Skip to Main Content
Title
Incentives in case-mix measures for long-term care.
First Author
Smits, Helen L
Date of Pub
1984 Winter
Pages
53-59
Volume
6
Issue
2
Other Authors
N/A
Abstract
Several States now use patient-based payments for skilled nursing facilities and intermediate care facilities; others are in the process of developing case-mix systems. The Health Care Financing Administration is working under congressional mandate to develop a prospective case-mix system for Medicare payments to skilled nursing facilities. If new payment methods follow the existing pattern, they will be based not on the patient's clinical characteristics but rather on a mixture of clinical characteristics and services delivered. As a result, innate incentives are contained in data collection systems which are cost-increasing at best and dangerous at worst. A preferable approach would be to develop payment schemes based on the patient's degree of dependence.
Abstract Continued
N/A
MeSH
Costs and Cost Analysis : Diagnosis-Related Groups : Intermediate Care Facilities/economics : Medicare : Nursing Homes/economics : Prospective Payment System/methods : Reimbursement Mechanisms/methods : Skilled Nursing Facilities/economics : United States : United States Health Care Financing Administration : West Virginia
NTIS Number
PB85-155075