The Association Between Facility Affiliations and Revenue Generation in Skilled Nursing Facilities – An Exploratory Study
Bradley Beauvais, Michael Mileski, Zo Ramamonjiarivelo, Kimberly Ann Lee, Clemens Scott Kruse, Jose Betancourt, Rohit Pradhan, Ramalingam Shanmugam School of Health Administration, Texas State University, San Marcos, TX, USACorrespondence: Bradley Beauvais, School of Health Administration, Texas Sta...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Dove Medical Press
2023-10-01
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| Series: | Journal of Multidisciplinary Healthcare |
| Subjects: | |
| Online Access: | https://www.dovepress.com/the-association-between-facility-affiliations-and-revenue-generation-i-peer-reviewed-fulltext-article-JMDH |
| _version_ | 1797650909357932544 |
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| author | Beauvais B Mileski M Ramamonjiarivelo Z Lee KA Kruse CS Betancourt J Pradhan R Shanmugam R |
| author_facet | Beauvais B Mileski M Ramamonjiarivelo Z Lee KA Kruse CS Betancourt J Pradhan R Shanmugam R |
| author_sort | Beauvais B |
| collection | DOAJ |
| description | Bradley Beauvais, Michael Mileski, Zo Ramamonjiarivelo, Kimberly Ann Lee, Clemens Scott Kruse, Jose Betancourt, Rohit Pradhan, Ramalingam Shanmugam School of Health Administration, Texas State University, San Marcos, TX, USACorrespondence: Bradley Beauvais, School of Health Administration, Texas State University, San Marcos, TX, USA, Tel +1 (210)627-1078, Email bmb230@txstate.eduBackground: Although hospitals have been the traditional setting for interventional and rehabilitative care, skilled nursing facilities (SNFs) can offer a high-quality and less costly alternative than hospitals. Unfortunately, the financial health of SNFs is often a matter of concern. To partially address these issues, SNF leaders have increased engagement in a number of affiliations to assist in improving quality and reducing operational costs, including Accountable Care Organizations (ACOs), Health Information Exchanges (HIEs), and participation in Bundled Payment for Care Improvement (BPCI) programs. What is not well understood is what impact these affiliations have on the financial viability of the host organizations. Given these factors, this study aims to identify what association, if any, exists between SNF affiliations and revenue generation.Methods: Data from calendar year 2022 for n=13,447 SNFs in the US were assessed using multivariate regression analysis. We evaluated two separate dependent measures of revenue generation capacity: net patient revenue per bed and net patient revenue per discharge and considered three unique facility affiliations including (1) ACOs, (2) HIEs, and (3) BPCI participants.Results: Six multivariable linear regressions revealed that ACO affiliation is negatively associated with revenue generation on both dependent measures, while HIE affiliation and BPCI participation reflected mixed results.Conclusion: A better understanding of the financial impact of SNFs’ affiliations may prove insightful. By carefully considering the value of each affiliation, and how each is applicable to any given market, policymakers, funding agencies, and facility leaders may be able to better position SNFs for more sustainable financial performance in a challenging economic environment.Keywords: skilled nursing facilities, accountable care organizations, health information exchanges, bundled payment for care improvement, revenue, discharges |
| first_indexed | 2024-03-11T16:08:28Z |
| format | Article |
| id | doaj.art-920c2c1af64044b68b97a8189dddf58b |
| institution | Directory Open Access Journal |
| issn | 1178-2390 |
| language | English |
| last_indexed | 2024-03-11T16:08:28Z |
| publishDate | 2023-10-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Journal of Multidisciplinary Healthcare |
| spelling | doaj.art-920c2c1af64044b68b97a8189dddf58b2023-10-24T17:05:48ZengDove Medical PressJournal of Multidisciplinary Healthcare1178-23902023-10-01Volume 163099311487557The Association Between Facility Affiliations and Revenue Generation in Skilled Nursing Facilities – An Exploratory StudyBeauvais BMileski MRamamonjiarivelo ZLee KAKruse CSBetancourt JPradhan RShanmugam RBradley Beauvais, Michael Mileski, Zo Ramamonjiarivelo, Kimberly Ann Lee, Clemens Scott Kruse, Jose Betancourt, Rohit Pradhan, Ramalingam Shanmugam School of Health Administration, Texas State University, San Marcos, TX, USACorrespondence: Bradley Beauvais, School of Health Administration, Texas State University, San Marcos, TX, USA, Tel +1 (210)627-1078, Email bmb230@txstate.eduBackground: Although hospitals have been the traditional setting for interventional and rehabilitative care, skilled nursing facilities (SNFs) can offer a high-quality and less costly alternative than hospitals. Unfortunately, the financial health of SNFs is often a matter of concern. To partially address these issues, SNF leaders have increased engagement in a number of affiliations to assist in improving quality and reducing operational costs, including Accountable Care Organizations (ACOs), Health Information Exchanges (HIEs), and participation in Bundled Payment for Care Improvement (BPCI) programs. What is not well understood is what impact these affiliations have on the financial viability of the host organizations. Given these factors, this study aims to identify what association, if any, exists between SNF affiliations and revenue generation.Methods: Data from calendar year 2022 for n=13,447 SNFs in the US were assessed using multivariate regression analysis. We evaluated two separate dependent measures of revenue generation capacity: net patient revenue per bed and net patient revenue per discharge and considered three unique facility affiliations including (1) ACOs, (2) HIEs, and (3) BPCI participants.Results: Six multivariable linear regressions revealed that ACO affiliation is negatively associated with revenue generation on both dependent measures, while HIE affiliation and BPCI participation reflected mixed results.Conclusion: A better understanding of the financial impact of SNFs’ affiliations may prove insightful. By carefully considering the value of each affiliation, and how each is applicable to any given market, policymakers, funding agencies, and facility leaders may be able to better position SNFs for more sustainable financial performance in a challenging economic environment.Keywords: skilled nursing facilities, accountable care organizations, health information exchanges, bundled payment for care improvement, revenue, dischargeshttps://www.dovepress.com/the-association-between-facility-affiliations-and-revenue-generation-i-peer-reviewed-fulltext-article-JMDHskilled nursing facilitiesaccountable care organizationshealth information exchangesbundled payment for care improvementrevenuedischarges |
| spellingShingle | Beauvais B Mileski M Ramamonjiarivelo Z Lee KA Kruse CS Betancourt J Pradhan R Shanmugam R The Association Between Facility Affiliations and Revenue Generation in Skilled Nursing Facilities – An Exploratory Study Journal of Multidisciplinary Healthcare skilled nursing facilities accountable care organizations health information exchanges bundled payment for care improvement revenue discharges |
| title | The Association Between Facility Affiliations and Revenue Generation in Skilled Nursing Facilities – An Exploratory Study |
| title_full | The Association Between Facility Affiliations and Revenue Generation in Skilled Nursing Facilities – An Exploratory Study |
| title_fullStr | The Association Between Facility Affiliations and Revenue Generation in Skilled Nursing Facilities – An Exploratory Study |
| title_full_unstemmed | The Association Between Facility Affiliations and Revenue Generation in Skilled Nursing Facilities – An Exploratory Study |
| title_short | The Association Between Facility Affiliations and Revenue Generation in Skilled Nursing Facilities – An Exploratory Study |
| title_sort | association between facility affiliations and revenue generation in skilled nursing facilities ndash an exploratory study |
| topic | skilled nursing facilities accountable care organizations health information exchanges bundled payment for care improvement revenue discharges |
| url | https://www.dovepress.com/the-association-between-facility-affiliations-and-revenue-generation-i-peer-reviewed-fulltext-article-JMDH |
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