Evidence map›Paper›PMID 30112827›Full record

ArticleHealth services research2018

Do Skilled Nursing Facilities Selected to Participate in Preferred Provider Networks Have Higher Quality and Lower Costs?

Peter J Huckfeldt, Lianna Weissblum, José J Escarce, Pinar Karaca-Mandic, Neeraj Sood

Abstract read
In one paragraph

Article in Health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Peter J HuckfeldtDivision of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN.ORCID 0000-0003-1593-4167
Lianna WeissblumDivision of Health Policy and Management, University of Minnesota School of Public Health, Minneapolis, MN.
José J EscarceDepartment of Medicine, David Geffen School of Medicine at UCLA, Los Angeles, CA.
Pinar Karaca-MandicDepartment of Finance, Carlson School of Management, University of Minnesota, Minneapolis, MN.
Neeraj SoodSol Price School of Public Policy, Schaeffer Center for Health Policy and Economics, University of Southern California, Los Angeles, CA.ORCID 0000-0001-9805-213X

Funding

Vertical Integration and Care Coordination in Post-Acute Care MarketsR01AG046838 · NIA · UNIVERSITY OF SOUTHERN CALIFORNIA · PI SOOD, NEERAJ · 2014 to 2017
$2.8M
NIA NIH HHS R01 AG046838
6 · The paper itself

Abstract

objectiveTo determine whether skilled nursing facilities (SNFs) chosen by health systems to participate in preferred provider networks exhibited differences in quality, costs, and patient outcomes relative to other SNFs after accounting for differences in case mix. DATA SOURCES: Medicare provider and claims data, 2012 and 2013. STUDY

designWe compared SNFs included in preferred networks relative to other SNFs in the same market, prior to the establishment of preferred provider networks. DATA EXTRACTION

methodsWe linked the SNFs in our sample to facility characteristics and quality data. We identified SNF admissions and hospitalizations in claims data and limited the analysis to patients discharged from the hospitals in our sample. We obtained patient characteristics from Medicare summary files and the preceding hospital stay. PRINCIPAL

findingsPreferred SNFs exhibited better performance across publicly reported quality measures. Patients admitted to preferred SNFs exhibited shorter stays, lower Medicare payments, and lower probability of SNF readmission relative to nonpreferred SNFs.

conclusionsOur results imply that health systems selected SNFs with lower resource use and better performance on quality measures. Thus, the trend toward preferred provider networks could have implications for Medicare spending and patient health.

Indexed as

Health ExpendituresReferral and ConsultationSkilled Nursing FacilitiesContinuity of Patient CareHospitalsHumansInsurance Claim ReviewMedicarePatient DischargeQuality Indicators, Health CareUnited StatesHealth economicsreferrals and referral networksrehabilitation services

Identifiers

PMID30112827
PMCPMC6232398

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.