Administrator Perspectives on the Impact of COVID-19 on the Administration of the Patient Driven Payment Model in U.S. Skilled Nursing Facilities

The Patient Driven Payment Model (PDPM) was implemented in U.S. skilled nursing facilities (SNFs) in October 2019, shortly before COVID-19. This new payment model aimed to reimburse SNFs for patients’ nursing needs rather than the previous model which reimbursed based on the volume of therapy receiv...

Full description

Saved in:
Bibliographic Details
Published in:Medical care research and review 2024-06, Vol.81 (3), p.223-232
Main Authors: Meehan, Amy, Brazier, Joan F., Grabowski, David C., Rahman, Momotazur, Shield, Renee R., Gadbois, Emily A.
Format: Article
Language:English
Subjects:
Administrators
COVID-19
COVID-19 - economics
COVID-19 - epidemiology
Grounded theory
Health care delivery
Humans
Interviews
Interviews as Topic
Management
Medical treatment
Nurses
Nursing
Pandemics
Patients
Payments
Policy making
Qualitative Research
Reimbursement Mechanisms - economics
SARS-CoV-2
Skilled Nursing Facilities - economics
Staffing
United States
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:The Patient Driven Payment Model (PDPM) was implemented in U.S. skilled nursing facilities (SNFs) in October 2019, shortly before COVID-19. This new payment model aimed to reimburse SNFs for patients’ nursing needs rather than the previous model which reimbursed based on the volume of therapy received. Through 156 semi-structured interviews with 40 SNF administrators from July 2020 to December 2021, this qualitative study clarifies the impact of COVID-19 on the administration of PDPM at SNFs. Interview data were analyzed using modified grounded theory and thematic analysis. Our findings show that SNF administrators shifted focus from management of the PDPM to COVID-19-related delivery of care adaptations, staff shortfalls, and decreased admissions. As the pandemic abated, administrators re-focused their attention to PDPM. Policy makers should consider the continued impacts of the pandemic at SNFs, particularly on delivery of care, admissions, and staffing, on the ability of SNF administrators to administer a new payment model.
ISSN:1077-5587
1552-6801
DOI:10.1177/10775587241233018