Explaining State Medicaid Nursing Home Reimbursement
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| Názov: | Explaining State Medicaid Nursing Home Reimbursement |
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| Autori: | Swan, James H., Harrington, Charlene, Pickard, Ruth B. |
| Prispievatelia: | Wichita State University. Department of Public Health Sciences |
| Zdroj: | Journal of Health & Social Policy. 12:53-73 |
| Informácie o vydavateľovi: | Informa UK Limited, 2001. |
| Rok vydania: | 2001 |
| Predmety: | Medicaid/statistics & numerical data, State Health Plans, Research Support, Health Services Accessibility, Medicaid/economics, Reimbursement Mechanisms, 03 medical and health sciences, 0302 clinical medicine, Research Support as Topic, State Health Plans/statistics & numerical data, Humans, Aged, Non-P.H.S, Medicaid, Data Collection, Nursing Homes/economics, United States, Nursing Homes, 3. Good health, State Health Plans/economics, Health Services Accessibility/economics, Rate Setting and Review, Regression Analysis, U.S. Gov't, Rate Setting and Review/trends, Reimbursement Mechanisms/trends, Rate Setting and Review/methods, 0305 other medical science |
| Popis: | Medicaid nursing home reimbursement methods and per diem rates affect costs, quality, equity, and access. State rate-setting is a laboratory of policymaking, which can inform state and federal Medicaid reform initiatives. This paper explains state Medicaid nursing facility rates in 1979-1994. Findings suggest that prospective facility-specific methods constrained rates in some but not all periods, particularly when older cost-reports were employed in rate-setting. Analysis failed to show that prospective class rate-setting methods constrained rate increases. Findings suggest that the efficacy of reimbursement methodology to control rates depends upon wider health care policy trends and that future facility-level analyses should consider policy contexts as between states. |
| Druh dokumentu: | Article |
| Jazyk: | English |
| ISSN: | 0897-7186 |
| DOI: | 10.1300/j045v12n04_04 |
| Prístupová URL adresa: | https://pubmed.ncbi.nlm.nih.gov/11140119 https://soar.wichita.edu/handle/10057/4778 https://www.ncbi.nlm.nih.gov/pubmed/11140119 |
| Prístupové číslo: | edsair.doi.dedup.....98d21824c5d5516131b502a3bb91938a |
| Databáza: | OpenAIRE |
Nájsť tento článok vo Web of Science | Abstrakt: | Medicaid nursing home reimbursement methods and per diem rates affect costs, quality, equity, and access. State rate-setting is a laboratory of policymaking, which can inform state and federal Medicaid reform initiatives. This paper explains state Medicaid nursing facility rates in 1979-1994. Findings suggest that prospective facility-specific methods constrained rates in some but not all periods, particularly when older cost-reports were employed in rate-setting. Analysis failed to show that prospective class rate-setting methods constrained rate increases. Findings suggest that the efficacy of reimbursement methodology to control rates depends upon wider health care policy trends and that future facility-level analyses should consider policy contexts as between states. |
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| ISSN: | 08977186 |
| DOI: | 10.1300/j045v12n04_04 |