New skilled nursing facility payment scheme boosts Medicare risk
Affiliations
- PMID: 10094051
Item in Clipboard
New skilled nursing facility payment scheme boosts Medicare risk
J Health Care Finance.
1999 Spring.
Abstract
Medicare's cost-based reimbursement method for skilled nursing facility care has been replaced with a prospective payment system that includes a case-mix adjustment based on resource utilization groups. The changeover will reduce Medicare payments for most skilled nursing facilities. The financial risk of operating these facilities will be far greater if state Medicaid programs that reimburse nursing facilities on a cost basis follow Medicare's lead.
Similar articles
-
Prospective per diem rates for skilled nursing care.J Health Care Finance. 2002 Spring;28(3):49-62. J Health Care Finance. 2002. PMID: 12079151
-
Proposed PPS refinements would boost payments for sickest patients; add no new Medicare money to system.Natl Rep Subacute Care. 2000 Apr 19;8(8):1-9. Natl Rep Subacute Care. 2000. PMID: 11009740 No abstract available.
-
Management challenges under case-mix reimbursement systems.Balance. 2000 May-Jun;4(3):16-9. Balance. 2000. PMID: 11921752 No abstract available.
-
The state-of-the-science: challenges in designing postacute care payment policy.Arch Phys Med Rehabil. 2007 Nov;88(11):1522-5. doi: 10.1016/j.apmr.2007.05.032. Arch Phys Med Rehabil. 2007. PMID: 17964899 Review.
-
Speech-language pathology in the long-term care setting: it isn't your grandmother's nursing home anymore.Semin Speech Lang. 2013 Apr;34(1):29-36. doi: 10.1055/s-0033-1337392. Epub 2013 Mar 18. Semin Speech Lang. 2013. PMID: 23508797 Review.
Cited by
-
Did the introduction of a prospective payment system for nursing home stays reduce the likelihood of pharmacological management of secondary ischaemic stroke?Drugs Aging. 2006;23(1):61-9. doi: 10.2165/00002512-200623010-00006. Drugs Aging. 2006. PMID: 16492070
-
Physical rehabilitation following medicare prospective payment for skilled nursing facilities.Health Serv Res. 2004 Oct;39(5):1299-318. doi: 10.1111/j.1475-6773.2004.00291.x. Health Serv Res. 2004. PMID: 15333110 Free PMC article.
-
The drive for quality care in US nursing homes in the era of the prospective payment system.Drugs Aging. 2002;19(9):623-31. doi: 10.2165/00002512-200219090-00001. Drugs Aging. 2002. PMID: 12381233 Review.
MeSH terms
LinkOut - more resources
Full Text Sources
Medical