Has the Medicare Prospective Payment System Led to Increased Nursing Home Efficiency?
نویسندگان
چکیده
منابع مشابه
The Medicare prospective payment system.
In 1983 Congress adopted the most significant change in the Medicare program since its inception in 1965. Along with measures to ensure the solvency of the Social Security System into the next century, Congress approved a system of prospective payment for hospital inpatient services, whereby hospitals are paid a fixed sum per case according to a schedule of diagnosis related groups (DRGs). The ...
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Strong interest by Congress in a Medicare prospective payment system for skilled nursing facilities (SNF's) resulted in a major study by the Health Care Financing Administration on the Medicare SNF benefit. This article highlights findings from that study, which addressed the following: the Medicare SNF benefit, utilization and expenditures, the Medicare SNF industry, problems with the current ...
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This paper explores the causes of the dramatic rise in total Medicare home health spending under the prospective payment system. In 2000, Medicare home health care introduced the prospective payment system to control the spending growth that had occurred under the fee-for-service payment system. However, total spending under the new system has continued to increase significantly. I examine the ...
متن کاملEffects of Medicare payment reform: evidence from the home health interim and prospective payment systems.
Medicare continues to implement payment reforms that shift reimbursement from fee-for-service toward episode-based payment, affecting average and marginal payment. We contrast the effects of two reforms for home health agencies. The home health interim payment system in 1997 lowered both types of payment; our conceptual model predicts a decline in the likelihood of use and costs, both of which ...
متن کاملMedicare's home health prospective payment system.
On July 7, 2014, the Centers for Medicare and Medicaid Services (CMS) published the calendar year (CY) 2015 proposed payment rule for the Medicare Home Health Prospective Payment System (HH PPS). The proposed rule reflects the annual update to the Medicare fee-for-service (FFS) HH rates and policies based on regulatory changes put forward by CMS and legislative changes previously adopted by Con...
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ژورنال
عنوان ژورنال: Health Services Research
سال: 2007
ISSN: 0017-9124,1475-6773
DOI: 10.1111/j.1475-6773.2007.00798.x