ArticleHealth affairs (Project Hope)2021
Outcomes After Shortened Skilled Nursing Facility Stays Suggest Potential For Improving Postacute Care Efficiency.
Article in Health affairs (Project Hope), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
What it found
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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.
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Who cites it
7 citing papers in PubMed.
- Identifying and characterizing subgroups of medically complex older patients in community-based intermediate care: a latent class analysis of Danish municipal temporary stay patients.BMC health services research · 2026Article
- Asset Spend-Down and Medicaid Enrollment in Nursing Homes.JAMA network open · 2025Article
- Algorithmic decision-making in health care: Evidence from post-acute care in Medicare Advantage.Journal of health economics · 2025Article
- Impact of an Inpatient COPD Care Pathway on Hospital Care Process and Outcome Metrics.Chronic obstructive pulmonary diseases (Miami, Fla.) · 2025Article
- Outcomes of cerebrovascular disease in muscular dystrophies: A propensity-matched nationwide analysis.European journal of neurology · 2025Article
- Hospital-Skilled Nursing Facility Integration and Participation in a Bundled Payment Initiative.JAMA network open · 2024Article
- Progress Toward Digital Transformation in an Evolving Post-Acute Landscape.Innovation in aging · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
Reducing postacute care in skilled nursing facilities (SNFs) in favor of home-based care is a leading cost-saving strategy in new payment models. Yet the extent to which SNF stays can be safely shortened remains unclear. We leveraged the exposure of fee-for-service Medicare beneficiaries without supplemental coverage to cost sharing after SNF benefit day 20 as a cause of shortened stays. Marked reductions in length-of-stay because of cost sharing shifted patients to home more than a week earlier than expected without cost sharing, producing a discharge spike. These reductions were not associated with clear evidence of compromised patient safety as measured by death, hospitalization for fall-related injuries, or all-cause hospitalization within nine days of the spike. Adverse consequences requiring hospitalization could not be excluded for a small proportion of shortened stays. These findings suggest potential for improving postacute care efficiency, as SNF stays may be unnecessarily long to ensure safety.
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Registered trials
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