ArticleThe Gerontologist2025
Post-Acute Care Admissions Among Medicare Beneficiaries With Disabilities During Payment Reform and the COVID-19 Pandemic.
Article in The Gerontologist, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 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
2 citing papers in PubMed.
- Use of Claims Data to Screen for Functional Limitations Among Medicare Beneficiaries.JAMA health forum · 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
Corrections and comments
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Authors and funding
8 authors.
Funding
Abstract
BACKGROUND AND
objectivesRecent Medicare payment reforms aimed to improve post-acute access to skilled nursing facilities (SNFs) and home health agencies (HHAs) for patients with complex care needs, including beneficiaries with disabilities. Soon after reforms were implemented, the Coronavirus disease (COVID-19) pandemic began, which disproportionately affected older adults and people with disabilities. Leveraging Medicare administrative data to identify 2 distinct cohorts of beneficiaries with disabilities, this study explored changes in their SNF and HHA admission patterns during payment reform and COVID-19. RESEARCH DESIGN AND
methodsSecondary analysis of 2018-2021 Medicare administrative data for 2 cohorts of fee-for-service beneficiaries with disabilities: (a) enrollees with disability as the reason for original entitlement (OE) and (b) enrollees qualifying based on age who have disabling conditions and/or mobility impairments (C&I). Adjusted linear mixed-effects models with interaction terms for disability cohort estimated whether differences in SNF and HHA admissions following hospitalization varied over time by disability cohort.
resultsFor 7,732,989 hospitalizations in the OE cohort and 7,028,195 hospitalizations in the C&I cohort, SNF admissions decreased over time, whereas HHA admissions increased. Compared with the C&I cohort, the OE cohort experienced lower SNF admissions throughout the study and smaller changes in SNF and HHA admissions. DISCUSSION AND IMPLICATIONS: Both disability cohorts experienced decreased SNF and increased HHA admissions following payment reform and COVID-19. The magnitudes of changes differed between the disability cohorts. These results highlight the heterogeneity in healthcare experiences across disability cohorts and the importance of including multiple definitions of disability in research using administrative datasets.
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