These three reports examine the relatively high use of hospital and other Medicare-covered services and the associated costs of medical care for Medicare beneficiaries who live in nursing homes and other long-term-care facilities. They also explore the potential for delivery system reforms to improve quality and reduce costs.

Medicare Spending and Use of Medical Services for Beneficiaries in Nursing Homes and Other Long-Term Care Facilities: A Potential for Achieving Medicare Savings and Improving the Quality of Care

To Hospitalize or Not to Hospitalize? Medical Care for Long-Term Care Facility Residents

Financial Incentives in the Long-Term Care Context: A First Look at Relevant Information

The three reports were released at an Oct. 12 policy briefing at the Foundation’s Washington office, featuring opening remarks by Donald Berwick, the administrator of the Centers for Medicare and Medicaid Services. Foundation Principal Policy Analyst Gretchen Jacobson and Lake Research Associates Partner Michael Perry presented research findings, and Foundation Vice President Tricia Neuman moderated a discussion on the implications of the research findings with Toby S. Edelman, senior policy attorney at the Center for Medicare Advocacy; Larry Minnix, president and CEO of the American Association of Homes and Services for the Aging; and geriatrician Cheryl Phillips, immediate past president of the American Geriatrics Society and chief medical officer for On Lok Inc. Foundation Executive Vice President Diane Rowland also provided framing remarks.

Full Video

Transcript (.pdf)

Agenda (.pdf)

Speaker Bios (.pdf)

Presentation Slides:

• Jacobson (.pdf)
• Neuman (.pdf)
• Perry (.pdf)