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Title
Trends in Medicaid nursing home reimbursement: 1978-89.
First Author
Swan, James H
Date of Pub
1993 Summer
Pages
111-132
Volume
14
Issue
4
Other Authors
Grant, Leslie; Harrington, Charlene; Luehrs, John; Preston, Steve
Abstract
Medicaid nursing home reimbursement is of concern because of implications for nursing home expenditures. This article presents data on State Medicaid nursing home reimbursement methods, ratesetting methods, and average per diem rates, refining earlier data and updating through 1989. A trend in the early 1980s toward adopting prospective systems played out by the end of the decade. There were trends, however, toward casemix methods, which may increase access for high-need patients, and toward cost-center limits on nursing, which may provide incentives to lower quality care. Analysis supports previous findings that prospective systems allow greater control over increases in rates.
Abstract Continued
N/A
MeSH
Data Collection : Medicaid/organization & administration/trends : Nursing Homes/economics/trends : Rate Setting and Review/methods/trends : Reimbursement Mechanisms/classification/trends : State Health Plans/economics/trends : Support, U.S. Gov't, P.H.S. : United States
NTIS Number
PB95-123485