Variation in Employment of Therapy Assistants in Skilled Nursing Facilities Based on Organizational Factors

Therapy assistants represent approximately half of the therapy workforce in skilled nursing facilities. Employment of therapy assistants enables skilled nursing facilities to provide more therapy services at lower costs. As new payment mechanisms provide incentives for therapy in skilled nursing facilities, employment of therapy assistants may be a cost-effective way to continue to provide services…

Therapy Staffing in Skilled Nursing Facilities Declined After Implementation of the Patient-driven Payment Model

The Patient-Driven Payment Model (PDPM) is a new reimbursement policy for skilled nursing facilities (SNFs) that was implemented by the Centers for Medicare & Medicaid Services in 2019. PDPM disincentivizes provision of intensive physical and occupational therapy, which has caused concerns that declines in therapy staffing may negatively impact patient outcomes. Therapy staff includes physical…

Therapy Staffing in Skilled Nursing Facilities Declined After Implementation of the Patient-driven Payment Model

The Patient-Driven Payment Model (PDPM) is a new reimbursement policy for skilled nursing facilities (SNFs) that was implemented by the Centers for Medicare & Medicaid Services in 2019. PDPM disincentivizes provision of intensive physical and occupational therapy, which has caused concerns that declines in therapy staffing may negatively impact patient outcomes. Therapy staff includes physical…

Variation in Employment of Therapy Assistants in Skilled Nursing Facilities Based on Organizational Factors

Therapy assistants represent approximately half of the therapy workforce in skilled nursing facilities. Employment of therapy assistants enables skilled nursing facilities to provide more therapy services at lower costs. As new payment mechanisms provide incentives for therapy in skilled nursing facilities, employment of therapy assistants may be a cost-effective way to continue to provide services…

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