New CMS Nursing Home Ownership Data: Major Gaps And Discrepancies.

IF 8.6 1区 医学 Q1 HEALTH CARE SCIENCES & SERVICES Health Affairs Pub Date : 2024-03-01 DOI:10.1377/hlthaff.2023.01110
Amanda C Chen, Robert J Skinner, Robert Tyler Braun, R Tamara Konetzka, David G Stevenson, David C Grabowski
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Abstract

Nursing home ownership has become increasingly complicated, partly because of the growth of facilities owned by institutional investors such as private equity (PE) firms and real estate investment trusts (REITs). Although the ownership transparency and accountability of nursing homes have historically been poor, the Biden administration's nursing home reform plans released in 2022 included a series of data releases on ownership. However, our evaluation of the newly released data identified several gaps: One-third of PE and fewer than one-fifth of REIT investments identified in the proprietary Irving Levin Associates and S&P Capital IQ investment data were present in Centers for Medicare and Medicaid Services (CMS) publicly available ownership data. Similarly, we obtained different results when searching for the ten top common owners of nursing homes using CMS data and facility survey reports of chain ownership. Finally, ownership percentages were missing in the CMS data for 82.40 percent of owners in the top ten chains and 55.21 percent of owners across all US facilities. Although the new data represent an important step forward, we highlight additional steps to ensure that the data are timely, accurate, and responsive. Transparent ownership data are fundamental to understanding the adequacy of public payments to provide patient care, enable policy makers to make timely decisions, and evaluate nursing home quality.

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新的 CMS 养老院所有权数据:主要差距和差异。
养老院所有权变得越来越复杂,部分原因是私募股权(PE)公司和房地产投资信托基金(REITs)等机构投资者所拥有的养老院越来越多。虽然养老院所有权的透明度和问责制历来较差,但拜登政府在 2022 年发布的养老院改革计划中包含了一系列有关所有权的数据发布。然而,我们对新发布的数据进行了评估,发现了一些不足之处:在 Irving Levin Associates 和 S&P Capital IQ 的专有投资数据中,有三分之一的私募股权投资和不到五分之一的房地产投资信托基金投资出现在医疗保险和医疗补助服务中心(CMS)公开的所有权数据中。同样,当我们使用 CMS 数据和连锁所有权的设施调查报告来搜索疗养院的十大共同所有者时,也得到了不同的结果。最后,在 CMS 数据中,有 82.40% 的前十大连锁所有者和 55.21% 的美国所有养老机构所有者的所有权百分比缺失。尽管新数据是向前迈出的重要一步,但我们仍强调了确保数据及时、准确和反应迅速的其他步骤。透明的所有权数据是了解公共支付是否足以提供患者护理、使政策制定者及时做出决策以及评估养老院质量的基础。
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来源期刊
Health Affairs
Health Affairs 医学-卫生保健
CiteScore
15.00
自引率
2.10%
发文量
246
审稿时长
3-6 weeks
期刊介绍: Health Affairs is a prestigious journal that aims to thoroughly examine significant health policy matters both domestically and globally. Our publication is committed to addressing issues that are relevant to both the private and public sectors. We are enthusiastic about inviting private and public decision-makers to contribute their innovative ideas in a publishable format. Health Affairs seeks to incorporate various perspectives from industry, labor, government, and academia, ensuring that our readers benefit from the diverse viewpoints within the healthcare field.
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