医疗保险优势增长和熟练的护理设施融资
1Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, USA.
Health services research
|March 7, 2024
概括
提高医疗保险优势 (MA) 在熟练护理设施 (SNFs) 的入学率与显著的财务下降相关. 这一趋势表明,由于MA透率的增加,SNF行业内发生了重大转变.
科学领域:
- 卫生经济学 卫生经济学
- 老年人护理 医疗老年人护理
- 医疗保健政策 医疗保健政策
背景情况:
- 医疗保险优势 (MA) 注册人数大幅增长.
- 熟练的护理设施 (SNFs) 是关键的后急性护理提供者.
- 了解经营许可对国家自然资源基金的财务影响对于行业的可持续性至关重要.
研究的目的:
- 调查医疗保险优势计划入学人数增加与熟练护理机构绩效之间的财务关系.
- 量化MA透对SNF收入,支出,利和占用率的影响.
主要方法:
- 使用普通最小平方回归分析.
- 纳入的SNF和年度固定效应.
- 分析了来自Medicare SNF成本报告和LTCFocus.org (2012-2019) 的数据,与县级MA透率相关联.
主要成果:
- 县MA招生人数增加10%与SNF收入 (-213,883.89美元),支出 (-132,456.19美元) 和利率 (-0.59%) 的下降有关.
- MA增长与减少的居民日 (-318.93) 和每居民日收入 (-4.50美元) 相相关.
- 虽然医疗保险居民日数下降,但其他付款人日数增加;医疗补助日数和员工水平不受影响.
结论:
- 在MA增长较高的地区,熟练的护理机构经历了重大的财务衰退.
- 医疗保险优势 (Medicare Advantage) 的不断扩张的存在,正准备重塑熟练护理设施的格局.
相关概念视频
Issues And Trends In Healthcare Delivery System
5.6K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.6K
Documentation in Long-Term and Home Healthcare Setting
890
Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Long-Term Care Facilities
890
Health Information Technology and Healthcare Information System
840
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
840
Continuing Care
1.5K
Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
1.5K
Restorative Care
2.0K
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
2.0K
Current Trends in Nursing I
1.5K
Current trends in nursing include:
1.5K


