Assessing Medicare reimbursement options for skilled nursing facility care.
Date of Pub
Sulvetta, Margaret B
In this article, a broad array of Medicare payment options for skilled nursing home care are examined, ranging from cost-based
retrospective systems to various prospective arrangements. Each system contains different incentives to meet four policy goals:
provide access for Medicare patients; increase access for patients requiring resource-intensive care; contain growth in program
costs; and assure the delivery of high-quality care. The financial impacts of alternative policy options on nursing homes
are presented through the use of a simulation model. Facility-specific payment systems are shown to most effectively incorporate
incentives to contain costs and promote beneficiary access to care.
Comparative Study : Computer Simulation : Data Collection : Evaluation Studies : Medicare/organization & administration :
Reimbursement Mechanisms/statistics & numerical data : Skilled Nursing Facilities/economics : United States