Do Acquisitions of Hospice Agencies by Private Equity Firms and Publicly Traded Corporations Impact End-of-Life Quality and Cost of Care?
私募股权公司和上市公司收购临终关怀机构是否会影响临终护理质量和护理成本?
基本信息
- 批准号:10351004
- 负责人:
- 金额:$ 11.3万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2022
- 资助国家:美国
- 起止时间:2022-03-01 至 2027-01-31
- 项目状态:未结题
- 来源:
- 关键词:AdministratorAffectAgingApplications GrantsAreaAtlasesBehaviorCaringCharacteristicsClient satisfactionClinicalCross-Sectional StudiesDataDatabasesEducationElderlyEventFee-for-Service PlansFoundationsFundingGeriatricsGoalsGrowthHealth PolicyHealth ResourcesHealth SciencesHealth ServicesHealthcareHollyHospice CareIncentivesIndustryInterviewInvestmentsLeadershipLong-Term CareMedicareMedicare claimMentored Research Scientist Development AwardMentorsMethodologyMethodsModelingNational Institute on AgingNursing StaffOrganizational CultureOutcomeOwnershipPatientsPerceptionPhysician ExecutivesPhysiciansPoliciesPrivatizationProcessProviderPublic HealthQualitative MethodsQualitative ResearchQuality of CareQuality of lifeQuasi-experimentResearchResearch DesignResearch PersonnelResearch TrainingRoleStructureTrainingUnited States Centers for Medicare and Medicaid ServicesUniversitiesWorkcare costscare deliverycareerclinical carecosteconometricsend of lifeend of life carehealth care deliveryhealth care service organizationhospice environmentimprovedinstructorintervention deliverymedical schoolsmid-career facultynoveloperationpatient populationpaymentpopulation healthpressureprofessorresponseservice providersskillssuccesstrend
项目摘要
PROJECT SUMMARY/ABSTRACT
This is a K01 Mentored Research Scientist Development Award submitted to the National
Institute on Aging by Robert Tyler Braun, an Instructor in the Department of Population Health Sciences
at Weill Cornell Medical College (WCMC). Dr. Braun's career goal is to become an independent
researcher on improving end-of-life care for the elderly by assessing various policy interventions and
delivery models of hospice care. This K01 application will provide Dr. Braun with the necessary training
1) to gain expertise in aging and hospice research; 2) to understand clinical care for hospice patients;
and 3) to gain methodological skills to conduct qualitative studies related to hospice delivery and care.
Dr. Braun has assembled a mentor team of accomplished researchers from WCMS and
Vanderbilt University School of Medicine (VUSM): Dr. Lawrence Casalino (primary mentor) who is the
Livingston Farrand Professor of Public Health at WCMC and an expert on health care organization and
behavior, and qualitative methods; Dr. Holly Prigerson (co-mentor) who is the Irving Sherwood Wrights
Professor of Geriatrics at WCMC and an expert on end-of-life care; Dr. David Stevenson (co-mentor) who
is a professor and the holder of the Endowed Directorship in Health Policy Education at VUMC and an
expert in the delivery of hospice care; and Dr. Mark Unruh (co-mentor) who is an Associate Professor in
the Department of Population Health Sciences at WCMC with expertise in long-term care and Medicare
claims data.
Over the past couple of decades, the hospice industry has moved from largely a not-for-profit
sector to predominately for-profit. Facilitated by relatively easy market entry and generous Medicare
payments, PE firms and PTCs have been acquiring hospices (many of them non-profit), with the goal to
deliver short-term, above market returns to their investors. Despite this emergence, little is known of its
effect on hospice care. Building on his previous research and training on assessing this phenomenon in
physician practices, Dr. Braun will identify the organizational, staffing, patient, and quality
characteristics associated with PE and PTC acquisitions using publicly available hospice data from Center
for Medicare and Medicaid Services (CMS) (Aim 1), use rigorous econometric methods to assess the
effect PE and PTC acquisition on hospice care using patient-level Medicare claims (Aim 2), and use
qualitative methods to assess organizational, cultural, and delivery aspects of hospices post-acquisition
integration (Aim 3). This research will be a foundation for an R01 grant application and will incorporate
the new skills acquired through his training, which inform opportunities for improvement in hospice
delivery of care.
项目总结/摘要
这是一个K 01指导研究科学家发展奖提交给国家
人口健康科学系讲师罗伯特泰勒布劳恩的老龄化研究所
威尔康奈尔医学院(Weill Cornell Medical College,WCMC)布劳恩博士的职业目标是成为一名独立的
通过评估各种政策干预措施改善老年人临终护理的研究员,
临终关怀的交付模式。此K 01应用程序将为Braun博士提供必要的培训
1)2)了解临终关怀病人的临床护理;
以及3)获得进行与临终关怀服务和护理相关的定性研究的方法技巧。
Braun博士组建了一个由来自WCMS的有成就的研究人员组成的导师团队,
范德比尔特大学医学院(VUSM):Lawrence卡萨利诺博士(主要导师),
利文斯顿Farrand WCMC公共卫生教授,卫生保健组织专家,
行为和定性方法;冬青Prigerson博士(共同导师)谁是欧文舍伍德赖特
WCMC老年医学教授和临终关怀专家;大卫史蒂文森博士(共同导师),
是一位教授和保持器的捐赠董事在卫生政策教育在VUMC和
在临终关怀的交付专家;和博士马克Unruh(共同导师)谁是副教授在
WCMC的人口健康科学部在长期护理和医疗保险方面拥有专业知识,
索赔数据。
在过去的几十年里,临终关怀行业已经从一个主要的非营利组织,
以营利为主导的行业。由于相对容易的市场准入和慷慨的医疗保险,
支付,PE公司和PTC一直在收购临终关怀(其中许多是非营利性的),目标是
为投资者提供短期高于市场的回报。尽管出现了这种情况,但人们对其知之甚少。
对临终关怀的影响根据他以前在评估这一现象方面的研究和培训,
医生的做法,布劳恩博士将确定组织,人员配备,病人,和质量
使用来自中心的公开可用临终关怀数据与PE和PTC收购相关的特征
对于医疗保险和医疗补助服务(CMS)(目标1),使用严格的计量经济学方法来评估
使用患者级医疗保险索赔(目标2)对临终关怀进行PE和PTC收购的影响,以及使用
定性方法来评估收购后的临终关怀的组织,文化和交付方面
整合(目标3)。这项研究将是R 01赠款申请的基础,并将纳入
通过培训获得的新技能,为改善临终关怀提供了机会
提供护理。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Robert Tyler Braun其他文献
Nursing home finances associated with real estate investment trust and private equity investments
与房地产投资信托和私募股权投资相关的疗养院财务
- DOI:
10.1093/haschl/qxae037 - 发表时间:
2024 - 期刊:
- 影响因子:0
- 作者:
Dunc Williams;Rahul Fernandez;David Stevenson;Mark Unruh;Robert Tyler Braun - 通讯作者:
Robert Tyler Braun
Physician Management Companies and Neonatology Prices, Utilization, and Clinical Outcomes.
医师管理公司和新生儿科价格、利用率和临床结果。
- DOI:
10.1542/peds.2022-057931 - 发表时间:
2023 - 期刊:
- 影响因子:8
- 作者:
Jiani Yu;Robert Tyler Braun;Amelia S Bond;Ambar La Forgia;A. Roychoudhury;Manyao Zhang;Jin Kim;L. Casalino - 通讯作者:
L. Casalino
Assessing Facility, Resident, and Financial Characteristics Associated with HUD 232–Sponsored Loan Participation in Nursing Homes
评估与美国住房和城市发展部(HUD)232计划资助的养老院贷款参与相关的设施、居民和财务特征
- DOI:
10.1016/j.jamda.2025.105630 - 发表时间:
2025-07-01 - 期刊:
- 影响因子:3.800
- 作者:
Robert Tyler Braun;David Rosenkranz;Rahul Fernandez;David G. Stevenson;David C. Grabowski;Dunc Williams;Luz Jimenez;John Bowblis - 通讯作者:
John Bowblis
Robert Tyler Braun的其他文献
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{{ truncateString('Robert Tyler Braun', 18)}}的其他基金
Do Acquisitions of Hospice Agencies by Private Equity Firms and Publicly Traded Corporations Impact End-of-Life Quality and Cost of Care?
私募股权公司和上市公司收购临终关怀机构是否会影响临终护理质量和护理成本?
- 批准号:
10577819 - 财政年份:2022
- 资助金额:
$ 11.3万 - 项目类别:
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