The Effect of Integration of Hospitals and Post-Acute Care Providers on Medicare Payment and Patient Outcomes
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vertical integration
post-acute care
Medicare
payment
rehospitalization
post-acute care
Medicare
payment
rehospitalization
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Konetzka, R Tamara
Stuart, Elizabeth A
Werner, Rachel M
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Abstract
Vertical integration between hospitals and skilled nursing facilities (SNFs) increases Medicare payments for the first 60 days of care by $2,424 (17%), compared to hospital-SNF pairs that are not vertically integrated. These integrated hospital–SNF pairs also experience a decline in 30-day rates of rehospitalization or death of 5 percentage points on a base rate of 31.3%. Vertical integration between hospitals and home health agencies (HHAs) has little effect on Medicare payments and patient outcomes, nor does informal integration in either setting.
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2018-03-06