- Title
- Incentives in case-mix measures for long-term care.
- First Author
- Smits, Helen L
- Date of Pub
- 1984 Winter
- Pages
- 53-59
- Volume
- 6
- Issue
- 2
- Other Authors
- N/A
- Abstract
- Several States now use patient-based payments for skilled nursing facilities and intermediate care facilities; others are in the process of developing case-mix systems. The Health Care Financing Administration is working under congressional mandate to develop a prospective case-mix system for Medicare payments to skilled nursing facilities. If new payment methods follow the existing pattern, they will be based not on the patient's clinical characteristics but rather on a mixture of clinical characteristics and services delivered. As a result, innate incentives are contained in data collection systems which are cost-increasing at best and dangerous at worst. A preferable approach would be to develop payment schemes based on the patient's degree of dependence.
- Abstract Continued
- N/A
- MeSH
- Costs and Cost Analysis : Diagnosis-Related Groups : Intermediate Care Facilities/economics : Medicare : Nursing Homes/economics : Prospective Payment System/methods : Reimbursement Mechanisms/methods : Skilled Nursing Facilities/economics : United States : United States Health Care Financing Administration : West Virginia
- NTIS Number
- PB85-155075
