Medicaid case-mix nursing home reimbursement in three states

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dc.contributor Wichita State University. Department of Public Health Sciences en_US
dc.contributor.author Swan, James H. en_US
dc.contributor.author Pickard, Ruth B. en_US
dc.date.accessioned 2012-03-07T17:40:28Z
dc.date.available 2012-03-07T17:40:28Z
dc.date.issued 2003 en_US
dc.identifier 12943331 en_US
dc.identifier 9000937 en_US
dc.identifier.citation Journal of health & social policy. 2003; 16(4): 27-53. en_US
dc.identifier.issn 0897-7186 en_US
dc.identifier.uri http://dx.doi.org/10.1300/J045v16n04_02 en_US
dc.identifier.uri http://hdl.handle.net/10057/4772
dc.description Click on the DOI link below to access the article (may not be free). en_US
dc.description.abstract Case-mix nursing facility payment raises issues of access, quality, equity, and cost. Case-mix should better match payment to costs, improve access, and provide incentives to increased staffing and quality of care; but it may also increase costs. This paper reports analysis of Medicaid cost-report data from three case-mix states. Case-mix did not discourage capacity building and was more equitable for providers. Medicaid access declined in one state but increased in another. There were shifts toward greater skilled care in two states, with evidence of greater focus of resources on patient care. Case-mix showed no evidence of cost-constraint and some signs of increased costs. Whether such mixed outcomes are viable in the current era remains to be seen. en_US
dc.format.extent 27-53 en_US
dc.language.iso eng en_US
dc.publisher Routledge en_US
dc.relation.ispartofseries Journal of Health & Social Policy en_US
dc.relation.ispartofseries J Health Soc Policy en_US
dc.source NLM en_US
dc.subject Comparative Study en_US
dc.subject Research Support, U.S. Gov't, Non-P.H.S. en_US
dc.subject.mesh Diagnosis-Related Groups/economics en_US
dc.subject.mesh Health Policy/legislation & jurisprudence en_US
dc.subject.mesh Medicaid/legislation & jurisprudence en_US
dc.subject.mesh Minnesota en_US
dc.subject.mesh Nursing Homes/economics en_US
dc.subject.mesh Prospective Payment System/legislation & jurisprudence en_US
dc.subject.mesh South Carolina en_US
dc.subject.mesh Texas en_US
dc.subject.mesh United States en_US
dc.subject.mesh Nursing Homes/organization & administration en_US
dc.title Medicaid case-mix nursing home reimbursement in three states en_US
dc.type Article en_US
dc.coverage.spacial United States en_US
dc.description.version peer reviewed en_US
dc.rights.holder Copyright © Routledge en_US

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