The Impact of COVID-19 on Post-Acute Care Patients, Providers, and Public Policy

HCFI Digital Publication Series


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COVID-19 Continues to Intensify Long-Standing Nursing and Staffing Shortages (Long-Term Care Workforce 2022).

by Ellen Strunk, PT, MS, Maureen McCarthy, RN, BS, and Sherill Mason, RN, BA

April 2022

Providers, as well as state and federal policy makers are grappling with rapid innovations to restore adequate staff during the pandemic and beyond.


The Role of Post-Acute Care Providers in Addressing the COVID-19 Public Health Emergency: An Update

by Lane Koenig, PhD and Aig Unuigbe, PhD

March 2022

Evidence from Medicare post-acute discharge patterns at the height as the pandemic entered its second year, may reveal elements of post-acute usage that will persist long after COVID-19 subsides. The important and varied participation of the different types of post-acute showed evolving patient needs and provider experience with COVID-19.


Home Health Expansion Requires Innovation in Nursing Education

by Dr. Steven Landers

September 2021

Dramatic projections for growth in demand for home-care services suggest the need for corresponding increase in the number of Home Health Nurses. The path forward likely involves reimagining Home health nursing within the care delivery and nursing education settings. The President of Visiting Nurse Association Health Group offers thoughts on what that might entail.


Persistent Symptoms in Long-Haul COVID Patients Emphasize Need for Specialty Hospital Care

by Dr. John Votto

September 2021

A pulmonologist and former specialty-hospital CEO discusses the integral role of post-acute hospitals in the treatment and recovery of long-haul COVID patients, and the implications for the health-care landscape going forward.


What Role Did Post-Acute Care Providers Play in Addressing the COVID-19 Public Health Emergency?

by Lane Koenig, Aig Unuigbe, Julia Sheriff, and Berna Demiralp

August 2021

Analysis of Medicare post-acute discharge patterns during the early PHE illustrates the important and varied participation of the different types of post-acute providers as COVID treatment facilities, or as capacity extenders for vital critical care or infection-controlled venues of care.


COVID-Related Health Insurance Changes and Implications for Provider-Relief Funds

by Lisa Grabert

June 2021

Congress authorized $178 billion to compensate providers for revenue lost in COVID-19 pandemic. Actual revenue shifts are likely to follow a path that deviates from the 2019 allocation basis for the Provider Relief Fund. Actual 2020 data suggests adjustments should shore up support for nursing homes and home health providers.


The Looming Reorganization of Skilled Nursing Facility and Home Health Services

Elderly man in wheelchair looking out from nursing facility window

by John McHugh, Dori Cross, and Bradley Flansbaum

April 2021

COVID-19 focused attention on the shortcomings of post-acute care. Growing financial and operational challenges for skilled nursing facilities (SNF) are leading to instability, reallocating transitions of care from SNF to home health (HH). Payers and policy makers must reexamine how dollars are allocated.

The analyses and conclusions presented in these articles are those of the authors, and are not intended for attribution to HCFI, our ICCF sponsors, or Georgetown University. Articles are licensed for publication and archiving within the DigitalGeorgetown Collection.