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Nursing Homes & Facilities


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ASPE Issue Brief

State Use of Value-Based Payment in Nursing Facilities Issue Brief

September 6, 2022
Payers across the health care spectrum have begun transitioning from paying for quantity toward paying for quality. These value-based payment (VBP) programs vary in scope and focus, but generally share the goals of improving cost-savings and linking payments to value rather than volume.

Opioid Use in Long-Term Care Settings: Final Report

August 9, 2022
Opioid use was very common among the long-term care (LTC) residents in our sample. Perhaps reflecting their post-acute rehabilitative needs, discharged residents were more likely to have opioid use prior to LTC admission and at the beginning of the LTC stay.
Research Brief

Changes in Ownership of Skilled Nursing Facilities from 2016 to 2021: Variations by Geographic Location and Quality

July 8, 2022
Newly released CMS skilled nursing facilities (SNF) Change of Ownership data (CHOW) data allows for a better understanding of how the nursing home ownership financial structures are changing. A total of 3,258 SNFs have been sold since 2016. Roughly 3.5% of skilled nursing facilities are sold in the US each year since then.
ASPE Issue Brief

Antipsychotic Medication Prescribing in Long Term Care Facilities Increased in the Early Months of the COVID-19 Pandemic Issue Brief

April 7, 2022
Prescriptions dispensed for antipsychotics in nursing homes and assisted living facilities increased since the beginning of the pandemic, with 20.8 thousand dispensed in 2020 compared to 20.5 thousand in 2019. This represents a 1.5% increase in total prescriptions since the beginning of the pandemic despite lower resident census levels in long-term care facilities (LTCFs).

COVID-19 Intensifies Nursing Home Workforce Challenges

October 18, 2020
Link to HTML Version (45 PDF pages)

Trends in the Use of Residential Settings among Older Adults Issue Brief

October 15, 2020
ASPE Issue Brief

Potential Impacts of Minimum Wage Increases on Nursing Homes: Issue Brief

June 29, 2020
Nursing homes employ large proportions of their workforce at the minimum wage. This project sought to understand the potential impacts of federal minimum wage increases on nursing staff hours and labor costs of nursing homes.
Research Brief

Assessing the Out-of-Pocket Affordability of Long-Term Services and Supports Research Brief

May 14, 2019
Richard W. Johnson Urban Institute Printer Friendly Version in PDF Format (14 PDF pages)

How Many Older Adults Can Afford To Purchase Home Care?

April 3, 2019
Richard W. Johnson and Claire Xiaozhi Wang Urban Institute Printer Friendly Version in PDF Format (22 PDF pages)

Trends in Nursing Home-Hospice Contracting and Common Ownership between Hospice Agencies and Nursing Homes: Final Report

November 30, 2018
Between 2005 and 2015, the number of hospice agencies with common ownership to nursing homes nearly quintupled in number and now represents almost 1-in-5 hospice agencies participating in the Medicare program.