Geographic Market Definition: The Case of Medicare-Reimbursed Skilled Nursing Facility Care
نویسندگان
چکیده
منابع مشابه
Assessing Medicare reimbursement options for skilled nursing facility care
In this article, a broad array of Medicare payment options for skilled nursing home care are examined, ranging from cost-based retrospective systems to various prospective arrangements. Each system contains different incentives to meet four policy goals: provide access for Medicare patients; increase access for patients requiring resource-intensive care; contain growth in program costs; and ass...
متن کاملMedicare skilled nursing facility reimbursement and upcoding.
Post-acute care provided by skilled nursing facilities (SNFs) is reimbursed by Medicare under a prospective payment system using resource utilization groups (RUGs) that adjust payment intensity on the basis of predefined ranges of weekly therapy minutes provided and the functionality of the patient. Individual RUGs account for differences in the intensity of care provided, but there exists sign...
متن کاملChanges in Medicare skilled nursing facility benefit admissions
In this article, the changes in Medicare skilled nursing facility (SNF) benefit admissions from 1983 through 1985 are examined and factors that influence changes in access since the implementation of Medicare's prospective payment system are analyzed. During this period, use of the SNF benefit increased nationally by 21 percent. Multivariate analysis is used to determine factors associated with...
متن کاملMedicare-covered skilled nursing facility services, 1967-88
The skilled nursing facility benefit under Medicare has been difficult to administer because its intent has been subject to misinterpretation. This article describes the series of legislative and administrative actions taken to align the benefit's use with its intent. Data are presented to show the changes in utilization and program expenditures in response to the actions taken. The 1988 clarif...
متن کاملMedicare Episodes of Illness: A Study of Hospital, Skilled Nursing Facility, and Home Health Agency Care
This paper analyzes charges incurred under the Medicare program for inpatient hospital, skilled nursing facility (SNF), and home health agency (HHA) care for 1976. This research was made possible through the construction of a new data set which links a beneficiary's use of these three services. Summary highlights reveal that an overwhelming majority of the 7.5 million Medicare episodes of illne...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: INQUIRY: The Journal of Health Care Organization, Provision, and Financing
سال: 2011
ISSN: 0046-9580,1945-7243
DOI: 10.5034/inquiryjrnl_48.02.03