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Title
RUG-II (Resource Utilization Group, Version II) impacts on long-term care facilities in New York.
First Author
Schultz, Barry M
Date of Pub
1994 Winter
Pages
85-99
Volume
16
Issue
2
Other Authors
Knickman, James R; Ward, David
Abstract
This article observes changes during the first 5 years of Resource Utilization Group, Version II (RUG-II) system utilization by the New York State Department of Health (NYDOH) for Medicaid program reimbursement. Findings include a dramatic increase in the number of residents scoring in the highest intensity resident-care categories, a substantial increase in staffing and expenditures for rehabilitation therapies, and a possible negative impact on the financial performance of New York long-term care (LTC) facilities. RUG-II appears to have been successful in improving access to nursing homes for individuals with heavy-care needs and in encouraging the appropriate utilization of institutionalized skilled nursing care.
Abstract Continued
N/A
MeSH
Cost Allocation : Diagnosis-Related Groups/classification/economics : Financial Management/trends : Health Services Research : Long-Term Care/classification/economics : Medicaid/statistics & numerical data/trends : New York : Nursing Homes/economics/statistics & numerical data/utilization : Personnel Staffing and Scheduling/trends : Rehabilitation/classification/economics : Reimbursement Mechanisms/trends : State Health Plans/economics/statistics & numerical data/trends : Support, Non-U.S. Gov't : United States
NTIS Number
PB99-106486