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Title
Care for the chronically ill: nursing home incentive payment experience.
First Author
Weissert, William G
Date of Pub
1983 Winter
Pages
41-49
Volume
5
Issue
2
Other Authors
Scanlon, William J; Skinner, Douglas E; Wan, Thomas T
Abstract
Nursing home reimbursement systems which do not adjust payment levels to patient care needs lead to access problems for heavy-care patients. Unnecessarily long and costly hospital stays may result. A patient-based nursing home incentive reimbursement system has been designed and is being evaluated in a controlled field experiment in 36 California skilled nursing facilities. Incentives are paid for admitting heavy-care patients, meeting outcome goals on some patients, and discharging and maintaining some patients in the community. This article describes a nursing home reimbursement system which is intended to simultaneously mitigate problems of restricted access, inefficient use of beds, and nonoptimal care. It also discusses the approach to evaluating this broad social intervention by application of a controlled experimental design.
Abstract Continued
N/A
MeSH
Costs and Cost Analysis : Diagnosis-Related Groups : Reimbursement Mechanisms : Reimbursement, Incentive : California : Chronic Disease : Human : Medicaid : Nursing Homes/economics : Pilot Projects : Task Performance and Analysis
NTIS Number
PB84-185321