Changing Patient Medical Complexity After Skilled Nursing Facility Payment Reform: An Interrupted Time Series Analysis

Medicare implemented a new skilled nursing facility (SNF) payment model, the Patient-Driven Payment Model (PDPM), in part to incentivize SNFs to admit more medically complex patients. However, it is unclear whether PDPM led to changes in case-mix in SNFs, and whether response to PDPM differed by SNF quality rating.