Skilled nursing facilities (SNFs) are vital to a patient’s post-acute care journey; but for some, getting care in the home may be more desirable and may result in better outcomes. In 2018, Massachusetts had the 6th highest SNF stays per 1000 Medicare enrollees nationally. A Medicare Accountable Care Organization (ACO) patient admitted to a SNF is followed by a Transitional Care Manager (TCM), who tracks the patient’s stay from admission to discharge and reports this information in a post-acute care tracking (PACT) tool. In September 2021, the tool began to assess SNF overutilization by tracking avoidable SNF admissions and resources that could have prevented an admission.
To read this article in full you will need to make a payment
Purchase one-time access:Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
One-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:Subscribe to Journal of the American Medical Directors Association
Already a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
© 2022 Published by Elsevier Inc.