Postacute Care: Reasons for its growth and a proposal for its control through the early detection, treatment, and prevention of hospital-acquired disability

Andrea L. Cheville, Jeffrey R. Basford

Research output: Contribution to journalComment/debate

1 Scopus citations

Abstract

Postacute care costs have doubled over the past decade and now account for 17% of Medicare fee-for-service spending. Costs are forecast to continue to rise, paradoxically in large part in response to federal policies and efforts to control health care costs. This commentary introduces a potential solution to this situation and is divided into 4 parts. The first provides a brief review of the policies fostering this growth. The second assesses how the responses of health care providers, while inherently rational, are destructive to the system. The third identifies hospital-acquired disability as a modifiable driver in this scenario, and the fourth discusses how an improvement in detection and a redistribution of hospital-based rehabilitation services may be able to reverse this unsustainable growth.

Original languageEnglish (US)
Pages (from-to)1997-1999
Number of pages3
JournalArchives of Physical Medicine and Rehabilitation
Volume95
Issue number11
DOIs
StatePublished - Nov 1 2014

Keywords

  • Function
  • Healthcare utilization
  • Policy
  • Post acute care
  • Rehabilitation
  • Reimbursement

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation

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