Evaluation of the national swing-bed program in rural hospitals.
Shaughnessy, Peter W
Date of Pub
Schlenker, Robert E; Silverman, Herbert A
The Health Care Financing Administration (HCFA) implemented a swing-bed demonstration and evaluation program for rural communities
in the 1970's. The demonstration substantiated the cost effectiveness of providing long-term care in small, rural, acute care
hospitals. As a result, Section 904 of the Omnibus Reconciliation Act of 1980 (Public Law 96-499) authorized the national
swing-bed program, allowing rural hospitals with fewer than 50 beds to provide Medicare- and Medicaid-covered swing-bed care.
A congressionally mandated evaluation of the program was conducted and the national swing-bed program was found to be cost
effective. In this article, HCFA's report and recommendations to Congress are summarized in the context of the evaluation
findings. HCFA recommended that the program be continued and that consideration be given to extending the option to larger
hospitals. In this regard, the Omnibus Budget Reconciliation Act of 1987 (Public Law 100-203) extended the program to include
rural hospitals with up to 100 beds.
Hospital Administration : Bed Conversion/legislation & jurisprudence : Health Facility Planning/legislation & jurisprudence
: Hospital Bed Capacity, under 100 : Hospitals, Rural/organization & administration : Medicaid/legislation & jurisprudence
: Medicare/legislation & jurisprudence : Program Evaluation : Support, Non-U.S. Gov't : Support, U.S. Gov't, Non-P.H.S. :
United States : United States Health Care Financing Administration