Medicaid payment rates for nursing homes, 1979-86
- PMID: 10113565
- PMCID: PMC4193106
Medicaid payment rates for nursing homes, 1979-86
Abstract
The issue of the cost containment effects of payment systems on per diem payments by Medicaid to nursing homes is addressed. Estimates of real payment rates as a function of broadly defined payment system classifications and economic and demographic variables using State-level data are presented. Little support for the notion that prospective payment systems substantially restrain payment rates for intermediate care facilities is found, but some model specifications indicate possible cost savings associated with prospective payment systems for skilled nursing facilities. Significant methodological concerns that need to be addressed in future research on the cost containment effects of payment systems are also discussed.
References
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- Harrington C, Swan JH. Health Care Financing Review. 1. Vol. 6. Washington: U.S. Government Printing Office; Fall. 1984. Medicaid nursing home reimbursement policies, rates, and expenditures; pp. 39–49. HCFA Pub. No. 03176. Office of Research and Demonstrations, Health Care Financing Administration. - PMC - PubMed
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- Gohmann S. State Nursing Home Policies and Expenditures. presented at the Southern Economic Association meetings; Nov. 1988.
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