The Boren Amendment and data envelopment analysis.

Judicial review of Medicaid hospital and nursing home reimbursement methodologies under the Boren Amendment.

Congress passed the Boren Amendment to allow states to develop and implement alternative reimbursement methodologies that promote the efficient and economical delivery of hospital and nursing facility services. However, courts have interpreted Boren in ways that limit state discretion and impede their ability to meet budgetary constraints.

Lessons for States in Inpatient Ratesetting Under the Boren Amendment

Encouraged by a 1990 Supreme Court decision, Medicaid providers have challenged State inpatient ratesetting methodologies under the Boren Amendment. Procedurally, State assurances to the U.S. Department of Health and Human Services (DHHS) that payment rates meet the Amendment's requirements must be supported by findings based on a reasonably principled analysis. Substantively, rates may fall wi...

Repeal of the Boren Amendment

linked Medicaid nursing home rates with minimum federal and state quality of care standards. As part of the Omnibus Reconciliation Act of 1980, the “Boren amendment” required that Medicaid nursing home rates be “reasonable and adequate to meet the costs which must be incurred by efficiently and economically operated facilities in order to provide care and services in conformity with applicable ...

Data Envelopment Analysis Models In The Presence Of Ratio Data and Non-Discretionary Factors

An extended of multiple criteria data envelopment analysis models for ratio data

One of the problems of the data envelopment analysis traditional models in the multiple form that is the weights corresponding to certain inputs and outputs are considered zero in the calculation of efficiency and this means that not all input and output components are utilized for the evaluation of efficiency, as some are ignored. The above issue causes the efficiency score of the under evalua...