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. 2019 Sep 1;179(9):1296-1298.
doi: 10.1001/jamainternmed.2019.1209.

Association Between High Discharge Rates of Vulnerable Patients and Skilled Nursing Facility Copayments

Affiliations

Association Between High Discharge Rates of Vulnerable Patients and Skilled Nursing Facility Copayments

Paula Chatterjee et al. JAMA Intern Med. .

Abstract

This study uses data from the Centers for Medicare and Medicaid Services to investigate the association between Medicare copayment policies and discharge rates of vulnerable patients from skilled nursing facilities.

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Conflict of interest statement

Conflict of Interest Disclosures: Dr Coe reported receiving grants from the National Institute on Aging, National Bureau of Economic Research, AARP Foundation, Washington State Health Care Authority, and Donahue Foundation outside the submitted work. Dr Konetzka reported receiving grants from the Agency for Healthcare Research and Quality during the conduct of the study and grants from the National Institute on Aging, the Agency for Healthcare Research and Quality, and Sage Publications outside the submitted work. Dr Werner reported receiving grants from the Agency for Healthcare Research and Quality and the National Institute on Aging during the conduct of the study as well as personal fees from CarePort Health outside the submitted work. No other disclosures were reported.

Figures

Figure.
Figure.. Markers of Socioeconomic Status of Medicare Beneficiaries Discharged From Skilled Nursing Facilities (SNFs) by Benefit Day on SNF Discharge
A, Percentage of beneficiaries living in poverty was measured at the zip code level. B, Median household income was measured at the zip code level.

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References

    1. Medicare Payment Advisory Commission Skilled nursing facility services. In: Report to the Congress: Medicare Payment Policy Washington, DC: Medicare Payment Advisory Commission; 2017:197-227. http://www.medpac.gov/docs/default-source/reports/mar17_medpac_ch8.pdf2017. Accessed April 17, 2019.
    1. Centers for Medicare and Medicaid Services Medicare coverage of skilled nursing facility care. Baltimore, MD: Centers for Medicare and Medicaid Services; 2015. https://www.medicare.gov/pubs/pdf/10153.pdf. Accessed April 17, 2019.