Nursing Homes as Insurers? The Effect of Provider‐Led Institutional Special Needs Plans
Provider-led I-SNPs allow nursing homes to bear financial risk for their residents. These results suggest that this form of risk bearing may successfully reduce utilization (e.g., hospitalizations), but with unclear implications for quality as increased use of sedating drugs and rates of pressure ulcers could either reflect poorer care or retention of sicker patients due to lower hospitalization rates.
Authors
- David C. Grabowski (ORCID: https://orcid.org/0000-0003-2915-5770)
- J. Michael McWilliams
- Mary Beth Landrum (ORCID: https://orcid.org/0000-0001-5055-8473)
- Amanda Chen (ORCID: https://orcid.org/0000-0003-3933-8570)
Institutions
- Brigham and Women's Hospital (US)
- LAC+USC Medical Center (US)
- Harvard University (US)
- Tohoku Medical and Pharmaceutical University (JP)
Publication Details
- Journal
- Health Services Research
- Published
- 2025-11-09
- DOI
- https://doi.org/10.1111/1475-6773.70067
- Primary Topic
- Geriatric Care and Nursing Homes
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- National Institutes of Health