Implementing the Patient Driven Payment Model-Perspectives from Skilled Nursing Facility Administrators.
J Appl Gerontol
; 43(6): 688-699, 2024 06.
Article
de En
| MEDLINE
| ID: mdl-38173136
ABSTRACT
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.Mots clés
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Sujet principal:
Établissements de soins qualifiés
/
Medicare (USA)
Limites:
Humans
Pays/Région comme sujet:
America do norte
Langue:
En
Journal:
J Appl Gerontol
/
J. appl. gerontol
/
Journal of applied gerontology
Année:
2024
Type de document:
Article
Pays d'affiliation:
États-Unis d'Amérique
Pays de publication:
États-Unis d'Amérique