Nursing home levels of care: problems and alternatives.
Bishop, Christine E
Date of Pub
Plough, Alonzo L; Willemain, Thomas R
Providers and recipients of nursing home care under Medicaid are currently classified into two levels of care to facilitate
appropriate placement, care, and reimbursement. The inherent imprecision of the two level system leads to problems of increased
cost to Medicaid, lowered quality of care, and inadequate access to care for Medicaid recipients. However, a more refined
system is likely to encounter difficulties in carrying out the functions performed by the broad two-level system, including
assessment of residents, prescription of needed services, and implementation of service plans. The service type-service intensity
classification proposed here can work in combination with a three-part reimbursement rate to encourage more accurate matching
of resident needs, services, and Medicaid payment, while avoiding disruption of care.
Health Services Accessibility : Chronic Disease/classification : Medicaid/economics : Nursing Homes/classification : Patient
Care Planning : Reimbursement Mechanisms : United States