Research Briefs

Date of this Version

3-6-2018

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.

Document Type

Brief

Number

37

License

Creative Commons License
This work is licensed under a Creative Commons Attribution-No Derivative Works 4.0 License.

Keywords

vertical integration, post-acute care, Medicare, payment, rehospitalization

Citation For This Study

Konetzka RT, Stuart EA, Werner RM. The effect of integration of hospitals and postacute care providers on Medicare payment and patient outcomes. J. Health Econ. (2018), https://doi.org/10.1016/j.jhealeco.2018.01.005

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Date Posted: 20 March 2018