Using Incentives to Reduce Hospitalizations and Enhance Quality for Nursing Home Residents in New York State


Preliminary research suggests that the uneven availability and quality of clinical services in many nursing facilities is a primary reason for high rates of hospitalization among residents. Many costly hospital stays could be avoided if appropriate clinical resources were in place. For this project, the New York State Department of Health (DOH) proposes to: 1) further study the relationship among hospitalizations, availability of clinical resources in nursing homes, and costs; and 2) design a new payment model that rewards better management of at-risk or acutely ill patients. The study team will seek agreement by the Centers for Medicare and Medicaid Services (CMS) to test the payment model. Project results will be of interest not only to New York and CMS officials, but to the many other states struggling with hospitalization costs and poor medical care in nursing homes. The New York State DOH will provide in-kind support.

Grant Details

Grantee Organization:
New York State Department of Health/ Health Research, Inc.
Principal Investigator:
Nancy R. Barhydt
Award Amount:
Approval Date:
July 12, 2005

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