Table 3:
Changes in operating expenses, operating revenues, operating profit, and operating profit margin, by participation status and skilled nursing facility (SNF) (BPCI drop-out SNFs versus control SNFs).
| BPCI drop-out SNFs | Control SNFs | DID, unadjusted | DID, adjusted | Differential DID, adjusted | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Pre-BPCI (1) |
Post-BPCI (2) |
Diff (3)=(2)-(1) |
Pre-BPCI (4) |
Post-BPCI (5) |
Diff (6)=(5)-(4) |
(7)=(3)-(6) |
Estimate (95% CI) (8) |
P | Estimate (95% CI) (9)=(8)minority/Medicaid-(8)majority/non-Medicaid |
P | |
| a Operating expenses, million $ | |||||||||||
| All | 13.10 | 12.26 | −0.85 | 10.72 | 10.50 | −0.22 | −0.63 | −0.16 (−0.71, 0.38) |
0.56 | ||
| Minority-serving | 15.27 | 14.29 | −0.98 | 11.80 | 11.25 | −0.55 | −0.43 |
1.18
(0.02, 2.33) |
0.05 | ||
| Majority-serving | 12.50 | 11.55 | −0.94 | 10.49 | 10.32 | −0.17 | −0.77 |
−0.85
(−1.31, −0.39) |
<0.001 |
2.03
(0.81, 3.24) |
0.001 |
| Medicaid-dependent | 12.69 | 12.08 | −0.61 | 11.51 | 11.50 | −0.01 | −0.60 |
1.05
(0.03. 2.07) |
0.04 | ||
| Non-Medicaid-dependent | 13.30 | 12.38 | −0.92 | 9.44 | 9.11 | −0.33 | −0.59 |
−1.23
(−1.72,−0.74) |
<0.001 |
2.28
(1.17, 3.39) |
<0.001 |
| a Operating revenues, million $ | |||||||||||
| All | 17.21 | 16.89 | −0.32 | 12.25 | 12.50 | 0.25 | −0.57 | −0.45 (−0.91, 0.01) |
0.05 | ||
| Minority-serving | 19.45 | 19.23 | −0.22 | 13.70 | 14.19 | 0.49 | −0.71 | 0.73 (−0.39, 1.85) |
0.20 | ||
| Majority-serving | 16.59 | 16.09 | −0.50 | 11.95 | 12.10 | 0.15 | −0.65 |
−0.82
(−1.28, −0.37) |
<0.001 |
1.56
(0.37, 2.74) |
0.01 |
| Medicaid-dependent | 15.70 | 15.88 | 0.18 | 10.99 | 11.34 | 0.35 | −0.16 | 0.31 (−0.46, 1.09) |
0.43 | ||
| Non-Medicaid-dependent | 17.93 | 17.60 | −0.33 | 13.02 | 13.33 | 0.31 | −0.64 |
−1.10
(−1.70, −0.51) |
<0.001 |
1.42
(0.46, 2.38) |
0.004 |
| a Operating profit, million $ | |||||||||||
| All | 4.11 | 4.64 | 0.53 | 1.69 | 1.97 | 0.28 | 0.25 | 0.14 (−0.23, 0.52) |
0.46 | ||
| Minority-serving | 4.18 | 4.94 | 0.76 | 2.20 | 2.63 | 0.43 | 0.33 | 0.67 (−0.13, 1.46) |
0.10 | ||
| Majority-serving | 4.09 | 4.53 | 0.44 | 1.59 | 1.82 | 0.23 | 0.22 | −0.01 (−0.43, 0.40) |
0.95 | 0.68 (−0.21, 1.57) |
0.13 |
| Medicaid-dependent | 3.01 | 3.80 | 0.79 | 1.66 | 2.02 | 0.36 | 0.44 | 0.64 (0.13, 1.16) |
0.01 | ||
| Non-Medicaid-dependent | 4.63 | 5.22 | 0.60 | 1.71 | 1.94 | 0.22 | 0.37 | 0.05 (−0.47, 0.57) |
0.86 | 0.59 (−0.13, 1.31) |
0.11 |
| b Operating profit margin | |||||||||||
| All | 19.02 | 22.83 | 3.81 | 11.19 | 12.74 | 1.55 | 2.26 | 3.98 (−1.52, 9.48) |
0.16 | ||
| Minority-serving | 18.30 | 22.17 | 3.87 | 12.62 | 14.78 | 2.16 | 1.71 | 4.56 (0.42, 8.70) |
0.03 | ||
| Majority-serving | 19.22 | 23.05 | 3.84 | 10.89 | 12.25 | 1.36 | 2.48 | 4.50 (−2.31, 11.31) |
0.20 | 0.06 (−6.97, 7.08) |
0.99 |
| Medicaid-dependent | 15.36 | 20.40 | 5.04 | 11.56 | 13.29 | 1.72 | 3.32 | 5.68 (−6.42, 17.78) |
0.36 | ||
| Non-Medicaid-dependent | 20.73 | 24.52 | 3.79 | 10.96 | 12.34 | 1.38 | 2.41 | 5.23 (1.55, 8.90) |
0.005 | 0.45 (−11.80, 12.72) |
0.94 |
a
Generalized linear models with log link function adjusted for skilled nursing facility and geographic covariates listed in Table 1, as well as State and year dummies. The number scale is 1,000, 000.
b
Generalized linear model adjusted for skilled nursing facility and geographic covariates listed in Table 1, as well as State and year dummies.
BPCI=Bundled Payments for Care Improvement; SNF=skilled nursing facility; DID=difference-in-differences; 95% CI=95% confidence interval.