David C. Grabowski
YOU?
Author Swipe
View article: Asset Spend-Down and Medicaid Enrollment in Nursing Homes
Asset Spend-Down and Medicaid Enrollment in Nursing Homes Open
Importance Medicaid eligibility for nursing home care is determined in part by an individual’s (or a couples’, if married) financial resources, including income and assets. To qualify, individuals must “spend down” their resources to meet …
View article: Nursing Homes as Insurers? The Effect of Provider‐Led Institutional Special Needs Plans
Nursing Homes as Insurers? The Effect of Provider‐Led Institutional Special Needs Plans Open
Objective To estimate the effect of starting a provider‐led Institutional Special Needs Plan (I‐SNP) arrangement on facility‐level enrollment, utilization, and quality. Study Setting and Design I‐SNPs are a type of Medicare Advantage (MA) …
View article: Long-Term Services and Supports in Supplemental Benefits in Medicare Advantage Plans
Long-Term Services and Supports in Supplemental Benefits in Medicare Advantage Plans Open
Importance Medicare Advantage (MA) plans have had the ability to offer long-term services and supports (LTSS) supplemental benefits (eg, in-home support services, adult day health services, caregiver support, home-based palliative care, an…
View article: Specialization of Home Health Agencies to Deliver Care for Medicare Advantage Patients
Specialization of Home Health Agencies to Deliver Care for Medicare Advantage Patients Open
Importance Enrollment in Medicare Advantage (MA) is expected to continue growing. Previous studies have examined differences in the use and quality of home health care between MA and traditional Medicare, but less is known about outcomes a…
View article: The dementia care workforce: Essential to care but large research gaps exist
The dementia care workforce: Essential to care but large research gaps exist Open
People living with dementia and their care partners benefit from services and supports from a wide variety of healthcare and social service professionals. This article provides an overview of the dementia care workforce and highlights gaps…
View article: “They Want in”: Nursing Home Administrators’ Experiences Managing COVID-19 Pandemic Visitation Restrictions
“They Want in”: Nursing Home Administrators’ Experiences Managing COVID-19 Pandemic Visitation Restrictions Open
Policymakers should clarify future visitation regulations in nursing homes based on insights from administrators while ensuring clear communication and delineation policies for compassionate care and essential caregiver programs. Policymak…
View article: Trends in hospital discharge outcomes among high-risk Medicare beneficiaries before and during the COVID-19 pandemic
Trends in hospital discharge outcomes among high-risk Medicare beneficiaries before and during the COVID-19 pandemic Open
Introduction Medicare beneficiaries face significant health risks and care disruptions during public health emergencies, but little is known about how care patterns evolved throughout the COVID-19 pandemic or differed between traditional M…
View article: Use of Nursing Homes Among Medicaid Beneficiaries Newly Diagnosed With Cancer
Use of Nursing Homes Among Medicaid Beneficiaries Newly Diagnosed With Cancer Open
View article: Implementation challenges of the new federal nursing home staffing rules will vary across states
Implementation challenges of the new federal nursing home staffing rules will vary across states Open
View article: Do Higher-Cost Settings Deliver Better Outcomes? Post-Acute Care Efficiency in Medicare Skilled Nursing Facilities and Home Health Agencies
Do Higher-Cost Settings Deliver Better Outcomes? Post-Acute Care Efficiency in Medicare Skilled Nursing Facilities and Home Health Agencies Open
View article: PSYCHOTHERAPY AND CARE QUALITY OF LONG-STAY NURSING HOME RESIDENTS WITH MENTAL ILLNESS OR DEMENTIA
PSYCHOTHERAPY AND CARE QUALITY OF LONG-STAY NURSING HOME RESIDENTS WITH MENTAL ILLNESS OR DEMENTIA Open
This study aims to fill the knowledge gap on the effect of psychotherapy on the quality of care of long-stay nursing home (NH) residents with mental illness or Alzheimer’s Disease and Related Dementias (ADRD). The 2017-2018 MDS and Medicar…
View article: AGREEMENT OF MEDICARE PART D VS. MINIMUM DATA SET REPORTED MENTAL HEALTH DRUGS USE IN NURSING HOMES
AGREEMENT OF MEDICARE PART D VS. MINIMUM DATA SET REPORTED MENTAL HEALTH DRUGS USE IN NURSING HOMES Open
Researchers have often used the nursing home Minimum Data Set (MDS) data to measure the rate of medication use, but little evidence exists on the accuracy of the MDS-based medication items. We compared quarterly rates of antipsychotic, ant…
View article: All-cause nursing home mortality rates have remained above pre-pandemic levels after accounting for decline in occupancy
All-cause nursing home mortality rates have remained above pre-pandemic levels after accounting for decline in occupancy Open
During the initial year of the COVID-19 pandemic, a disproportionate share of COVID-19–related deaths occurred among nursing home residents. Initial estimates of all-cause mortality rates also spiked in early and late 2020 before falling t…
View article: A Novel Recombinant Vitronectin Variant Supports the Expansion and Differentiation of Pluripotent Stem Cells in Defined Animal-Free Workflows
A Novel Recombinant Vitronectin Variant Supports the Expansion and Differentiation of Pluripotent Stem Cells in Defined Animal-Free Workflows Open
An essential aspect of harnessing the potential of pluripotent stem cells (PSCs) and their derivatives for regenerative medicine is the development of animal-free and chemically defined conditions for ex vivo cultivation. PSCs, including e…
View article: Hospital–Skilled Nursing Facility Integration and Participation in a Bundled Payment Initiative
Hospital–Skilled Nursing Facility Integration and Participation in a Bundled Payment Initiative Open
Importance Reduced institutional postacute care has been associated with savings in alternative payment models. However, organizations may avoid voluntary participation if participation could threaten their own revenues. Objective To chara…
View article: The extended impact of the <scp>COVID</scp> ‐19 pandemic on long‐term care residents in Medicare with frailty or dual Medicaid enrollment
The extended impact of the <span>COVID</span> ‐19 pandemic on long‐term care residents in Medicare with frailty or dual Medicaid enrollment Open
Background Although many healthcare settings have since returned to pre‐pandemic levels of operation, long‐term care (LTC) facilities have experienced extended and significant changes to operations, including unprecedented levels of short …
View article: Mental health in nursing homes: The role of immigration in the long-term care workforce
Mental health in nursing homes: The role of immigration in the long-term care workforce Open
View article: Preferences for Postacute Care at Home vs Facilities
Preferences for Postacute Care at Home vs Facilities Open
Importance Two in 5 US hospital stays result in rehabilitative postacute care, typically through skilled nursing facilities (SNFs) or home health agencies (HHAs). However, a lack of clear guidelines and understanding of patient and caregiv…
View article: Claims-Based vs Agency-Reported Patient Outcomes Among Home Health Agencies, 2013-2019
Claims-Based vs Agency-Reported Patient Outcomes Among Home Health Agencies, 2013-2019 Open
Importance Given the growth of home health agency (HHA) care, it is important to understand whether quality reporting programs, such as star ratings, are associated with improved patient outcomes. Objective To assess the immediate and long…
View article: Nursing Homes Increasingly Rely On Staffing Agencies For Direct Care Nursing
Nursing Homes Increasingly Rely On Staffing Agencies For Direct Care Nursing Open
When nursing homes experience a shortage in directly employed nursing staff, they may rely on temporary workers from staffing agencies to fill this gap. This article examines trends in the use of staffing agencies among nursing homes durin…
View article: Clinical Risk and Outpatient Therapy Utilization for COVID-19 in the Medicare Population
Clinical Risk and Outpatient Therapy Utilization for COVID-19 in the Medicare Population Open
Importance Multiple therapies are available for outpatient treatment of COVID-19 that are highly effective at preventing hospitalization and mortality. Although racial and socioeconomic disparities in use of these therapies have been docum…
View article: Nursing Home Staffing: Share Of Immigrant Certified Nursing Assistants Grew As US-Born Staff Numbers Fell, 2010–21
Nursing Home Staffing: Share Of Immigrant Certified Nursing Assistants Grew As US-Born Staff Numbers Fell, 2010–21 Open
Nursing homes have long faced a shortage of direct care workers, a problem that was magnified during the COVID-19 pandemic. Using nationally representative data from three sources, we found that much of the certified nursing assistant (CNA…
View article: Changes in Care Associated With Integrating Medicare and Medicaid for Dual-Eligible Individuals
Changes in Care Associated With Integrating Medicare and Medicaid for Dual-Eligible Individuals Open
Importance There is growing interest in expanding integrated models, in which 1 insurer manages Medicare and Medicaid spending for dually eligible individuals. Fully integrated dual-eligible special needs plans (FIDE-SNPs) are one of the l…
View article: Impact of dementia special care units for short‐stay nursing home patients
Impact of dementia special care units for short‐stay nursing home patients Open
Background Improving quality of care provided to short‐stay patients with dementia in nursing homes is a policy priority. However, it is unknown whether dementia‐focused care strategies are associated with improved clinical outcomes or low…
View article: NURSING HOME WORKFORCE CHALLENGES: INCREASED NURSING STAFF LABOR COSTS AND USE OF AGENCY STAFF FROM 2017 TO 2021
NURSING HOME WORKFORCE CHALLENGES: INCREASED NURSING STAFF LABOR COSTS AND USE OF AGENCY STAFF FROM 2017 TO 2021 Open
Nursing homes face rapidly increasing wages and change their input mix as they face workforce shortfalls. For 15,959 freestanding NHs from 2017-2021, the proportion of hours worked by agency staff and the median wage cost per hour of agenc…
View article: &ldquo;All Hands on Deck&rdquo;: Administrator Perspectives on Managing COVID-19 Outbreaks in U.S. Nursing Homes
“All Hands on Deck”: Administrator Perspectives on Managing COVID-19 Outbreaks in U.S. Nursing Homes Open
Context: Managing COVID-19 outbreaks at U.S. nursing homes highlight the structural weaknesses of pre-pandemic long-term care emergency preparedness protocols. Objective: To understand how nursing home administrators managed staffing and f…
View article: Post-Acute Care in China: Development, Challenges, and Path Forward
Post-Acute Care in China: Development, Challenges, and Path Forward Open
Although China has made substantial progress in its PAC system over 2 decades, continued efforts are needed to address its lingering challenges. Elevating awareness of PAC's significance and instituting policy adjustments targeting these c…
View article: Caring for nursing home residents with dementia during the <scp>COVID</scp> ‐19 pandemic: Perspectives from administrators
Caring for nursing home residents with dementia during the <span>COVID</span> ‐19 pandemic: Perspectives from administrators Open
See related Editorial by Unroe and Towsley in this issue.
View article: Earnings, job satisfaction, and turnover of nurse practitioners across employment settings
Earnings, job satisfaction, and turnover of nurse practitioners across employment settings Open
Nurse practitioners (NPs) are an important part of the health care workforce. However, little information is available on NP earnings, job satisfaction, or turnover. National survey data from 2018 offer a pre–COVID-19 baseline for ongoing …
View article: Caregiving across generations: Do older adults with more grandchildren get another bite at the “sandwich” generation?
Caregiving across generations: Do older adults with more grandchildren get another bite at the “sandwich” generation? Open