Nursing home cost studies and reimbursement issues.
Bishop, Christine E
Date of Pub
This review of nursing home cost function research shows that certain provider and service characteristics are systematically
associated with differences in the average cost of care. This information can be used to group providers for reasonable cost
related rate-setting or to adjust their rates or rate ceilings. However, relationships between average cost and such service
characteristics as patient mix, service intensity, and quality of care have not been fully delineated. Therefore, econometric
cost functions cannot yet provide rate-setters with predictions about the cost of the efficient provision of nursing home
care appropriate to patient needs. In any case, the design of reimbursement systems must be founded not only on technical
information but also on public policy goals for long-term care.
Costs and Cost Analysis : Insurance, Health, Reimbursement/economics : Insurance, Health/economics : Medicaid/economics :
Nursing Homes/economics : Rate Setting and Review : Support, U.S. Gov't, P.H.S. : United States