu L, Conkling B, Wang X. “Joyce.” First Year of Skilled Nursing Facility Value-based Purchasing Program Penalizes Facilities With Poorer Financial Performance. Med Care. 2021;59(12):1099. doi:10.1097/MLR.0000000000001648
- Qi AC, Luke AA, Crecelius C, Joynt Maddox KE. Performance and Penalties in Year 1 of the Skilled Nursing Facility Value‐Based Purchasing Program. J Am Geriatr Soc. 2020;68(4):826–834. doi:10.1111/jgs.16299
- Joynt Maddox KE, Barnett ML, Orav EJ, Zheng J, Grabowski DC, Epstein AM. Savings and outcomes under Medicare’s bundled payments initiative for skilled nursing facilities. J Am Geriatr Soc. 2021;69(12):3422–3434. doi:10.1111/jgs.17409