Medicaid Capital Reimbursement Policy and Environmental Artifacts of Nursing Home Culture Change
نویسندگان
چکیده
منابع مشابه
Medicaid capital reimbursement policy and environmental artifacts of nursing home culture change.
PURPOSE OF THE STUDY To examine how Medicaid capital reimbursement policy is associated with nursing homes (NHs) having high proportions of private rooms and small households. DESIGN AND METHODS Through a 2009/2010 NH national survey, we identified NHs having small households and high proportions of private rooms (≥76%). A survey of state Medicaid officials and policy document review provided...
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An increasing number of States are using a fair-rental approach for reimbursement of nursing home capital costs. In this study, two variants of the fair-rental capital-reimbursement approach are compared with the traditional cost-based approach in terms of after-tax cash flow to the investor, cost to the State, and rate of return to investor. Simulation models were developed to examine the effe...
متن کاملMedicaid nursing home reimbursement policies, rates, and expenditures
Nursing home expenditures, along with those of hospitals, have been a target of cost containment efforts because they constitute a growing share of overall public expenditures for health. Of the total $287 billion spent on personal health care in 1982, $27 billion (9.5 percent) was spent on nursing home care (Gibson, Waldo, and Levit, 1983). Nationally, nursing home expenditures increased at a ...
متن کاملEngaging consumers in medicaid nursing home reimbursement policy: lessons from New York and Minnesota.
PURPOSE OF THE STUDY This study draws lessons for successful consumer engagement in Medicaid nursing home (NH) reimbursement policy from New York and Minnesota. In these two states, resident advocates have influenced reimbursement policy to better encourage access, care quality, and quality of life. DESIGN AND METHODS Twenty-four semi-structured interviews were conducted, including consumer a...
متن کاملTrends in Medicaid Nursing Home Reimbursement: 1978-89
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 tr...
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ژورنال
عنوان ژورنال: The Gerontologist
سال: 2014
ISSN: 1758-5341,0016-9013
DOI: 10.1093/geront/gnt141