TY - JOUR
T1 - Trends in medicaid nursing home reimbursement
T2 - 1978-89
AU - Swan, J. H.
AU - Harrington, C.
AU - Grant, L.
AU - Luehrs, J.
AU - Preston, S.
PY - 1993
Y1 - 1993
N2 - Medicaid nursing home reimbursement is of concern because of implications for nursing home expenditures. This article presents data on State Medicaid nursing home reimbursement methods, ratesetting methods, and average per diem rates, refining earlier data and updating through 1989. A trend in the early 1980s toward adopting prospective systems played out by the end of the decade. There were trends, however, toward case-mix methods, which may increase access for high-need patients, and toward cost-center limits on nursing, which may provide incentives to lower quality care. Analysis supports previous findings that prospective systems allow greater control over increases in rates.
AB - Medicaid nursing home reimbursement is of concern because of implications for nursing home expenditures. This article presents data on State Medicaid nursing home reimbursement methods, ratesetting methods, and average per diem rates, refining earlier data and updating through 1989. A trend in the early 1980s toward adopting prospective systems played out by the end of the decade. There were trends, however, toward case-mix methods, which may increase access for high-need patients, and toward cost-center limits on nursing, which may provide incentives to lower quality care. Analysis supports previous findings that prospective systems allow greater control over increases in rates.
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M3 - Article
C2 - 10133105
AN - SCOPUS:0027818643
SN - 0195-8631
VL - 14
SP - 111
EP - 132
JO - Health Care Financing Review
JF - Health Care Financing Review
IS - 4
ER -