新的CMS养老院所有权数据:主要差距和差异
Amanda C Chen1, Robert J Skinner2, Robert Tyler Braun3
1Amanda C. Chen, Harvard University, Cambridge, Massachusetts.
Health affairs (Project Hope)
|March 4, 2024
概括
新的养老院所有权数据存在差距. 许多私募股权和房地产投资信托投资都不存在,阻碍了透明度和准确的质量评估.
科学领域:
- 卫生政策 卫生政策
- 医疗保健管理的管理
- 公共卫生 公共卫生
背景情况:
- 养老院所有权是复杂的,机构投资者如私募股权 (PE) 公司和房地产投资信托 (REIT) 的参与越来越多.
- 养老院历史上缺乏所有权透明度和问责制是一个持续的问题.
- 最近拜登政府的改革旨在通过公开发布来改善所有权数据.
研究的目的:
- 评估新发布的医疗保险和医疗补助服务中心 (CMS) 养老院所有权数据的完整性和准确性.
- 发现有关机构投资者和共同所有权结构的数据中的差距.
- 为及时,准确和响应的所有权数据提供必要的改进信息.
主要方法:
- 与公开可用的CMS所有权数据比较专有投资数据 (欧文·莱文协会,标准普尔资本IQ).
- 使用CMS数据与设施调查报告分析了识别顶级养老院所有者的差异.
- 计算了顶级连锁和所有美国设施的CMS数据中缺失的所有权百分比的百分比.
主要成果:
- 三分之一的PE和不到五分之一的REIT投资不在CMS所有权数据中.
- 在使用不同数据源识别普通养老院所有者时发现了差异.
- 在CMS数据中,顶级连锁店所有者的82.40%和美国所有设施所有者的55.21%缺乏所有权百分比.
结论:
- 新发布的CMS所有权数据虽然是一种改进,但存在重大差距.
- 确保数据的及时性,准确性和响应性对于有效的政策和质量评估至关重要.
- 透明的所有权数据对于评估公共支付充足性和为政策决策提供信息至关重要.
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