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Title
Assessing Medicare reimbursement options for skilled nursing facility care.
First Author
Holahan, John
Date of Pub
1989 Spring
Pages
13-27
Volume
10
Issue
3
Other Authors
Sulvetta, Margaret B
Abstract
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.
Abstract Continued
N/A
MeSH
Comparative Study : Computer Simulation : Data Collection : Evaluation Studies : Medicare/organization & administration : Reimbursement Mechanisms/statistics & numerical data : Skilled Nursing Facilities/economics : United States
NTIS Number
PB89-208953