ArticleHealth affairs (Project Hope)2018
Hospitals Using Bundled Payment Report Reducing Skilled Nursing Facility Use And Improving Care Integration.
Article in Health affairs (Project Hope), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 33 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
33 citing papers in PubMed.
- Postacute Care Use and Outcomes Among Medicare Advantage vs Traditional Medicare Beneficiaries.JAMA network open · 2025Article
- Savings Associated With Bundled Payments for Outpatient Spine Surgery Among Medicare Beneficiaries.JAMA health forum · 2025Article
- Strategies to Reduce Hospital Length of Stay: Evidence and Challenges.Medicina (Kaunas, Lithuania) · 2025Review
- Crosswalk Algorithms for Cognitive and Functional Outcomes Among 2013-2018 Medicare Beneficiaries With Dementia.Journal of the American Medical Directors Association · 2024Article
- Hospital-Skilled Nursing Facility Integration and Participation in a Bundled Payment Initiative.JAMA network open · 2024Article
- Bundled payments lead to quality improvements in hospitals' skilled nursing facility referral networks.The American journal of managed care · 2024Observational
- Access to preferred skilled nursing facilities: Transitional care pathways for patients with Alzheimer's disease and related dementias.Health services research · 2024Article
- Trends in healthy days at home for Medicare beneficiaries using the emergency department.Journal of the American Geriatrics Society · 2023Article
- Association Between a Bundled Payment Program for Lower Extremity Joint Replacement and Patient Outcomes Among Medicare Advantage Beneficiaries.JAMA health forum · 2023Article
- Impact of Medicare eligibility on informal caregiving for surgery and stroke.Health services research · 2023Article
- Making the Case for Patient-Reported Outcome Measures in Big-Data Rehabilitation Research: Implications for Optimizing Patient-Centered Care.Archives of physical medicine and rehabilitation · 2022Article
- VOLUNTARY REGULATION: EVIDENCE FROM MEDICARE PAYMENT REFORM.The quarterly journal of economics · 2022Article
- Predictors of Success in the Bundled Payments for Care Improvement Program.Journal of general internal medicine · 2022Article
- Characterizing Physician Practice in Nursing Homes Using Claims-Based Measures: Correlation With Nursing Home Administrators' Perceptions.Medical care research and review : MCRR · 2021Article
- The association of vertically integrated care with health care use and outcomes.Health services research · 2021Article
- Health information technology to improve care for people with multiple chronic conditions.Health services research · 2021Review
- Association of Social Behaviors With Community Discharge in Patients with Total Hip and Knee Replacement.Journal of the American Medical Directors Association · 2021Article
- Patient Factors Linked with Return Acute Healthcare Use in Older Adults by Discharge Disposition.Journal of the American Geriatrics Society · 2020Article
- Randomized trial shows healthcare payment reform has equal-sized spillover effects on patients not targeted by reform.Proceedings of the National Academy of Sciences of the United States of America · 2020Article
- Trends In Hospitals And Skilled Nursing Facilities Sharing Medical Providers, 2008-16.Health affairs (Project Hope) · 2020Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
A goal of Medicare's bundled payment models is to improve quality and control costs after hospital discharge. Little is known about how participating hospitals are focusing their efforts to achieve these objectives, particularly around the use of skilled nursing facilities (SNFs). To understand hospitals' approaches, we conducted semistructured interviews with an executive or administrator in each of twenty-two hospitals and health systems participating in Medicare's Comprehensive Care for Joint Replacement model or its Bundled Payments for Care Improvement initiative for lower extremity joint replacement episodes. We identified two major organizational responses. One principal strategy was to reduce SNF referrals, using risk-stratification tools, patient education, home care supports, and linkages with home health agencies to facilitate discharges to home. Another was to enhance integration with SNFs: fifteen hospitals or health systems in our sample had formed networks of preferred SNFs to exert influence over SNF quality and costs. Common coordination strategies included sharing access to electronic medical records, embedding providers across facilities, hiring dedicated care coordination staff, and creating platforms for data sharing. As hospitals presumably move toward home-based care and more selective SNF referrals, more evidence is needed to understand how these discharge practices affect the quality of care and patient outcomes.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.