Interrupted time series analysis reveals payment reform shifts access to skilled nursing facility care for patients with dementia.
Results suggest that PDPM had its intended effect of shifting access to SNF care toward medically complex patients. However, low-quality SNFs were less responsive to PDPM in changing their case-mix. PDPM may also exacerbate challenges in SNF access for patients with dementia.
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Prusynski et al. (2025) studied this question.
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