ASSESSING THE IMPACT OF THE PATIENT-DRIVEN PAYMENT MODEL ON NURSING HOME CARE QUALITY: A STAFFING PERSPECTIVE
Gregory Orewa, Robert Weech-Maldonado, Ganisher Davlyatov, Justin Lord, David Becker, Sue Feldman · 2024
Read ASSESSING THE IMPACT OF THE PATIENT-DRIVEN PAYMENT MODEL ON NURSING HOME CARE QUALITY: A STAFFING PERSPECTIVE by Gregory Orewa, Robert Weech-Maldonado, Ganisher Davlyatov, Justin Lord, David Becker, Sue Feldman (2024) in the Tower of Babel, a free online library of public-domain works preserved in clean, searchable text. No sign-up. The full text is served as a plain-text file at a predictable URL, where text is present: https://antarctic-labs.com/tower-of-babel/pmc-11689203.txt.
Description
Gregory Orewa and co-authors study how a Medicare payment reform affected nursing home quality through staffing in a 2024 paper. The Patient-Driven Payment Model, launched in 2019, pays homes by resident needs rather than by therapy minutes. That shift could push homes to lean more on nurses. The team asked whether quality gains, if any, ran through changes in nurse hours.
They merged seven national data sets covering 2017 to 2021 and modeled the direct and staffing-mediated paths. After the reform, registered nurse hours rose while aide hours fell. Quality improved through the nurse path and suffered through the aide path, with a positive direct effect as well. The authors say the reform's mixed staffing response makes its quality story two-sided.
Catalog record
| CREATOR | Gregory Orewa, Robert Weech-Maldonado, Ganisher Davlyatov, Justin Lord, David Becker, Sue Feldman |
|---|---|
| YEAR | 2024 |
| COLLECTION | PAPERS |
| FORMAT | TXT |
| FILE SIZE | 2 KB |
| VERSION | 1.0 |
| LICENSE | CC BY 4.0 |
| RIGHTS | CC BY |
| SOURCE | Europe PMC |