New study from @ThomRapp @momotazur et al in #HSR @WileyHealth examine whether stronger referral relationships between hospitals and skilled nursing facilities (SNF) are associated with lower-risk patients being admitted to SNF
1/4
@ThomRapp @momotazur @WileyHealth WHAT IS KNOWN: Evolving payment models are changing the relationships between hospitals and skilled nursing facilities.
Hospitals concentrating referrals to SNFs have exhibited better outcomes (eg, lower readmissions). No study has been done from the SNF perspective.
2/4
@ThomRapp @momotazur @WileyHealth WHAT THIS STUDY ADDS: SNFs with higher concentrations of hospital referrals are associated with less-risky patients at admission. Certain patients may be facing more restrictive choices of nursing homes at discharge.
3/4
@ThomRapp @momotazur @WileyHealth Authors find evidence that freestanding SNFs with stronger hospital referral relationships may be admitting less risky patients, possibly contributing to disparities across SNFs. FULL ARTICLE: onlinelibrary.wiley.com/doi/10.1111/14…
4/4

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More from @HSR_HRET

10 Dec
New study in #HSR @WileyHealth from Danielle R. Gartner PhD @WhitneyEpi et al investigate the intersection of race and economic context in treatment with hysterectomy among reproductive aged women with noncancerous gynecologic conditions.
1/4
@WileyHealth @WhitneyEpi WHAT IS KNOWN Historically, treatment with hysterectomy has been highly geographically variable. Despite an overall reduction over time, rates of hysterectomy remain higher among black women than among white women
2/4
@WileyHealth @WhitneyEpi WHAT THIS STUDY ADDS Black-white rate differences (ie, disparities) are wider in areas with higher socioeconomic status.
Medical strategies to reduce hysterectomy may have been inequitably implemented.
3/4
Read 4 tweets
26 Oct
New article in #HSR @WileyHealth by @afrakt assess the prevalence of patient administrative tasks and whether they are associated with delayed and/or foregone care. ABSTRACT: hsr.org/node/680108
1/6
@WileyHealth @afrakt WHAT IS KNOWN: High administrative complexity is a central feature of the US health care system, with under-appreciated implications for patients. Research examining the administrative costs of health care has primarily focused on clinicians and provider organizations.
2/6
@WileyHealth @afrakt Compared to financial barriers to access, evidence examining nonfinancial costs has been limited and not focused specifically on patients' administrative burden.
3/6
Read 6 tweets
26 Oct
Neeraj Sood PhD et al look to understand the effects of receiving vertically integrated care in inpatient rehabilitation facilities (IRFs) on health care use and outcomes in #HSR @WileyHealth article. ABSTRACT: hsr.org/node/680121
1/5
@WileyHealth WHAT IS KNOWN: Coordinating care during transitions from acute to postacute care may be easier to accomplish when providers are vertically integrated.
2/5
@WileyHealth Prior studies have mainly focused on effects of vertical integration between hospitals and SNFs for fee for service Medicare beneficiaries and found mixed results.
3/5
Read 5 tweets
14 Sep
Shih-Chuan Chou and colleagues examine the association between #highdeductible health plans and #EDvisits with low-value imaging in this #HSR @Wiley_Health study. Thread below: (1/7) hsr.org/node/678800
WHAT WE KNOW: Health insurers increasingly offer high-deductible insurance products in hopes of improving care value by giving patients “skin in the game.” (2/7)
Past studies showed that high deductibles reduce outpatient medical visits or tests, which are primarily under patient control, such as attending appointments, cancer screening, or ED visits. (3/7)
Read 7 tweets
12 Jul
Lee Revere Ph.D., et. al. evaluate the robustness of the CMS Hospital Value-Based Purchasing (HVBP) total performance score (TPS) in new #HSR article @wileyhealth Abstract: hsr.org/node/677720
1/4
@WileyHealth WHAT IS KNOWN: TPS is intended to be capable of differentiating hospital-level quality on an annual basis. Prior research found evidence that highest performing hospitals maintain their status year after year while preventing lower-ranked hospitals from increasing in position
2/4
@WileyHealth FINDINGS: Annual TPS is skewed, showing a large gap between top-performing hospitals and all others. Results also show significant movement year to year, with hospitals moving in and out of the top and bottom performance categories disproportionately
3/4
Read 4 tweets

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