WHOM DO WE SERVE? DESCRIBING THE TARGET POPULATION FOR POST-ACUTE AND LONG-TERM CARE, FOCUSING ON NURSING FACILITY SETTINGS, IN THE ERA OF POPULATION HEALTH

White Paper
Advance Care Planning, Centers for Medicare and Medicaid (CMS), Payment, Practitioners, Attending Physician, Nurse Practitioner (NP), Physician Assistant (PA)
NP/PA, Physician
March 19, 2016

March 2016

Introduction

Post-acute care is comprised of medical, rehabilitation and nursing services aiming to restore maximal medical and functional status of patients discharged from hospitals. Long-term care refers to the services and supports provided for meeting personal care needs of persons with chronic medical conditions and/ disabilities. The costs of PA-LTC services are mainly supported by Medicare and Medicaid and represent a significant proportion of national health expenditures.

The current report is focused on:

  • Trends in PA-LTC utilization;
  • Differences in the medical conditions addressed by different PA-LTC settings;
  • The demographic characteristics of those served in NF;
  • Medicare spending and resource utilization by the PA-LTC population

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    Authors: Stefan David MD1, Fatima Sheikh MD, CMD, MPH1, Dheeraj Mahajan, MD, CMD, FACP2, William Greenough MD, FACP1 and Michele Bellantoni MD, CMD