The Relative Importance of Post-Acute Care and Readmissions for Post-Discharge Spending

Health Services Research

Volumn 51, Issue 5, 2016, Pages 1919-1938

  Huckfeldt, Peter J ^a   Mehrotra, Ateev ^b   Hussey, Peter S ^c  

^a UNIVERSITY OF MINNESOTA   (United States)

^b HARVARD MEDICAL SCHOOL   (United States)

^c RAND CORPORATION   (United States)

Author keywords

Medicare; post acute care; readmissions

Indexed keywords

ARTICLE; BILLING AND CLAIMS; CEREBROVASCULAR ACCIDENT; CHRONIC OBSTRUCTIVE LUNG DISEASE; CLINICAL ARTICLE; COMORBIDITY; CONTROLLED STUDY; COST EFFECTIVENESS ANALYSIS; HEALTH CARE; HEALTH CARE COST; HEALTH CARE FACILITY; HEALTH CARE POLICY; HEALTH CARE QUALITY; HEALTH CARE UTILIZATION; HEART FAILURE; HEART INFARCTION; HIP ARTHROPLASTY; HOSPITAL DISCHARGE; HOSPITAL READMISSION; HOSPITALIZATION; HUMAN; JOINT PROSTHESIS; LONG TERM CARE; MEDICARE; NURSING; PATIENT CARE; PLEURISY; PNEUMONIA; POST ACUTE CARE; PROBABILITY; REHABILITATION; SKILL; SOCIAL STATUS;

EID: 84988638031     PISSN: 00179124     EISSN: 14756773     Source Type: Journal    
DOI: 10.1111/1475-6773.12448     Document Type: Article

References (21)

1. Ackerly, D. C., and D. C. Grabowski. 2014. “Post-Acute Care Reform—Beyond the ACA.” New England Journal of Medicine 370 (8): 689–91.
2. Birkmeyer, J. D., C. Gust, O. Baser, J. B. Dimick, J. M. Sutherland, and J. S. Skinner. 2010. “Medicare Payments for Common Inpatient Procedures: Implications for Episode-Based Payment Bundling.” Health Services Research 45 (6): 1783–95.
3. Buntin, M. B., C. H. Colla, P. Deb, N. Sood, and J. J. Escarce. 2010. “Medical Spending and Outcomes after Postacute Care for Stroke and Hip Fracture.” Medical Care 48 (9): 776–84.
4. Centers for Medicare and Medicaid Services. 2015. “Comprehensive Care for Joint Replacement Model” [accessed on 10 July, 2015]. Available at http://innovation.cms.gov/initiatives/ccjr/
5. Chandra, A., M. A. Dalton, and J. Holmes. 2013. “Large Increases in Spending on Postacute Care in Medicare Point to the Potential for Cost Savings in These Settings.” Health Affairs 32 (5): 864–72.
6. Elixhauser, A., C. Steiner, D. R. Harris, and R. M. Coffey. 1998. “Comorbidity Measures for Use with Administrative Data.” Medical Care 36 (1): 8–27.
7. Gage, B., M. Morley, L. Smith, M. J. Ingber, A. Deutsch, T. Kline, J. Dever, J. Abbate, R. Miller, B. Lyda-McDonald, C. Kelleher, D. Garfinkel, J. Manning, C. M. Murtaugh, M. Stineman, and T. Mallinson. 2011. Post-Acute Care Payment Reform Demonstration: Final Report. Volume 1 of 4. RTI Project Number 0209853.005.001.
8. Gottlieb, D., W. Zhou, Y. Song, K. G. Andrews, J. Skinner, and J. Sutherland. 2010. A Standardized Method for Adjusting Medicare Expenditures for Regional Differences in Prices. Dartmouth Institute for Health Policy and Clinical Practice Technical Report.
9. Hackbarth, G., R. Reischauer, and A. Mutti. 2008. “Collective Accountability for Medical Care—Toward Bundled Medicare Payments.” New England Journal of Medicine 359 (1): 3–5.
10. Institute of Medicine. 2013. Variation in Health Care Spending: Target Decision Making, Not Geography. Washington, DC: The National Academies Press.
11. Mechanic, R. E. 2014. “Post-Acute Care—The Next Frontier for Controlling Medicare Spending.” New England Journal of Medicine 370 (8): 692–4.
12. MedPAC. 2008. “A Path to Bundled Payment Around a Hospitalization.” In Report to the Congress: Reforming the Delivery System. Washington, DC: Medicare Payment Advisory Commission.
13. MedPAC. 2013a. “Approaches to Bundling Payment for Post-Acute Care.” In Report to the Congress: Medicare and the Health Care Delivery System. Washington, DC: Medicare Payment Advisory Commission.
14. MedPAC. 2013b. “Refining the Hospital Readmissions Reduction Program.” In Report to the Congress: Medicare and the Health Care Delivery System. Washington, DC: Medcare Payment Advisory Commission.
15. MedPAC. 2014a. “Inpatient Rehabilitation Facility Services.” In Report to the Congress: Medicare Payment Policy. Washington, DC: Medicare Payment Advisory Commission.
16. MedPAC. 2014b. “Site-Neutral Payments for Select Conditions Treated in Inpatient Rehabilitation Facilties and Skilled Nursing Facilities.” In Report to the Congress: Medicare and the Health Care Delivery System. Washington, DC: Medicare Payment Advisory Commission.
17. Miller, D. C., C. Gust, J. B. Dimick, N. Birkmeyer, J. Skinner, and J. D. Birkmeyer. 2011. “Large Variations in Medicare Payments for Surgery Highlight Savings Potential from Bundled Payment Programs.” Health Affairs 30 (11): 2107–15.
18. Nathan, H., C. L. Atoria, P. B. Bach, and E. B. Elkin. 2015. “Hospital Volume, Complications, and Cost of Cancer Surgery in the Elderly.” Journal of Clinical Oncology 33 (1): 107–13.
19. Newhouse, J. P., and A. M. Garber. 2013. “Geographic Variation in Medicare Services.” New England Journal of Medicine 368 (16): 1465–8.
20. Schoenfeld, A. J., M. B. Harris, H. Liu, and J. D. Birkmeyer. 2014. “Variations in Medicare Payments in Episodes of Spine Surgery.” The Spine Journal 14: 2793–8.
21. Sood, N., P. J. Huckfeldt, J. J. Escarce, D. C. Grabowski, and J. P. Newhouse. 2011. “Medicare's Bundled Payment Pilot for Acute and Postacute Care: Analysis and Recommendations on Where to Begin.” Health Affairs 30 (9): 1708–17.