New Managed Care Study Findings Have Been Reported from Brown University (Association Between the Patient-Driven Payment Model and Therapy Use, Patient Outcomes, SNF Expenditures, and Postacute Care Use Among Skilled Nursing Facility …): Managed Care

2025 NOV 07 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Researchers detail new data in Managed Care. According to news reporting originating in Providence, Rhode Island, by NewsRx journalists, research stated, “Medicare and Medicaid dual-eligible beneficiaries (i.e., dual eligibles) have complex care needs and often experience poor outcomes in skilled nursing facilities (SNFs). The newly implemented patient-driven payment model (PDPM) changed SNFs’ postacute care delivery model and may differentially impact dual eligibles.”

The news reporters obtained a quote from the research from Brown University, “This study describes the trend breaks due to the PDPM on therapy use, patient outcomes, SNF expenditures, and postacute care use, by dual eligibility status. We utilized health care administrative data and regression discontinuity analysis to examine the change in outcomes among 2 million SNF beneficiaries. We found that dual eligibles experienced greater increases in SNF expenditures than Medicare-only beneficiaries ($771.4 vs. $418.5). No meaningful differences were observed in the change in quality or postacute care use patterns. The increase in SNF expenditure could be due to upcoding or comorbidities not accounted for previously.”

According to the news reporters, the research concluded: “Our results illustrate the heterogeneous effects of the PDPM.”

This research has been peer-reviewed.

For more information on this research see: Association Between the Patient-Driven Payment Model and Therapy Use, Patient Outcomes, SNF Expenditures, and Postacute Care Use Among Skilled Nursing Facility Beneficiaries by Dual Eligibility. Medical Care Research and Review, 2025:10775587251381534. Medical Care Research and Review can be contacted at: Sage Publications Inc, 2455 Teller Rd, Thousand Oaks, CA 91320, USA. (Sage Publications - http://www.sagepub.com/; Medical Care Research and Review - mcr.sagepub.com)

Our news correspondents report that additional information may be obtained by contacting Fangli Geng, Brown University, Providence, RI, United States. Additional authors for this research include Xiao Joyce Wang, Cyrus M. Kosar, Christopher M. Santostefano, David C. Grabowski and Momotazur Rahman.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1177/10775587251381534. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

The publisher of the journal Medical Care Research and Review can be contacted at: Sage Publications Inc, 2455 Teller Rd, Thousand Oaks, CA 91320, USA.

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