ArticleJournal of the American Geriatrics Society2021
Medicare payment policy in skilled nursing facilities: Lessons from a history of mixed success.
Article in Journal of the American Geriatrics Society, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 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
5 citing papers in PubMed.
- Too Sick to be True? Evaluating Potentially Problematic Diagnosis Coding Practices in Medicare's Patient-Driven Payment Model.Health services research · 2026Article
- Reductions in Therapy Provision in Skilled Nursing Facilities After Medicare Payment Reform and During the COVID-19 Pandemic: An Interrupted Time Series Analysis.Archives of physical medicine and rehabilitation · 2025Article
- Is More Always Better? Financially Motivated Therapy and Patient Outcomes in Skilled Nursing Facilities.Archives of physical medicine and rehabilitation · 2024Article
- Skilled Nursing Facility Changes in Ownership and Short-Stay Medicare Patient Outcomes.JAMA network open · 2023Article
- Dual impacts of Medicare payment reform and the COVID-19 pandemic on therapy staffing in skilled nursing facilities.Journal of the American Geriatrics Society · 2023Article
Corrections and comments
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Authors and funding
1 author.
Funding
Abstract
The current policy environment for rehabilitation in skilled nursing facilities (SNFs) is complex and dynamic, and SNFs are facing the dual challenges of recent Medicare payment policy change that disproportionately impacts rehabilitation for older adults and the COVID-19 pandemic. This article introduces an adapted framework based on Donabedian's model for evaluating quality of care and applies it to decades of Medicare payment policy to provide a historical view of how payment policy changes have impacted rehabilitation processes and patient outcomes for Medicare beneficiaries in SNFs. This review demonstrates how SNF responses to Medicare payment policy have historically varied based on organizational factors, highlighting the importance of considering such organizational factors in monitoring policy response and patient outcomes. This historical perspective underscores the mixed success of previous Medicare policies impacting rehabilitation and patient outcomes for older adults receiving care in SNFs and can help in predicting SNF industry response to current and future Medicare policy changes.
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Registered trials
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