Effect of Site-Neutral Payment Policy on Long-Term Acute Care Hospital Use.

ABSTRACT:

Objective

To assess the projected effect of the Centers for Medicare and Medicaid Services new site-neutral payment policy, which aims to decrease unnecessary long-term acute care hospital (LTACH) admissions by reducing reimbursements for less-ill individuals by 2020.

Design

Observational.

Setting

National 5% Medicare data (2011-12).

Measurements

We examined the proportion of site-neutral LTACH admissions. Regional LTACH market supply was defined as LTACH beds per 100,000 residents, categorized according to tertile. We conducted a hospital-level analysis to compare the projected effect of site-neutral payment on "propensity score" matched high- and low-LTACH-use hospitals.

Results

Forty-one percent of LTACH admissions would be subjected to site-neutral p

SUBMITTER: Makam AN 

PROVIDER: S-EPMC6382068 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature