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University of Washington ASPIRe Lab @UW_ASPIRe

Advancing Health Services & Policy in Rehabilitation @UWRehabMed | Co-Directors Tracy Mroz, PhD, OTR/L & Rachel Prusynski, DPT, PhD

Joined May 2022
  • Tweets 159
  • Following 201
  • Followers 106
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New @UW_ASPIRe publication in @AJMC_Journal from our partnership with @BAYADAHHC examines differences in care delivery and outcomes between Traditional Medicare and two types of #MedicareAdvantage plans: ajmc.com/view/medicare-advan…

Medicare Advantage Reimbursement Structures Impact Home Health Delivery and Outcomes | AJMC

Medicare Advantage plans that place greater restrictions on home health agency care delivery may have more adverse patient outcomes than plans that provide episodic payments.

ajmc.com
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In person today! @UW_ASPIRe trainee presenting a UW Data Science seminar on Modeling Patient Outcomes After Amputation: Comparing Machine Learning and Traditional Approaches escience.washington.edu/even…
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University of Washington ASPIRe Lab retweeted
WWAMI RHRC@wwamirhrc
4 Sep 2025
Our latest policy report led by RHRC Investigator Tracy Mroz @UW_ASPIRe compares home health care utilization between Traditional Medicare & Medicare advantage for rural & urban beneficiaries. 🔗 Read the full report: bit.ly/3VxngYk
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The @UW_ASPIRe lab just received a Notice of Award from @NIH for a 2-year study with partners @BAYADAHHC titled: Relationships between home health care delivery practices and patient outcomes: key evidence for high-value care We are excited to get to work!
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Free to download for 50 days from @ArchivesPMR - our new article "Reductions in therapy provision in skilled nursing facilities after Medicare payment reform and during the COVID-19 pandemic: An interrupted time series analysis" authors.elsevier.com/a/1lKET…
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University of Washington ASPIRe Lab retweeted
Hari Sharma@Hari_Sharma353
24 Apr 2025
Interested in long term services and support mentorship? Want to chat with academic and/or non-academic professionals? Sign up to be a mentor or mentee here: academyhealth.org/profession…
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Together with @uwchws, @UW_ASPIRe contributed research to guide policy recommendations for strengthening Washington state's #LTC workforce which were recently sent to the state legislature and Governor. Read the full report: wtb.wa.gov/wp-content/upload…

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@WorkforceWash
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Congratulations to our co-director @doc_doc_pru for this research innovation award through @LearrnNetwork
Rachel Prusynski, DPT, PhD@doc_doc_pru
14 Apr 2025
Much gratitude to @LearrnNetwork and @BAYADAHHC for the support & nomination!
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A post-acute care access double header this week! New in The Gerontologist @geronsociety- this work focused on #Medicare beneficiaries with #Disabilities, exploring how admissions to #SkilledNursing and #HomeHealth changed during #PDPM #PDGM and #COVID19 pubmed.ncbi.nlm.nih.gov/3967…
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Out today in @AGSJournal, funded by @NIHAging: Our team (@PittSHRS @UWRehabMed & UCLA) used 100% Medicare claims to examine how admissions to skilled nursing facilities and home health agencies were impacted by @CMSGov payment reforms and the #COVID19 pandemic: 1/
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Then #COVID19 changed everything - greatly accelerating the baseline declines in #SNF admissions and increases in #HHA admissions as patients avoided institutional post-acute settings. There was some recovery in #SNF admissions by the end of 2021 - but not back to baseline. 4/
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Our work highlights the interconnected nature of SNFs and HHAs, reinforcing how changes in one setting impacts the other. Next steps include looking at specific patient populations targeted by payment reforms - and more. /5
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More trainee congratulations, this week to our PhD Trainee Rachael Rosen who recently received a doctoral training award from the Orthotics & Prosthetics Foundation! mailchi.mp/oandpfoundation/2… @UWRehabMed
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Congrats to our PhD Trainee Harsha Amaravadi for winning this year's @geronsociety Social Research, Policy, & Practice Best Student Poster Award! #GSA2024 Harsha worked with mentors in @UWRehabMed and @hspop_uw to examine potential problematic coding in Medicare SNF claims.
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We look forward to welcoming @geronsociety folks to Seattle for #GSA2024! @UW_ASPIRe will be sharing our work at multiple sessions, starting with tomorrow's (Weds) poster session kickoff: 1/
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Impacts of Payment Reform and COVID-19 on Postacute Care Access for Older Adults With Disabilities: cdmcd.co/Ed5aAQ #GSA2024
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University of Washington ASPIRe Lab retweeted
NEJM
@NEJM
30 Oct 2024
Kamala Harris’s proposal for expanding Medicare to cover long-term care at home is a hopeful sign for millions of Americans, though key questions remain about eligibility, coverage, payments, and financing. Read the full Perspective: nej.md/4hrJl4j
Long-term care is not a partisan issue. Every family must grapple with it regardless of politics, income, or geography. Perspective Madeline R. Sterling, M.D., M.P.H., and David C. Grabowski, Ph.D.

ALT Long-term care is not a partisan issue. Every family must grapple with it regardless of politics, income, or geography. Perspective Madeline R. Sterling, M.D., M.P.H., and David C. Grabowski, Ph.D.
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