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NEW study by Ashvin Gandhi & Andrew Olenski find nursing homes hide profits through related party transactions. Brittany Trang covers the study in STAT. Here is a short thread on why this matters for nursing home policy. statnews.com/2024/03/07/nur…

Tomorrow David Grabowski will present at @GlobaObLTC webinar on COVID-19 Lessons for Care Home Regulatory Approaches, with a reflection of what we needs to learn from COVID & challenges for US Nursing Home reforms on: 👉Staff ratios 👉Financial/ownership transparency 👉Quality

🚨New NBER with Andrew Olenski on major hidden profits in the healthcare sector! Bear with me as I explain how nursing homes are able to hide almost 2/3 of their profits from regulators and the public! I promise it's worth it! 🧵1/17 Paper: nber.org/papers/w32258

NEW JAMA Network Open paper led by Amanda Chen What happened when star ratings were introduced for home health agencies? HHA-reported measures showed improvement but more objective measures did not, raising concern about use of HHA-reported measures jamanetwork.com/journals/jaman…

One month later, and we made it into the text of the new minimum staffing rule!

I spoke to Samantha Fields NPR Marketplace about the new federal rule mandating staff levels in nursing homes. Although the rule is far from perfect, "This is the biggest reform in nursing home policy in decades.” marketplace.org/2024/04/24/new…

Patients and caregivers strongly prefer high-quality, home-based post-acute care vs facility-based care. Targeted support for disadvantaged groups facing constraints is essential to ensure equitable access. ja.ma/4bcyo2J David Grabowski

NEW JAMA Health Forum paper led by Fangli Geng. In a discrete choice experiment, we found patients were willing to pay an additional $58.08 per day for home health care compared with a shared skilled nursing facility room, while caregivers would pay $45.54 per day

Most viewed in the last 7 days from JAMA Health Forum: Between home-based and facility-based settings, what are the postacute care preferences of patients and caregivers? ja.ma/3WrhAkh

Nursing homes accepting Covid-positive admissions experienced increased resident Covid-19 cases & deaths relative to facilities without. The associations were larger in facilities w/ personal protective equipment & potential staff shortages. ja.ma/3Rc5Oah Michael L. Barnett

New JAMA Internal Medicine paper with Brian McGarry Ashvin Gandhi Jiamin Yin and Afroze Chughtai Harvard Health Policy and Management! We explored if COVID+ hospital admissions to nursing homes early in the pandemic led to COVID outbreaks. Much discussed but never studied! jamanetwork.com/journals/jamai… brief thread

Great to see this out in print... many of us said admitting COVID-positive patients to nursing homes early in the pandemic was bad policy, this paper confirms it.

Norma Coe will be sharing a paper about how the care team mix affects care recipient outcomes (joint w RT Konetzka me and Anirban Basu) and then I will talk about causal evidence of effects of family care as well as policies showing promise.

Been awhile since I've posted an update on employment trends from BLS-Labor Statistics. SNFs are hovering close to prepandemic levels. Hospitals' recent growth is on pace w rest of economy. And quite fast growth in home health! How does this track with folks on the ground?

Nursing homes were greatly impacted by COVID-19 pandemic. Did we learn anything? In new Health Affairs piece with Tamara Konetzka & Vince Mor, we argue nursing home residents & staff will remain at substantial risk unless we undertake systemic changes healthaffairs.org/doi/10.1377/hl…

Another hefty #SkilledNursing workforce analysis out today UW CHWS! We looked at occupations *outside* of nursing and found some interesting variability in staffing levels and contractor staffing across the different job roles, based on specific SNF characteristics:

What do we know about speech language pathologists, pharmacists, PTs, OTs and more working in skilled nursing facilities? Not a ton even though many types of occupations are employed in SNFs as Rachel Prusynski, DPT, PhD unpacks in this UW CHWS report! Joanne Spetz David Grabowski Brian McGarry

EXCITING ANNOUNCEMENT 🎉 On Tues 29 Oct, we're hosting webinar sessions throughout the #InternationalDayofCareAndSupport, covering a range of #Care topics, w/ speakers incl Jose Luis Fernandez 🇪🇺, Shereen Hussein, @StefaniaIlinca1, Brian McGarry + more! REGISTER NOW: lse.zoom.us/meeting/regist…

Nursing homes that mandated staff vaccination before state and federal mandates saved many residents' lives. Any effects on staff turnover and quality of care were small, from Ashvin Gandhi, Ian Larkin, @mcgarrybe, Katherine Wen, Huizi Yu, Sarah Berry, Vincent Mor, Maggie Syme,

For our third paper of the morning at #SHESG2024 Ljubica Ristovska (Ljubica (LJ) Ristovska - LJ to her friends) presents work on the impact of prior authorization for drugs in Medicaid. (Hiring committees out there: LJ is on the market this year and this excellent work is her JMP.)