RUG-II (Resource Utilization Group, Version II) impacts on long-term care facilities in New York.
Schultz, Barry M
Date of Pub
Knickman, James R; Ward, David
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.
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