Deans' stroke musings: Cost-Effectiveness of Post-Acute Stroke Rehabilitation From a U.S. Healthcare Payer Perspective: Inpatient Rehabilitation Facilities Versus Skilled Nursing Facilities

Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Wednesday, July 8, 2026

Cost-Effectiveness of Post-Acute Stroke Rehabilitation From a U.S. Healthcare Payer Perspective: Inpatient Rehabilitation Facilities Versus Skilled Nursing Facilities

I would fire anyone doing useless cost effectiveness research rather than recovery effectiveness research! Either do the right thing or GET THE HELL OUT OF STROKE!

Cost-Effectiveness of Post-Acute Stroke Rehabilitation From a U.S.Healthcare Payer Perspective: Inpatient Rehabilitation Facilities Versus Skilled Nursing Facilities

Please cite this article as: Heather Hayes DPT, PhD , Minkyoung Yoo PhD , Richard Nelson PhD , Cost-Effectiveness of Post-Acute Stroke Rehabilitation From a U.S. Healthcare Payer Perspective: Inpatient Rehabilitation Facilities Versus Skilled Nursing Facilities, Archives of Physical Medicine and Rehabilitation (2026), doi: https://doi.org/10.1016/j.apmr.2026.06.027 This is a PDF of an article that has undergone enhancements after acceptance, such as the ad dition of a cover page and metadata, and formatting for readability. This version will undergo addi tional copyediting, typesetting and review before it is published in its final form. As such, this ver sion is no longer the Accepted Manuscript, but it is not yet the definitive Version of Record; we are providing this early version to give early visibility of the article. Please note that Elsevier’s sharing policy for the Published Journal Article applies to this version, see: https://www.elsevier.com/about/ policies-and-standards/sharing#4-published-journal-article. Please also note that, during the produc tion process, errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. ©2026 Published by Elsevier Inc. on behalf of the American Congress of Rehabilitation Medicine