Medicaid payment rates for nursing homes, 1979-86.
Gohmann, Stephan F
Date of Pub
Ohsfeldt, Robert L
The issue of the cost containment effects of payment systems on per diem payments by Medicaid to nursing homes is addressed.
Estimates of real payment rates as a function of broadly defined payment system classifications and economic and demographic
variables using State-level data are presented. Little support for the notion that prospective payment systems substantially
restrain payment rates for intermediate care facilities is found, but some model specifications indicate possible cost savings
associated with prospective payment systems for skilled nursing facilities. Significant methodological concerns that need
to be addressed in future research on the cost containment effects of payment systems are also discussed.
Cost Control : Intermediate Care Facilities/economics : Medicaid/statistics & numerical data : Nursing Homes/economics : Prospective
Payment System/statistics & numerical data : Rate Setting and Review/trends : Skilled Nursing Facilities/economics : United